• Journal of the Korean Society of Clothing and Textiles
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• v.10 no.2
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• pp.21-28
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• 1986

This paper is concerned with the mutual relationship among interpressure, last. foot within a new shoe and foot within a fifty-hour-used shoe at the standing posture at three different heel-heights 1. The interrelationship between the heel-heights and interpressure is very significant at the level of $0.1\%$. The heel-heights cause high interpressure at different parts of foot; heel point and big toe point in a 3 cm-heel shoe, big toe point and heel outside joint point in a 5 cm-heel shoe, and little toe point, heel-outside joint point, and arch point in a 7 cm-heel shoe. 2. Foot girth and foot width measurements either within a new shoe or within a fifty-hour-used shoe significant at the level of $5\%,\;1\%,\;0.1\%$ and show discrepancies at three different heel heights; the part between instep and ball joint in a 3 cm-heel shoe, toe part in a 5 cm-heel shoe, heel-inside joint. heel-outside joint and toe part in a 7 cm-heel shoe are highly influenced by heel heights. The higher the shoe-hee15 are, the more heavily the fore part of foot is pressured in lateral direction because shoe is made to have high instep from a fashion viewpoint. Higher shoe heels prevent weight pressure from being concentrated on heel. If shoe heels are toe high, people in such shoes feel easily tired. It is very worthy of note in selecting shoes to consider not only the shoe fashion but also fore shoe type, heel height, and shoe material with proper elasticity.

• Journal of the Korean Society for Precision Engineering
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• v.22 no.8 s.173
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• pp.174-181
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• 2005

We analyzed the pressure, impulse on 24 sensors location under the foot using the Parolee system. Total 7 kinds of shoes, i.e. sport shoe, high heel shoes (5cm heel, 8cm heel, 13cm heel), platform shoe, inline skate, and heelys were evaluated for 20 normal subjects. Compared with those of sport shoe, greater pressure and impulse were shown on the 1 st phalange and the 1 st metatarsal head and greater impulse on the medial tarsal bone in high-heel shoes. Greater pressure and impulse were shown on medial metatarsal bone and the lateral tarsal bone in platform shoe. Greater impulse was shown on the medial tarsal bone in inline-skate. Heelys shoe showed smaller impulse on the central area of foot. The result of this study is expected to provide useful information about the relationship between the shoe type and the foot pathologies.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2004.10a
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• pp.1228-1231
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• 2004

We analyzed the impulse on 24 sensors location under the foot using the Parotec system for the investigation of the relationship between the shoe type and the foot pathologies. Total 7 kinds of shoes, i.e. sport shoe, high heel shoes (5cm heel, 8cm heel, 13cm heel), platform shoe, inline skate, and heelys were evaluated for 20 normal subjects. Compared with the impulse distribution of the sport shoe, greater impulses were shown at the 1$^{st}$ phalange and the 1$^{st}$ metatarsal-phalangeal head in high-heel shoes, lateral tarsal bone and medial metatarsal bone in platform shoe, medial tarsal bone in inline-skate, and medial tarsal bone and 1st phalange in heelys shoe. The result of this study is expected to provide useful information about the relationship between the shoe type and the foot pathologies.ies.

• Physical Therapy Korea
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• v.20 no.3
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• pp.36-44
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• 2013

