The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
권호 표지

A Study on Changes in Lower Limb Joint Angles during Stair Walking with High Heel

  • Park, Ji-Won (Department of Physical Therapy, College of Medical Science, Catholic University of Daegu) ;
  • Kim, Yun-Jin (Department of Physical Therapy, General Graduate School, Catholic University of Daegu)
  • Received : 2013.11.11
  • Accepted : 2013.12.12
  • Published : 2013.12.25
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study is to compare kinematics on lower limbs between stair walking with high heel and barefoot in healthy adult women. Methods: 18 healthy adult women were recruited in this study. The subjects performed stair ascent and descent with high heels and barefoot. The experiment was conducted in random order and repeated three times for each stair walking with high heels and barefoot. The movements of lower limb joints were measured and analyzed using a three-dimensional analysis system. Results: The ankle, knee, and hip flexion angles on the sagittal plane exhibited statistically significant differences between stair ascent and descent with high heels and barefoot. The pelvic forward tilt angles showed statistically significant differences only during stair ascent. The ankle inversion, hip abduction and pelvic lateral tilt angles on the frontal plane showed statistically significant differences between stair walking with high heels and barefoot. On the transverse plane, the hip rotation angles showed statistically significant differences between the high-heeled and barefoot gait during stair ascent and descent. However, the pelvic rotation angles showed no statistically significant differences. Conclusion: Therefore, wearing high-heeled shoes during stair walking in daily life is considered to influence lower limb kinematics due to the high heel, and thus poses the risks of pain, and low stability and joint damage caused by changes in the movement of lower limb joints.

