Abstract

High heels are used by women from teenagers to adults to increase the attractiveness of men to their users. Based on the size of the heel height and the duration of the use of high heels can cause musculoskeletal complaints and changes in the shape of the feet. In general, the muscles of the lower leg are innervated mainly by the tibial nerve. One of the neurophysiological examinations to assess the activity of the peripheral nervous system is to examine the value of Nerve Conduction Velocity (KHS) using a tool in the form of Electroneuromyography (ENMG). There are two main factors that affect the results of the KHS value, namely physiological factors such as age, body mass index, height, weight, and gender. The second factor is non-physiological in the form of nerve fiber diameter, degree of myelination and stimulation distance. Throughout the search, no research has been found that discusses the effect of using high heels based on the size of the heel height and duration of use on the quality of the tibial nerve. The research methodology used in this study is a descriptive study with approach cross-sectional. The results of the average value of the conduction velocity of the tibial motor nerve based on the size of the heel height 1-4 cm is 56,43 m/s, 5-7 cm is 52,77 m/s and >7 cm is 69,39 m/s. The results based on the duration of using high heels <1 year were 54,96 m/d, 2-3 years were 57,41 m/d and >3 years were 56,09 m/d. It can be seen clearly that based on the size of the heel height and the duration of the use of shoes on the average value of the speed of tibial motor nerve conduction, there was no significant difference in this study.

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