Heel Height Research Articles

Foot Kinematics of Elite Female 59 kg Weightlifters in the 2018–2021 World Championships

Background/Objectives: Research on elite weightlifting performance is crucial for understanding the underlying attributes of efficient techniques. This study aimed to analyze the foot characteristics of elite female weightlifters in the 59 kg category during the snatch. Methods: Publicly available videos from the International Weightlifting Federation World Weightlifting Championships (2018–2021) were analyzed. Excluding the 2020 competition due to the COVID-19 pandemic and more unsuccessful attempts, a total of 20 videos were selected for kinematic analysis using Kenova video analysis software. Variables included the horizontal foot distance in the start and catch phases, horizontal displacement of sideway leg separation, and maximum vertical heel height of each foot. Results: The results revealed small to moderate significant negative correlations between snatch performance and maximum heel height (right: r = −0.28, p < 0.05; left: r = −0.332 p < 0.01). Snatch performance also demonstrated a small to moderate negative correlation with sideway leg separation and foot distance in the catch phase (r = −0.275, p < 0.01; r = −0.467, p < 0.01, respectively). Maximum heel height exhibited a very strong positive correlation between feet (r = 0.853, p < 0.01). Conclusions: A relatively narrower stance was found to be more beneficial for elite weightlifter performance. Strong coordination suggests advanced movement strategies in this complex lift. These findings contribute to the existing knowledge on weightlifting techniques and offer valuable insights for athletes and coaches seeking to improve performance in competitive environments.

Effects of Fatigue on Ankle Flexor Activity and Ground Reaction Forces in Elite Table Tennis Players.

Fatigue specifically affects the force production capacity of the working muscle, leading to a decline in athletes' performance. This study investigated the impact of fatigue on ankle flexor muscle activity and ground reaction forces (GRFs) in elite table tennis players, with a focus on the implications for performance and injury risk. Twelve elite male table tennis athletes participated in this study, undergoing a fatigue protocol that simulated intense gameplay conditions. Muscle activity of the soleus (SOL) and gastrocnemius lateralis (GL) muscles, heel height, and GRFs were measured using a combination of wireless electromyography (EMG), motion capture, and force plate systems. Results showed a significant decrease in muscle activity in both legs post-fatigue, with a more pronounced decline in the right leg. This decrease in muscle activity negatively affected ankle joint flexibility, limiting heel lift-off. Interestingly, the maximal anteroposterior GRF generated by the left leg increased in the post-fatigue phase, suggesting the use of compensatory strategies to maintain balance and performance. These findings underscore the importance of managing fatigue, addressing muscle imbalances, and improving ankle flexibility and strength to optimize performance and reduce the risk of injuries.

Influence of Outsole Structures on Foot Loading and Gait Stability

As the downstream products most relevant to the leather industry, leather shoes perform well in the global market. Consumers have put forward high requirements for the comfort and safety of leather shoes in recent years, especially for high heels, whose unique outsole structure often causes foot overloading. The outsole structure varies in ground-contacted mode and heel base size, and plays a decisive role in its function, affecting gait patterns. This study aimed to investigate differences in foot loading and gait stability induced by different outsole structures, at two typical heel heights. Six pairs of customized high heels (3 outsole structures × 2 heel heights) were tested on eighteen healthy females while walking by the Novel Pedar-X in-shoe plantar pressure system. Taking the thick high heels for the intermediate control group, the main effects of the outsole structures and the heel heights, and their interactions on the plantar pressures were analyzed by Two-way repeated ANOVAs. The center of pressure displacements and velocities were calculated throughout the whole stance phase. The results indicated that the whole ground-contacted mode of the outsole displayed better stability in the medial-lateral direction in the early stance phase but may increase the risk of hallux valgus because of the elevated load there. On the contrary, the smaller heel base size exhibited poorer stability in the medial-lateral direction in the early stance phase and would increase forefoot loading. The response of gait characteristics to heel height change is more prominent, which could cause a more vulnerable gait posture. The results could be relevant to improving high-heel functional design, positively motivating the transformation and upgrading of the leather shoe industry.