This study aimed to investigate the influence of shoe heel height and muscle fatigue on static and dynamic balance in young women. Thirty women who were used to wearing high heels volunteered to participate in this study. The shoe heel heights were 0 cm and 7 cm. And ankle plantar flexor fatigue was experimentally induced. Static and dynamic balance were measured using the one leg standing test (OLST) and the star excursion balance test (SEBT) in anterior, posteromedial, and posterolateral directions, respectively. Values in the OLST (shoe heel height 0 cm, $28.83{\pm}3.24$ sec to $26.12{\pm}6.13$ sec; and 7 cm, $24.75{\pm}7.09$ sec to $16.86{\pm}9.32$ sec) and the SEBT in anterior (shoe heel height 0 cm, $71.02{\pm}4.57%$ to $69.50{\pm}3.66%$; and 7 cm, $64.17{\pm}3.53%$ to $59.61{\pm}4.06%$) and posteromedial (shoe heel height 0 cm, $92.01{\pm}5.61%$ to $90.38{\pm}7.10%$; and 7 cm, $83.09{\pm}7.29%$ to $76.83{\pm}9.28%$) directions were significantly reduced when fatigue-inducing exercise was performed (p<.05). Furthermore, within these parameters, there were significant interaction effects between shoe heel height and fatigue condition (p<.05). These findings suggest that shoe heel height and muscle fatigue contribute to some changes in static and dynamic balance in young women, probably leading to negative effects on physical function during a variety of activities of daily living.

• Korean Journal of Applied Biomechanics
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• v.24 no.4
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• pp.445-453
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• 2014

The purpose of this study was to analyze the gait characteristics and interaction between lower extremity joints according to shoe's heel heights in young women. Participants were selected as subject consisted of young and healthy women (age: $23.71{\pm}1.49yrs$, height: $165.92{\pm}2.00cm$, body weight: $54.37{\pm}3.46kg$) and walked with 3 types of shoe's high-heel (0, 5, 9 cm). The variables analyzed consisted of the displacement of Y axis in center of mass ([COM]; (position, velocity), front rear(FR) and left right(LR) angle of trunk, lower extremity joint angle (hip, knee, ankle) and asymmetric index (AI%). The displacement of Y axis in COM position showed the greater movement according to increase of shoe's heel heights, but velocity of COM showed the decrease according to increase of shoe's heel heights during gait. The hip and knee angle didn't show significant difference statistically according to increase of shoe's heel height, but left hip and knee showed more extended posture than those of right hip and knee angle. Also ankle angle didn't show significant difference statistically, but 9 cm heel showed more plantarflexion than those of 5 cm and 0 cm. The asymmetric index (AI%) showed more asymmetric 9 cm heel than those of 0 cm and 5 cm. The FR and LR angle in trunk tilting didn't show significant difference statistically according to the increase of shoe's heel height during gait in young women.

• The Journal of Korean Physical Therapy
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• v.16 no.3
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• pp.112-124
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• 2004

Purpose : The purpose of this study is to research the effects of the differences in shoe heel height on balanced performances with a balance master. Method : 40 healthy female adults were divided into 2 groups at random. All the female participants were tested by a balance master system. Differences were analyzed according to high heel shoes and low heel shoes. The ability of static postural balance control was measured by modified CTSIB and unilateral stance test, while that of dynamic postural balance control was measured by LOS (limit of stability) and rhythmic weight shift, among the programs of a balance master. Result : 1. There is no significant correlation between the ability of static and dynamic postural balance control before main test without the shoes. 2. Movement velocity and directional control ability were significant correlation compared result of in high heel shoes and low heel shoes group. Conclusion : In conclusion, the test results of the high heeled shoe group and the low heeled shoe group through a balance master system showed that the former one is inferior to the latter one.

• International Journal of Contents
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• v.6 no.1
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• pp.41-46
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• 2010

The aim of this study was to investigate the effect of different shoe-heel heights on the surface electromyographic (EMG) activity of vastus medialis (VM) and vastus lateralis (VL) during treadmill walking in female patients with patellofemoral pain (PFP). Nineteen women with PFP participated in this research. EMG signals were recorded from the VM and VL of both sides and were compared during the treadmill walking. The subjects walked on a treadmill wearing shoes of three different heel heights: 1 cm, 3 cm and 7 cm. Each subject walked on a treadmill for five minutes at a speed of 2 km/hour with three minutes resting intervals between consecutive trials. The data were analyzed by one-way repeated-measures analysis of variance. The results of the present study indicate that EMG data of the VM and VL of female patients with PFP did improve with an increase in the height of the shoe heel, which were statistically significant. Additionally, the EMG activity of VM increased more dramatically than that of VL associated with the task of walking with high-heeled shoes on the treadmill. This study suggests that the type of high-heeled shoes is related to the VM and VL muscle activation patterns contributing to knee joint pathologies in female patients with PFP.