Keywords

References

  1. Christina KA, Cavanagh PR. Ground reaction forces and frictional demands during stair descent: effects of age and illumination. Gait Posture. 2002;15(2):153-8. https://doi.org/10.1016/S0966-6362(01)00164-3
  2. Kim DK. Change of walking and stair up in hemiplegia by proprioceptive neuromuscular facilitation techniques. J Korean Soc Phys Ther. 1999;11(3):57-64.
  3. Bradford J, Mc Fadyenm BJ, Winter DA. An integrated biomechanical analysis of normal stair ascent and descent. J Biomech. 1988;21(9):733-44. https://doi.org/10.1016/0021-9290(88)90282-5
  4. Andriacchi TP, Galante JO, Fermier RW. The influence of total knee-replacement design on walking and stair-climbing. J Bone Joint Surg Am. 1982;64(9):1328-35. https://doi.org/10.2106/00004623-198264090-00008
  5. Andriacchi TP, Mikoz RP. Musculoskeletal dynamics, locomotion and clinical applications. Basic orthopaedic biomechanics, New York, Raven Press. 1991;51-92.
  6. Han JT, Hwang BG. Kinematic analysis of lower extremities during stairs and ramp climbing witholder adults. Korean society of sport biomechanics. 2009;19(3):435-48. https://doi.org/10.5103/KJSB.2009.19.3.435
  7. Cohen HH, Templer J, Archea J. An analysis of occupational stair accident pattern. J Safety Res. 1985;16(4):178-81.
  8. Cohen HH. A field study of stair descent. Ergon. Des. 2000;8(2):11-5.
  9. Simoneau GG, Cavanagh PR, Ulbrecht JS, Leibowitz HW, Tyrrell RA. The influence of visual factors on fall-related kinematic variables during stair descent by older women. J Gerontol 1991;46(6):M188-195. https://doi.org/10.1093/geronj/46.6.M188
  10. Templer J, Archea J, Cohen HH. Study of factors associated with risk of work-related stairway falls. J Safety Res 1985;16:83-196.
  11. Hsue BJ, Su FC. Kinematics and kinetics of the lowerlower extremities of young and elder women during stairs ascent while wearing low and high-heeled shoes. J Electromyogr Kinesiol. 2009;19(6):1071-8. https://doi.org/10.1016/j.jelekin.2008.09.005
  12. Nurse MA, Hulliger M, Wakeling JM et al. Changing the texture of footwear can alter gait patterns. J Electromyogr Kinesiol. 2005;15(5):496-506. https://doi.org/10.1016/j.jelekin.2004.12.003
  13. McPoil TG. Footwear. Phys Ther. 1988;68(12):1857-65. https://doi.org/10.1093/ptj/68.12.1857
  14. Landry SC, Nigg BM, Tecante KE. Standing in an unstable shoe increases postural sway and muscle activity of selected smaller extrinsic foot muscles. Gait Posture. 2010;32(2):215-9. https://doi.org/10.1016/j.gaitpost.2010.04.018
  15. Moon GS, Kim TH. The Effect of Total Contact Inserts on the Gait Parameters During High-Heeled Shoes Walking. PTK. 2011;18(2):1-8.
  16. Kim YW. The Effects of the Gait Types on Shoes with Curved Out-sole and Barefoot. Korean Journal of Exercise Rehabilitation. 2011;7(4):145-53.
  17. Park RJ, Choi SJ, Cheng GA, et al. Effects of induced microcurrent shoes on fatigue and pain in painful foot to patients with plantar fasciitis. J Korean Soc Phys Ther. 2006;18(1): 1-10.
  18. Seong DY, Kim JH, Park JW. The Effect of Changes in Foot Cutaneous Sensation on Plantar Pressure Distribution during Gait. J Korean Soc Phys Ther. 2012;24(5):306-12.
  19. Shin HK, Tae KS. The effect of toe spreader on characteristics of dynamic foot pressure in children with spastic cerebral palsy. J Korean Soc Phys Ther. 2010;22(1):47-51.
  20. Franklin ME, Chenier TC, Brauninger L et al. Effect of positive heel inclination on posture. J Orthop Sports Phys Ther. 1995;21(2):94-9. https://doi.org/10.2519/jospt.1995.21.2.94
  21. Opila-Correia KA. Kinematics of high heeled gait. Arch Phys Med Rehabil. 1990;71(5):304-9.
  22. Snow RE, Williams KR, Holmes GB. The effects of wearing high heeled shoes on pedal pressure in women. Foot Ankle. 1992;13(2):85-92. https://doi.org/10.1177/107110079201300206
  23. Perry J. Gait Analysis: Normal and Pathological Function. New Jersey: SLACK. 1992.
  24. Snow RE, Williams KR. High heeled shoes: their effect on center of mass position, posture, three-dimensional kinematics, rearfoot motion, and ground reaction forces. Arch Phys Med Rehabil. 1994;75(5):568-76.
  25. Gefen A, Megido-Ravid M, Itzchak Y et al. Analysis of muscular fatigue and foot stability during high-heeled gait. Gait Posture. 2002;15(1):56-63. https://doi.org/10.1016/S0966-6362(01)00180-1
  26. Kerrigan DC, Todd MK, Riley PO. Knee osteoarthritis and high-heeled shoes. Lancet. 1998;351(9113):1399-401. https://doi.org/10.1016/S0140-6736(97)11281-8
  27. Protopapadaki A, Drechsler WI, Cramp MC et al. Hip, knee, ankle kinematics and kinetics during stair ascent and descent in healthy young individuals. Clinical Biomechanics. 2007;22(2):203-10. https://doi.org/10.1016/j.clinbiomech.2006.09.010
  28. Kim YS, Kim EJ, Seo CJ. The comparative analysis of EMG and gait patterns of lower extremities during going up stairs anddown. The Korean Journal of Physical Education. 2006;45(4):535-45.
  29. Rudolph KS, Mackler LS. Effect of dynamic stability on a step task in ACL deficient individuals. J Electromyogr Kinesiol. 2004;14(5):565-75. https://doi.org/10.1016/j.jelekin.2004.03.002
  30. Jun HM, Rye JS. A kinetic analysis of the lower extremity during walking on three different stair width in healthy adults. Korean journal of sport biomechanics. 2008;18(4):161-9. https://doi.org/10.5103/KJSB.2008.18.4.161
  31. Han JT, Lee JD, Bae SS. The 3-D Motion Analysis of Kinematic Variety on Lower Extremities During Ramp Ascent at Different Inclinations. J Korean Phys Ther. 2005;17(4):633-50.
  32. Palluel E, Ceyte H, Oliver I et al. Anticipatory postural adjustments associated with a forward leg raising in children: effects of age, segmental acceleration and sensory context. Clin Neurophysiol. 2008;119(11):2546-54. https://doi.org/10.1016/j.clinph.2008.08.001
  33. Kong HK, Bae SS. Analysis of clinical measurement methods of lower extremity alignment. J Korean Soc Phys Ther. 2004;16(2):17-21.
  34. Romkes J, Rudmann C, Brunner R. Changes in gait and EMG when walking with the Masai Barefoot Technique. Clinical Biomechanics. 2006;21(1):75-81. https://doi.org/10.1016/j.clinbiomech.2005.08.003
  35. Yoon JY, An DH, Yoo WG et al. Differences in activities of the lower extremity muscles with and without heel contact during stair ascent by young women wearing high-heeled shoes. J Orthop Sci. 2009;14(4):418-22. https://doi.org/10.1007/s00776-009-1351-x
  36. Han JT, Kim SH, Bae SS. The 3-D Motion analysis of kinematic variety on lower extremities during ramp descent at different inclinations. PTK. 2006;13(2):16-25.
  37. Safran MR, Benedetti RS, Bartolozzi AR, et al. Lateral ankle sprains: A comprehensive review: Part 1. Etiology, pathoanatomy, histopathogensis, and diagnosis. Med Sci Sports Exerc. 1999;31(7Suppl):S429-37. https://doi.org/10.1097/00005768-199907001-00004
  38. Yeow CH, Lee PV, Goh JC. Non-linear flexion relationships of the knee with the hip and ankle, and their relative postures during landing. The Knee. 2011;18:323-8. https://doi.org/10.1016/j.knee.2010.06.006
  39. Eng JJ, Winter DA. Kinetic analysis of the lower limbs during walking: What information can be gained from a threedimensional model. J Biomch. 1995;28(6):753-8. https://doi.org/10.1016/0021-9290(94)00124-M
  40. Costigan PA, Wyss UP, Li J et al. Forces and moments at the knee during stairclimbing. J Biomech. 1994;27(6):796.