Effects Of Heel Heights On Dynamic Stability During Stair Descent In Young Female

Effects Of Heel Heights On Dynamic Stability During Stair Descent In Young Female

Heel Riser Height Influence on Kinematics and Muscle Activity of Ski Mountaineering: A FieldBased Study

Introduction: The ski binding plays an important role in ski mountaineering. When traveling uphill, the binding has an adjustable heel height known as the riser. Previous laboratory research reported joint kinematics and kinetics are influenced by riser height, however little is known about changes to muscle activity associated with differing joint motion. The purpose of this work was to assess riser height influence on kinematics and muscle activity at different slopes during on-snow skiing. Methods: Three female and nine male recreational ski mountaineers (19-26 y) were tested on 5o and 16o gradients using no riser (0 cm) and riser (5.3 cm) at a submaximal 80% HRmax. Each subject used Backland 85 UL skis and Backland Bindings (Atomic Skis, Altenmarkt, Austria). Subjects skied for 6 min at each binding setting with the last 10 gait-cycles evaluating lower limb joint motion gathered from 2D-sagittal plane motion capture. Electromyography (EMG) collected unilaterally on the rectus femoris, biceps femoris, medial gastrocnemius and triceps brachii also. Results: 5o slope: hip range of motion [ROM] decreased (p = .003), ankle ROM decreased (p =.005), stride length decreased (p = .004), RPE increased (p = .02) for riser compared to no riser. At 16o slope: hip ROM decreased (p = .001), and Rating of perceived exertion [RPE] decreased (p =.004) for riser compared to no riser. HR, glide distance, velocity, EMG, and net mechanical efficiency were not different between riser heights on either slope. Conclusion: Lower body joint kinematics, step length and RPE varied significantly with riser height. Kinematic differences did not impact velocity or muscle activity when controlling pace. These results agree with previous findings showing minimal differences in EMG and HR while lower body kinematics and RPE changed with riser height.

Effects of shoe heel height on ankle dynamics in running

Shoes affect the evolved biomechanics of the foot, potentially affecting running kinematics and kinetics that can in turn influence injury and performance. An important feature of conventional running shoes is heel height, whose effects on foot and ankle biomechanics remain understudied. Here, we investigate the effects of 6–26 mm increases in heel height on ankle dynamics in 8 rearfoot strike runners who ran barefoot and in minimal shoes with added heels. We predicted higher heels would lead to greater frontal plane ankle torques due to the increased vertical moment arm of the mediolateral ground reaction force. Surprisingly, the torque increased in minimal shoes with no heel elevation, but then decreased with further increases in heel height due to changes in foot posture. We also found that increasing heel height caused a large increase in the ankle plantarflexion velocity at heel strike, which we explain using a passive collision model. Our results highlight how running in minimal shoes may be significantly different from barefoot running due to complex interactions between proprioception and biomechanics that also permit runners to compensate for modifications to shoe design, more in the frontal than sagittal planes.

Functional and Radiological Outcome after Internal Fixation of Intra-articular Calcaneal Fractures.

Calcaneal fractures are rare injuries constituting 2% of all fractures. Fractures of calcaneum correspond to nearly 60-75% of the tarsal bone fractures. The calcaneum is the most commonly fractured tarsal bone 90% occur in males between 21 and 45 years of age. The calcaneal fracture may be extra-articular (sparing the subtalar joint) and intra-articular involving the subtalar joint. Intra-articular fractures account for approximately 75% of calcaneal fractures and have been associated with poor functional outcomes. In this study, we aim to assess the functional outcome of internal fixation in displaced intra-articular calcaneal fractures. A prospective interventional study was conducted on patients with only intra-articular calcaneal fractures admitted to Chettinad Hospital and Research Institute, Kelambakkam during the period from May 1, 2022, to February 29, 2024, and a total of 32 patients were considered. The functional outcome was assessed by the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle Hindfoot Scoring System. The average age of the patients in our study was 39 years of which all were male. Fall from height is the most common mode of injury. The right calcaneum is more commonly involved than the left. The mean duration of hospital stay was around 10 days. The fracture classification was based on the sanders and Essex-Lopresti classification of which 17 patients were sanders type 3 and 13 patients were sanders type 2 and 1 patient was sanders type 4. The mean time for radiological union is 12 weeks. The Bohler's angle and Gissane's angle preoperatively 16.16 ± 8.87 and 121.48 ± 7.47 restored to near normal values after fixation 27.77 ± 6.02 and 113.485 ± 44, respectively. Heel height and heel width restored to near normal values of (pre-operative heel height - 24.74 ± 3.71 and heel width - 39.97 ± 4.11 and post-operative heel height - 31.55 ± 3.38 and heel width - 34.0 ± 3.1), respectively. The most common complications were wound-related complications (superficial wound infection - 9.7%, deep wound infection - 3.2%, and wound margin necrosis and wound dehiscence 6.4%) and the most common late complications were complex regional pain syndrome - 9.7% and subfibular lateral impingement with peroneal tendinitis - 6.5%. AOFAS grading of functional outcome had shown good to excellent results in 83.8% (26 patients) of the cases. The mean AOFAS score was 83.39 in our study. The present study shows that open reduction and internal fixation give superior radiographic results as shown by the restoration of Bohler's and Gissane's angle and height and width of the calcaneus to near normal values, indicating anatomical restoration of calcaneal shape. The functional outcome by AOFAS score showed good to excellent results in most of the patients with minimal wound complications.

