Effect of High-Heeled Shoes on Lumbar Lordosis and Pelvic Alignment in Sagittal Plane: A Review

Document Type : Review Article

Authors

1 Student Research Committee. MSc. Student, Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Assistant Professor, Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Background and Aims: Due to the increasing trend of high-heeled shoes usage among women, investigation of their effects on the body and especially lumbar lordosis and pelvic alignment seems necessary. Some studies have previously been conducted in this field but it seems that there is little convergence about the effects of wearing such shoes and, in some cases, even contradictions exist. These contradictions are more pronounced where lumbar lordosis is under investigation. Therefore, the aim of the present review article was to investigate the results of existing studies on the effects of shoe heel height on the magnitude of lumbar lordosis and the pelvic tilt.
Materials and Methods: The current article focused on reviewing the results derived by the articles published between 2000-2016 on the effects of high heeled shoes on lumbar and pelvic alignment in sagittal plane. By searching the relevant resources, six articles including two review articles were chosen for evaluation and investigation.
Results: According to the limited number of studies examined and the distinction between them, a certain conclusion about the effects of shoe heel height on the magnitude of lumbar lordosis and the pelvic tilt cannot be presented. According to the results of articles examined, loss of multilateral investigation on the vertebral column and pelvis, loss of using proper and validated measurment tools in some cases, and neglect in the compensatory effects are the common reasons for divergence in the results. It seems that a more comprehensive study is necessary to shed more light on the areas unknown.

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  1. Shavonda L. Pannell, U.-M.D., The Postural and Biomechanical Effects of High Heel Shoes: A Literature Review. Journal of Vascular Surgery, 2012.##
  2. Brent S. Russell MS, D., Kimberly A. Muhlenkamp DC, Kathryn T. Hoiriis DC, Carolyn M. DeSimone BS, Measurement of lumbar lordosis in static standing posture with and without high-heeled shoes. Journal of Chiropractic Medicine, 2012. 11: p. 145-153. .##
  3. Cezar Augusto Souza Casarin, D.S.B., Paulo Henrique Marchetti, Erinaldo Luiz de Andrade, Gerson Santos Leite, Andrey Jorge Serra, Frank Shiguemitsu Suzuki, Paulo Henrique Ferreira Caria, Relation between Wearing High-Heeled Shoes and Gastrocnemius and Erector Spine Muscle Action and Lumbar Lordosis. Med Sci Tech, 2014. 55: p. 71-76. .##
  4. Chang-Min Lee, E.-H.J., Andris Freivalds, Biomechanical effects of wearing high-heeled shoes. International Journal of Industrial Ergonomics, 2001. 28: p. 321-326. .##
  5. Iunes DH, M.-R.W., Santos CB, Castro FA, Salgado HS., Postural influence of high heels among adult women: analysis by computerized photogrammetry. Rev Bras Fisioter 2008. 12: p. 454-9. .##
  6. Bertoncello D, S.C., Calapodópulos AH, Lemos VL., Equilibrium and muscle retraction in young female students users of high-heeled shoes. Fisioter Pesq 2009. 16: p. 107-12. .##
  7. Pezzan PA, S.I., João SM. , Foot posture and classification of the plantar arch among adolescent wearers and non-wearers of high-heeled shoes. Rev Bras Fisioter, 2009. 13: p. 398-404. .##
  8. Pezzan PAO, J.S., Ribeiro AP, Manfio EF. , Postural assessment of lumbar lordosis and pelvic alignment angles in adolescent users and nonusers of high-heeled shoes. J Manipulative Physiol Ther 2011. 34: p. 614-21. .##
  9. Silva AM, S.G., Da Silva GA., Implications of high-heeled shoes on body posture of adolescents. Rev Paul Pediatri, 2013. 31(2): p. 265-71. .##
  10. Dai M, L.X., Zhou X, Hu Y, Luo Q, Zhou S., High-heeled-related alterations in the static sagittal profile of the spino-pelvic structure in young women. Eur Spine Journal, 2015. 24(6): p. 1274-81. .##
  11. Bendix T, S.S., Klaussen K. , Lumbar curve, trunk muscles, and the line of gravity with different heel heights. Spine, 1984. 9(2): p. 223-7. .##
  12. Opila KA, W.S., Schiowitz S, Chen J. , Postural alignment in barefoot and high-heeled stance. Spine, 1988. 13(5): p. 542-7. .##
  13. KA., O.-C., Kinematics of high-heeled gait with consideration for age and experience of wearers. Arch Phys Med Rehab., 1990. 71(11): p. 905-9. .##
  14. de Lateur BJ, G.R., Questad K, Ko M, Lehmann JF., Footwear and posture: compensatory strategies for heel height. Am J Phys Med Rehab., 1991. 70(5): p. 246-54. .##
  15. Snow RE, W.K., 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): p. 568-78. .##
  16. Franklin ME, C.T., Brauninger L, Cook H, Harris S., Effect of positive heel inclination on posture. J Orthop Sports Phys Ther 1995. 21(2): p. 94-9. .##
  17. Ebrahimian M, G.F., The survey of the effect of heeled shoes on lumbar lordosis and pelvic tilt angles in females 20-30 years old In: Vleeming A, Mooney V, Hodges P, Lee D, McGill S, Ostgaard HC, editors. Proceedings of the 5th Interdisciplinary World Congress on Low back and pelvic pain; Melbourne, Australia, 2004: p. 361. .##
  18. Brent S, R.M., The effect of high-heeled shoes on lumbar lordosis: a narrative review and discussion of the disconnect between Internet content and peer-reviewed literature. Journal of Chiropractic Medicine, 2010. 9: p. 166-173. .##
  19. Grabiec, S., Effect of high-heeled shoes on the parameters of body posture. Spine, 2013. 38(20): p. 1785-1789. .##
  20. De Oliveira Pezzan, J.S., Ribeiro AP, Manfio EF, Postural assessment of lumbar lordosis and pelvic alignment angles in adolescent users and nonusers of high-heeled shoes. J Manipulative Physiol Ther, 2011. 34(9): p. 614-21. .##
Volume 7, Issue 1
March and April 2018
Pages 244-251
  • Receive Date: 17 November 2016
  • Revise Date: 23 March 2017
  • Accept Date: 06 May 2017
  • First Publish Date: 21 March 2018