Abstract
Women wearing high-heeled shoes have been considered to be more characterizing beauty, self-assurance and elegance. However, while maintaining the body on this type of support base, women with increased heel height often complain that wearing high-heeled shoes causes them to experience low back pain. The aim of the present study was to morphologically assess the effect of high-heel use on the static sagittal profile of the spino-pelvic structure. A total of 21 Chinese girls were recruited in this study, with informed written consent. For each participant, standing left lateral radiographs, including that of the spine and pelvis, were obtained in a standardized standing position under barefoot and high-heel use conditions. The radiographic assessments were performed to detect the changes in the spino-pelvic profile under barefoot and high-heel use conditions. The average lumbar lordosis (LL) was 54.3 ± 6.4º under the barefoot condition and increased to 65.2 ± 5.1º after high-heel use (P < 0.001), with a significant increase in the disc L5/S1 and disc L4/L5 tilt angles. Of the 21 participants, 15 (71.43 %) had an increased kyphosis value for thoracic kyphosis, and 6 (28.57 %) had a decreased value after high-heel use, with a sign...Continue Reading
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