Abstract
Effect of high-heeled shoes on postural control in the upright and the leaning body stance
Highlights
The high-heeled shoes induce substantial noise in the process of postural control as they cause a reduction of the base of support (BS) and shift upward the body center of mass (COM) [1,2]
The high-heeled shoes induce center of pressure (COP) alterations which indicate a worsening of postural control in both the upright and the leaning stance, with a directional sensitivity in the leaning stance
The body positions that challenge postural control more than the typical upright stance should be included in relevant studies
Summary
The high-heeled shoes induce substantial noise in the process of postural control as they cause a reduction of the base of support (BS) and shift upward the body center of mass (COM) [1,2]. The COM is shifted closer to the BS limits; the postural control system operates at the borders of postural balance [10] where stability is achieved through a different strategy than the upright quiet standing [10,11,12]. In a rigid body leaning stance, the fast detection of the border between the ankle and the stepping strategy is crucial for postural stability [10,11]. The detection of the border between the ankle and the stepping strategy may become more difficult when wearing high-heeled shoes as the COM is moved closer to the BS limits (closer to the postural stability limits). This study aimed to examine the effect of highheeled shoes on postural control in the upright and the leaning body stance
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