• Physical Therapy Korea
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• v.26 no.2
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• pp.16-23
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• 2019

Background: High-heeled shoes can change spinal alignment and feet movement, which leads to muscle fatigue and discomfort in lumbopelvic region, legs, and feet while walking. Objects: This study aimed to identify the effects of different shoe heel heights on the walking velocity and electromyographic (EMG) activities of the lower leg muscles during short- and long-distance walking in young females. Methods: Fifteen young females were recruited in this study. The experiments were performed with the following two different shoe heel heights: 0 cm and 7 cm. All participants underwent an electromyographic procedure to measure the activities and fatigue levels of the tibialis anterior (TA), medial gastrocnemius (MG), rectus femoris (RF), and hamstring muscles with each heel height during both short- and long-distance walking. The walking velocities were measured using the short-distance (10-m walk) and long-distance (6-min walk) walking tests. Results: Significant interaction effects were found between heel height and walking distance conditions for the EMG activities and fatigue levels of TA and MG muscles, and walking velocity (p<.05). The walking velocity and activities of the TA, MG, and RF muscles appeared to be significantly different between the 0 cm and 7 cm heel heights during both short- and long-distance walking (p<.05). Significant difference in the fatigue level of the MG muscle were found between the 0 cm and 7 cm heel heights during long-distance walking. In addition, walking velocity and the fatigue level of the MG muscle at the 7 cm heel height revealed significant differences in the comparison of short- and long-distance walking (p<.05). Conclusion: These findings indicate that higher shoe heel height leads to a decrease in the walking velocity and an increase in the activity and fatigue level of the lower leg muscles, particularly during long-distance walking.

• Journal of Korean Physical Therapy Science
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• v.19 no.2
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• pp.1-7
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• 2012

Purpose : The purpose of this study was to investigate the effect of different heel height on the electromyographic (EMG) activity in Rectus abdominis (RA) and Erector spinae (ES) during gait activity. Methods : A repeated measures design was used. 33 healthy females carried out a standardized gait activity under 3 conditions; with heel wedges of 1, 7, and 12cm in height. EMG activity was recorded from RA and ES during the activity. Data was analysed using the repeated one-way ANOVA. Results : First, as the shoe-heel height was getting higher, change of muscle activation indicated the statistically significant difference in rectus abdominis(p<0.05). Second, as the shoe-heel height was getting higher, change of muscle activation indicated the statistically significant difference in erector spinae(p<0.05). Conclusion : We found that as heel height increased, there was an increase in EMG activity in both RA and ES. This indicated that no RA : ES imbalance was elicited. This study provides information that will inform future research on how heel height affects muscle activity around the trunk.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.3
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• pp.224-230
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• 2016

The purpose of this study was to examine the effects of height of the shoe heel in a one leg standing posture on the muscle activity of the rectus abdominis, erector spinae, hamstring, and rectus femoris. Twenty healthy female subjects were asked to perform a one leg standing posture with three types of shoes, which had different heights of shoe heel, 0cm, 3cm, and 7cm. Surface electromyography was used to evaluate the activities of the right rectus abdominis, erector spinae, hamstring, and rectus femoris muscles. The data was analyzed by repeated one-way ANOVA and the muscle activities among three heights of shoe heel were compared. The results showed that the muscle activities of the erector spinae and rectus femoris increased significantly according to increase height of shoe heel (p<0.05). The activity of the rectus abdominis and hamstring were not significantly different among the three height of shoe heel (p>0.05). These results suggest that the height of shoe heel affects the lumbo-pelvic alignment and center of mass; therefore, high-heeled shoes lead to musculoskeletal pain in the lumbopelvic, hip, and knee areas.