Validation of the hind feet position score and its association with heel height difference in dairy cows.

Hind feet position scoring (HFPS) categorizes the outward rotation of the hind feet from the line parallel to the midline of the body in standing dairy cows. It has previously been used as an indication of both differences in heel height between the lateral and medial hind claw (to determine the need of hoof trimming) and the presence of claw lesions in sound cattle. In this observational study, the agreement of HFPS with other types of hoof angle measurements, as well as its association with the heel height difference (HHD) between the claws were investigated.A total of 51 dairy cows were assessed independently by three observers in two measuring rounds on two different measuring days each. On each occasion, they scored the HFPS, and measured the angle of outward rotation of both hind feet using a digital protractor (DIG) and a compass app (COMP). Heel height difference was measured only during the second occasion. Intra- and interobserver agreement were calculated using weighted kappa statistics (HFPS) and intraclass correlation (DIG, COMP and HHD). Associations between HFPS and DIG, COMP and HHD were analyzed using linear mixed models.Intra- and interobserver reliability were poor to good for HFPS, DIG, COMP and HHD. HFPS was significantly associated with DIG and COMP but not with HHD. Using the median value of repeated HFPS scores could increase the robustness of the HFPS assessment, as our data indicate that the cows frequently shift the position of their hind claws. Overall, there was a poor correlation between HHD and HFPS, so HFPS may not be determined by HHD alone; future research should consider other reasons for outward rotation of the hind feet.

FREQUENCY AND RELATED FACTORS OF HALLUX VALGUS AMONG FEMALE SCHOOL TEACHERS

Background/Aim of Study: HV is a progressive, chronic deformity affecting the first metatarsophalangeal joint causing big toe lateral deviation and 1st metatarsal being medially deviated hence our objective is to calculate the frequency, factors associated with Hallux valgus and their rehabilitation. Methodology: Non-probability A convenient sampling technique among 273 females aged 20-60 years from Jhelum District was done. Self-administrated questionnaires were filled out, and pain was measured using VAS. The goniometer and Manchester scale were used to evaluate HV deformity. Results: The overall frequency of Hallux valgus was found to be 75.46%. 43.96% elder and 31.5% younger females. Mean age of participants was 42.95 ± 9.96. HV angle showed 24.9% were normal, 57.9% mild, 16.5% moderate, and 0.7% had severe deformity. The association of HV with BMI and shoe shape was statistically significant. No association was found between age, work experience, and heel height. Conclusions: HV abnormality was high in elders when compared with youngers. The severity for HV grading showed mild deformity with bilateral HV more frequent among female. Foot wear i–e shoe shape and BMI plays a substantial role in the development of HV.

Suitable Heel Height, a Potential Method for Musculoskeletal Problems during the Third Trimester: A Pilot Study.

The treatment options for third-trimester musculoskeletal issues are limited. This study aims to examine how heel height affects gait biomechanics and provides heel height recommendations for various musculoskeletal problems. Five third-trimester gravidas were recruited wearing uniform footwear with four heel heights (0 mm, 15 mm, 30 mm, and 45 mm). Lower-limb muscle forces, joint angles, joint torques, joint contact forces, and ground reaction forces (GRF) at specific moments (the first peak, valley, and second peak of GRF) were collected for one-way analysis of variance with repeated measures. The soleus, gastrocnemius, tibialis posterior, plantaris, obturator externus, gluteus maximus, gemellus superior, and obturator internus were the smallest at heel heights of 45 mm and 15 mm at the valley of GRF. Hip extension and knee flexion displayed the smallest joint angle and joint torques at a height of 15 mm. Ankle joint contact force decreased with increased heel height. The height of the heel significantly impacts muscle force, joint angles, joint torques, and joint contact force. A heel of 15 mm might be the most suitable heel height to potentially avoid or alleviate musculoskeletal problems during the third trimester.

