Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

Comparison of pain, fatigue, and Achilles tendon in female college students wearing high heels and flat shoes: A Preliminary Study

여대생의 하이힐 착용에 따른 하지 통증, 피로, 아킬레스건의 융복합 비교: 예비연구

  • 박영준 (제주한라대학교 보건학부) ;
  • 김남석 (제주한라대학교 간호학부)
  • Received : 2019.06.01
  • Accepted : 2019.08.20
  • Published : 2019.08.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study is to analyze the differences of the lower back pain, fatigue, and Achilles tendon thickness according to wearing and not wearing high heels in order to understand symptoms of musculoskeletal diseases caused by wearing high heels in college students. lower extremity pain fatigue and achilles tendon thickness were measured in high heel wear group (n=19) and non high heels wear group (n=23). Participants' general characteristics and the lower extremity pain, fatigue, and Achilles tendon thickness were analyzed using mean, standard deviation. Differences in lower extremity pain, fatigue, and achilles tendon thickness were analyzed by independent t-test. The results showed that the difference between the participants' lower extremity pain (t=2.28, p=.028), right achilles tendon thickness (t=2.30, p=.027) and left achilles tendon thickness (t= 3.89, p<.001) The results of this study show that convergence approach can be applied as a basis for health problems in the structure and function of musculoskeletal disorders associated with wearing high heels. In the future, follow up observation according to the wearing of high heels in the same subject will be needed.

여대생의 하이힐 착용으로 인한 근골격계 질환의 증상을 파악하기 위해 하이힐 착용과 비 착용에 따른 하지 통증, 피로, 아킬레스건 두께의 차이를 비교 분석하기 위함이다. 하이힐 착용군(n=19)과 비 착용군(n=23)을 대상으로 하지 통증, 피로, 아킬레스건 두께를 측정하였다. 대상자의 일반적인 특성과 하지 통증, 피로, 아킬레스건 두께의 정도는 평균, 표준편차를 사용하여 분석하였다. 하이힐과 비 착용에 따른 하지 통증, 피로, 아킬레스건 두께에 대한 비교는 독립 t 검정으로 분석하였다. 분석 결과, 두 군간 하지 통증(t=2.28, p=.028), 오른쪽 아킬레스건 두께(t=2.30, p=.027), 왼쪽 아킬레스건 두께(t=3.89, p<.001)에 대한 유의한 차이가 있었다. 이 연구의 결과는 다학제간 융복합적 접근이 하이힐 착용에 따른 근골격계 질환의 구조와 기능에 대한 건강 문제에 근거자료로 적용할 수 있다는 것을 보여준다. 향후, 동일한 대상자에서 하이힐 착용에 따른 추적관찰이 필요할 것으로 사료된다.

