하이힐을 자주 착용하는 20대 여성의 허리, 무릎, 발목 및 발가락 통증, 다리 길이 그리고 족저압과의 상관분석

An Analysis of the Correlation between High Heels and Pain in the Low Back, Knee, Ankle and Toe, Length of Legs, and Plantar Pressure among Women in Their Twenties.

  • 이민우 (광주여자대학교 대학원 물리치료학과) ;
  • 정연우 (광주여자대학교 물리치료과)
  • Lee, Min-woo (Dept. of Physical Therapy, Kwangju Women's University, Graduate School) ;
  • Jeong, Yeon-woo (Dept. of Physical Therapy, Kwangju Women's University)
  • 투고 : 2020.10.28
  • 심사 : 2020.12.02
  • 발행 : 2020.12.31

초록

Background: The purpose of this study is to examine the correlation between high heels and body imbalance among female college students in their twenties who mainly wear high heels and prevent associated problems. Methods: The subjects included 89 female college students in their twenties. They were measured in plantar pressure with a gait analyzer. Their legs were measured in length with a tape measure. Their pain intensity and pain frequency were measured in visual analog scale and in pain rating score. Results: There were statistically positive correlations between right leg length and low back pain frequency (p<.05) and negative correlations between the left hindfoot and low back pain frequency (p<.05). There were statistically positive correlations between right leg length and knee pain frequency (p<.05) and positive correlations between the ankle pain intensity and right leg length (p<.05). Conclusion: The stronger the pain was in the ankle, the stronger and more frequent their lumber pain was. When the pressure of the left heel was lower, the frequency of lumbar pain increased.

키워드

참고문헌

  1. Ashford RL, Shippen J. Leg length measurement: Clinical versus mathematical modeling. Foot (Edinb). 2003;13(3):174-178. https://doi.org/10.1016/S0958-2592(03)00039-7.
  2. Chun JS, Choi SH. A study on purchase and use of women's dress shoes. Journal of the Korean Society of Clothing and Textiles. 2000;24(2):158-191.
  3. Frey C, Thompson F, Smith J, et al. American orthopaedic foot and ankle society women's shoe survey. Foot Ankle Int. 1993;14(2):78-81. https://doi.org/10.1177/107110079301400204.
  4. 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.
  5. Gibbons P, Dumper C, Gosling C. Inter-examiner and intra-examiner agreement for assessing simulated leg length inequality using palpation and observation during a standing assessment. Journal of Osteopathic Medicine. 2002;5(2):53-58. https://doi.org/10.1016/S1443-8461(02)80002-8.
  6. Hodges P, Gandevia S. Activation of the human diaphragm during a repetitive postural task. J Physiol 2000;522(1):165-175. https://doi.org/10.1111/j.1469-7793.2000.t01-1-00165.xm.
  7. Hyun SD, Kim JR. Study on the effect of female high heels on back muscle fatigue. Journal of the Ergonomics Society of Korea. 1997;1:304-310
  8. Hyun SD, Kim JR. The effect of high heel on back muscle fatigue. Journal of the Ergonomics Society of Korea. 1997;16(3):37-48.
  9. Jung HJ. Effects of Long-Term Wearing of High Heels on the Imbalance of Lower Extremity Strength and Walking. Sungshin Women's University. Master Thesis. 2012.
  10. Kang YS. Effects of Self-foot Reflexology in Female College Students Wearing High Heels. Pusan National University. Doctoral Dissertation. 2014.
  11. Kaufman K, Miller L, Sutherland D. Gait asymmetry in patients with limb-length inequality. J Pediatr Orthop. 1996;16(2):144-150. https://doi.org/10.1097/01241398-199603000-00002.
  12. Kim C, Kim CH, Chun SI. Clinical Value of a New Self Assessment Method of Pain. Journal of Korean Academy of Rehabilitation Medicine. 1998;22(2):305-311
  13. Kim DH, Jeong MK, Yoon WY. Effects of cervical and lumbar stabilization exercise program on lumbar reposition sense and static, dynamic balance ability, lower back pain in degenerated disc disease patients. Journal of Sport and Leisure Studies. 2013;53(2):813-821. https://doi.org/10.51979/KSSLS.2013.08.53.813
  14. Ko EH, Choi HS, Kim TH, et al. The effect of high-heeled shoes with total contact inserts in the gait characteristics of young female adults during lower extremity muscle fatigue. Physical Therapy Korea. 2008;15(1):38-45.
  15. Kurt N, Harvey WW, Chad J. Validity of measurin g leg length with a tape measure compared to a computed tomography scan. Physiother Theory Pract. 2013;29(6):487-579. https://doi.org/10.3109/09593985.2012.755589.
  16. Lee CM, Jeong EH. A study on the effect of the shape of the shoe heel on the human body. Journal of the Ergonomics Society of Korea. 2002:255-258.
  17. Lee TS, Song MY, Kim MS. Effect of high heel on lumbar and sacral curve. Journal of Korean Physical Therapy Science. 2011;18(4):73-79.
  18. Mika A, Clark B, Oleksy L. 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. Man Ther. 2013;18(12):506-511. https://doi.org/10.1016/j.math.2013.03.004.
  19. Oh DW, Chon SC, Shim JH. Effect of shoe heel height on standing balance and muscle activation of ankle joint. Journal of the Ergonomics Society of Korea. 2010;29(5):789-795. https://doi.org/10.5143/JESK.2010.29.5.789.
  20. Opila-Correia KA. Kinematics of high-heeled gait with consideration for age and experience of wearers. Arch Phys Med Rehabil. 1990;71(11):905-909.
  21. O'Toole G, Makwana N, Lunn J, et al. The effect of leg length discrepancy on foot loading pa tterns and contact times. Foot Ankle Int. 20 03;24(3):256-265. https://doi.org/10.1177/107110070302400310.
  22. Park JS. The Effect of High-Heeled Shoes on Foot Pain and Postural Imbalance for Female University Students at the Department of Air Tourism and Service. Hanseo University. Master Thesis. 2016.
  23. Park YJ, Kim NS. Comparison of pain, fatigue, and achilles tendon in female college students wearing high heels and flat shoes: A preliminary study. Journal of Digital Convergence. 2019;17(8):329-336. https://doi.org/10.14400/JDC.2019.17.8.329.
  24. Patrician PA. Single-item graphic representational scales. Nurs Res. 2004;53(5):347-52. https://doi.org/10.1097/00006199-200409000-00011.
  25. Song JW, Kim SJ, Lee GH, et al. Evaluation of foot pressures and subjective discomfort ratings associated with sneakers, high heels, and kill heels. Journal of the Ergonomics Society of Korea. 2009;28(3):95-102. https://doi.org/10.5143/JESK.2009.28.3.095.
  26. Stanley N, Roberta A. Kinesthetic awareness in subjects with multiple ankle sprains. Phys Ther. 1988;68(11):1667-1738. https://doi.org/10.1093/ptj/68.11.1667.
  27. 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):418-422. https://doi.org/10.1007/s00776-009-1351-x.
  28. Yu J, Cheung JT, Fan Y, et al. Development of a finite element model of female foot for high-heeled shoe design. Clin Biomech (Bristol, Avon). 2007;23(1):31-38. https://doi.org/10.1016/j.clinbiomech.2007.09.005.