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Effect of High-Heeled Shoes on Balance and Lower-Extremity Biomechanics During Walking in Experienced and Novice High-Heeled Shoe Wearers
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Background
Wearing high-heeled shoes and carrying asymmetrical loads are common in ladies. However, knowledge of the effects of wearing high-heeled shoes on balance and lower-extremity biomechanics in experienced and novice high-heeled shoe wearers is lacking. The study aims to examine the effects of high-heeled shoes and asymmetrical load carrying on joint kinematics and kinetics of the lower extremity during walking as well as balance in experienced and novice high-heeled shoe wearers.
Methods
Fifteen experienced and 15 novice high-heeled shoes wearers participated in this study. Using a motion analysis system, kinematic and kinetic data were collected while participants walked at their preferred speed in six conditions created from two types of shoes (9-cm high-heeled shoes and flat-heeled shoes) and three weights of symmetrical load (0%, 5%, and 10% of body weight). Stride time and length, step length, double support time, peak joint angles, and joint moments in a sagittal plane were analyzed. Single-leg and tandem-leg stance tests were performed in each condition.
Results
Compared with experienced high-heeled shoe wearers, novice high-heeled shoe wearers had longer double support time and shorter stride length during 10% of body weight asymmetrical load walking; walked with greater knee flexion angle, smaller knee range of motion, and smaller ankle dorsiflexor moment; and scored lower in the single-leg and tandem-leg stance tests.
Conclusions
Novice high-heeled shoe wearers need to alter their lower-limb joint angles and moments to adjust to high-heeled shoes to achieve balance during gait while carrying an asymmetrical load.
School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada.
School of Kinesiology, Shanghai University of Sport, Shanghai, China.
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