Keywords

References

  1. C. Park & H. Kim. (2012). Analysis of patented technology for health related footwear. Journal of the Korean Society for Clothing Industry, 14(1), 144-151. http://dx.doi.org/10.5805/KSCI.2012.14.1.144
  2. H. J. Cheon & A. R. Lee. (2012). The females wearing high-heel shoes : The lived experiences and its meaning. Ewha Journal of Social Sciences, 27, 183-212. https://doi.org/10.16935/ejss.2012.27..006
  3. C. Frey, F. Thompson, J. Smith, M. Sanders & H. Horstman. (1993). American orthopaedic foot and ankle society women's shoe survey. Foot Ankle, 14(2), 78-81. https://doi.org/10.1177/107110079301400204
  4. American Podiatric Medical Association. (2016). Public Opinion Research on Foot Health and Care Findings from a Survey of 1000 US Adults. https://www.apma.org/files/APMA2014Todays PodiatristSurveyAllFindings.pdf
  5. Y. O. Jeong. (2011). A study on actual footwearwearing conditions of college students in Kwangju & Jeonam. Korean Journal of Community Living Science, 22(3), 365-377. https://doi.org/10.7856/kjcls.2011.22.3.365
  6. J. Riskowski, A. B. Dufour & M. T. Hannan. (2011). Arthritis, foot pain and shoe wear: current musculoskeletal research on feet. Current opinion in Rheumatology, 23(2), 148-155. https://doi.org/10.1097/BOR.0b013e3283422cf5
  7. J. E. Lee & W. H. Do. (2013). A study of on the wearing conditions of shoes for female-high school students. Journal of the Korean Society Design Culture, 19(3), 607-616.
  8. A. M. Zöllner, J. M. Pok, E. J. McWalter, G. E. Gold & E. Kuhl. (2015). On high heels and short muscles: a multiscale model for sarcomere loss in the gastrocnemius muscle. Journal of theoretical biology, 365, 301-310. https://doi.org/10.1016/j.jtbi.2014.10.036
  9. C. M. Glassy, M. S. Glassy & C. Guggenheim. (2013). Relationship between self-reported high-heeled shoe use and bone mineral density using quantitative ultrasound at a community health fair. Clinical Rheumatology, 32(1), 37-41. http://dx.doi.org/10.1007/s10067-012-2088-z
  10. M. R. Titchenal, L. J. Asay, J. Favre, T. P. Andriacchi & C. R. Chu. (2014). Effects of high heel wear and increased weight on the knee during walking, Journal of Orthopaedic Research, 33(3), 405-11. http://dx.doi.org/10.1002/jor.22775
  11. R. Sanchez-Gomez, R. B. Bengoa-Vallejo & M. E. Losa-Iglesias, C. Calvo-Lobo, C. Romero-Morales & E. M. Martinez-Jimenez, et al. (2019). Heel height as an etiology of hallux abductus valgus development: An electromagnetic static and dynamic first metatarsophalangeal joint study. Sensor, 19(6), 1328. http://dx.doi.org/10.3390/s19061328
  12. R. Csapo, C. N. Maganaris, O. R. Seynnes & M. V. Narici. (2010). On muscle, tendon and high heels, The Journal of Experimental Biology, 213, 2582-2588. http://dx.doi.org/10.1242/jeb.044271
  13. W. H. Hong, Y. H. Lee, Y. H. Lin, S. F. Tang & H. C. Chen. (2013). Effect of shoe heel height and total-contact insert on muscle loading and foot stability while walking. Foot & Ankle international, 34(2), 273-281. http://dx.doi.org/10.1177/1071100712465817
  14. M. N. Doral, M Alam, M. Bozkurt, E. Turhan, O. A. Atay, G. Donmez & N. Maffulli. (2010). Functional anatomy of the Achilles tendon. Knee Surg Sports Traumatology Arthroscopy, 8(5), 638-43. https://doi.org/110.1007/s00167-010-1083-7
  15. G. E. Borchgrevink, A. T. Viset, E. Witso B. Schei & O. A. Fossa. (2016). Does the use of high-heeled shoes lead to fore-foot pathology? A controlled cohort study comprising 197 women. Foot and Ankle Surgery, 22(4), 239-243. https://doi.org/10.1016/j.fas.2016.06.003
  16. A. Foster, M. G. Blanchette, Y. C. Chou & C. M. Powers. (2012). The influence of heel height on frontal plane ankle biomechanics: implications for lateral ankle strains. Foot & Ankle International. 33(1), 64-69. http://dx.doi.org/10.3113/FAI.2012.0064.
  17. A. Mika B. C. Clark & Ł. Oleksy. (2013). The Influence of high and low heeled shoes on EMG timing characteristics of the lumbar and hip extensor complex during trunk forward flexion and return task. Manual Therapy, 18(6), 506-511. https://doi.org/10.1016/j.math.2013.03.004
  18. R. A. W. Verhagen, G. De Keizer & C. N. Van Dijk. (1995). Long-term follow-up of inversion trauma of the ankle. Archives of Orthopaedic and trauma Surgery, 114(2), 92-96. http://dx.doi.org/10.1097/BOR.0b013e3283422cf5
  19. F. Johannsen, S. Jensen, S. E. Stallknecht, L. O. Olsen & S. P. Magnusson. (2016). Sonographic measurements of the achilles tendon, plantar fascia, and heel fat pad are reliable: a test-retest intra-and intertester study. Journal of Clinical Ultrasound. 44(8), 480-486. http://dx.doi.org/10.1002/jcu.22365.
  20. M. A. Borg, S. EI-Essawy, R. M. E. Sallabb, A. Ezzata & A. M. A. EI-Khaleka. (2016). Role of ultrasonography in the evaluation of Achilles tendon disorders. Benha Medical Journal, 33(1), 54-59. http://dx.doi.org/10.4103/1110-208X.194388
  21. J. W. Song, S. J. Kim, G. H. Lee, K. B. Song & Y. K Kong. (2009). Evaluation of foot pressures and subjective discomfort ratings associated with sneakers, high heels, and kill heels. Journal of the Ergonomics Society of Korea 28(3), 95-102. https://doi.org/10.5143/JESK.2009.28.3.095
  22. D.‐W. Oh, S.‐C. Chon & J.‐H. Shim. (2010). Effect of shoe heel height on standing balance and muscle activation of ankle joint. Journal of the Ergonomics Society of Korea, 29(5), 789-795. http://dx.doi.org/10.5143/JESK.2010.29.5.789
  23. L. B. Krupp, N. G., LaRocca, J. Muir-Nash & A. D. Steinberg. (1989). The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Archive Neurology, 46(10), 1121-1123. https://doi.org/10.1001/archneur.1989.00520460115022
  24. J. H. Lee et al. (2013). Reliability and validity of the fatigue severity scale among university student in South Korea. Korean Journal of Biology Psychiatry, 20(1), 6-11.
  25. J. Y. Yoon, D. H. An, W. G. Yoo & Y. R. Kwon. (2009). Differences inactivities of the lower extremity muscles with and without heel contact during stair ascent by young women wearing high-heeled shoes. Journal of Orthopaedic Science, 14(4), 418-422. https://doi.org/10.1007/s00776-009-1351-x
  26. Y. S. Kang & S. K. Hwang. (2017). Effects of self-foot reflexology in female college students wearing high heels. Journal of the Korea Academia-Industrial cooperation Society, 18(3), 615-627. https://doi.org/10.5762/KAIS.2017.18.3.615
  27. K. Mezian, A. M. Ata, M. Kara, O. S. Sahin, E. Gurcay, & A. Caliskan, et.al. (2019). Ultrasonographic evaluation of the femoral cartilage, achilles tendon, and plantar fascia in young women wearing high-heeled shoes. PM & R, 11(6), 613-618. https://doi.org/10.1016/j.pmrj.2018.09.023
  28. N. L. Grigg, S. C. Wearing & J. E. Smeathers. (2009). Eccentric calf muscle exercise produces a greater acute reduction in achilles tendon thickness than concentric exercise. British Journal of Sports Medicine, 43(4), 280-3. http://dx.doi.org/10.1136/bjsm.2008.053165
  29. M. F. Mazzone & T. McCue. (2002). Common conditions of the achilles tendon. American Family Physician, 65(9), 1805-10. https://doi.org/10.1186/s12967-018-1547-y
  30. A. M. Silva, G. R. de Siqueira & G. A. da Silva. (2013). Implications of high-heeled shoes on body posture of adolescents. Revista Paulista de Pediatria, 31(2), 265-271. http://dx.doi.org/10.1590/S0103-05822013000200020