Effect of High Heels on Strength of Knee Extensors and Q Angle in Adult Females - A Systematic Review

Abstract: Objective: To explore what the research suggests on the effect of high heels on the strength of knee extensors and Q angle in adult females. Data Sources: Study Design: A systematic review was conducted considering the data sources from PubMed, Google Scholar, Medline, Science Direct, and Research Gate databases using the keywords High Heels, Knee extensors Muscles, and Q angle which were identified, sorted, and screened according to the inclusion criteria and exclusion criteria post which the studies were assessed or quality. Data is extracted from a selected internet site such as the data sources from PubMed, Google Scholar, Medline, Science Direct, and Research Gate databases. Articles then were screened with PEDro scale hence, included in qualitative synthesis. Result: A total of 60 published articles were selected out of which 43 articles were used to extract the data 11 randomized control trials were screened according to the PEDro scale and the rest were excluded. Conclusion: In comparison to women wearing flat heels, the study indicated that women wearing wedges and pointed heels had significantly less strength in their knee extensors. Heel height on average is 3 inches. With the help of the data gathered for this study, it was confirmed that, when the heel height was increased, there was a significant difference in the Q angle value between the zero and three-inch heel heights when the subject was standing. While those who wear pointed and wedge heels have a markedly higher Q angle than those who wear flat heels, their Q angle is normal.

Footwear-Based Assistive Technology for Lower Limb Amputees

Men and women with lower limb amputations struggle with managing the balance between prosthesis alignment and shoe heel rise. A novel prosthetic ankle-feet system is being developed to support a wider range of footwear options for men and women with lower limb amputations. Each rigid foot is customized to fit the footwear of choice and can be rapidly attached to (or released from) an ankle unit which remains attached to the prosthesis. The proposed system consists of two key components: a transmitter shoe and a receiver shoe. The transmitter shoe is worn on the intact limb and is equipped with sensors, including accelerometers and gyroscopes to capture the wearer's ankle movements accurately. These sensor data are wirelessly transmitted to the receiver shoe worn on the amputated limb, which houses actuators, such as stepper motors, to replicate the natural ankle movements. The hypothesis was that the orientation of the roll-over shapes of these systems would be altered with even small changes in shoe heel height. Seven prosthetic ankle-foot systems were mechanically loaded to determine their roll-over shapes while using a no-heel shoe and a low-heel shoe. This system was developed specifically to allow users the ability to switch between shoes of different heel heights (i.e., it is a heel-height-adjustable system). Additional loading trials were performed with the heel-height-adjustable system in which the ankle alignment was altered to accommodate the change in heel height between shoes.

Heel riser height influence on kinematics and muscle activity of ski mountaineering – A field based study

Introduction The ski binding plays an important role in ski mountaineering. When traveling uphill, the binding has an adjustable heel height known as the riser. Previous laboratory research reported joint kinematics and kinetics are influenced by riser height, however little is known about changes to muscle activity associated with differing joint motion. The purpose of this work was to assess riser height influence on kinematics and muscle activity at different slopes during on-snow skiing. Methods Three female and nine male recreational ski mountaineers (19-26 y) were tested on 5o and 16o gradients using no riser (0 cm) and riser (5.3 cm) at a submaximal 80% HRmax. Each subject used Backland 85 UL skis and Backland Bindings (Atomic Skis, Altenmarkt, Austria). Subjects skied for 6 min at each binding setting with the last 10 gait-cycles evaluating lower limb joint motion gathered from 2D-sagittal plane motion capture. Electromyography (EMG) collected unilaterally on the rectus femoris, biceps femoris, medial gastrocnemius and triceps brachii also. Results 5o slope: hip range of motion (ROM) decreased (p = .003), ankle ROM decreased (p = .005), stride length decreased (p = .004), rating of perceived exertion (RPE) increased (p = .02) for riser compared to no riser. At 16o slope: hip ROM decreased (p = .001), and RPE decreased (p = .004) for riser compared to no riser. HR, glide distance, velocity, EMG, and net mechanical efficiency were not different between riser heights on either slope. Discussion/Conclusion Lower body joint kinematics, step length and RPE varied significantly with riser height. Kinematic differences did not impact velocity or muscle activity when controlling pace. These results agree with previous findings showing minimal differences in EMG and HR while lower body kinematics and RPE changed with riser height.

Transient pain and discomfort when wearing high-heeled shoes

In the dynamic world of fashion, high-heeled footwear is revered as a symbol of style, luxury and sophistication. Yet, beneath the facade of elegance of classy footwear lies the harsh reality of discomfort and pain. Thus, this study aims to investigate the influence of wearing high-heeled shoes on the sensation of pain across different body regions over a period of 6 h. It involved fifty female participants, all habitual wearers of high-heeled shoes, aged between 20 and 30 years. Each participant kept a record of their perceptions of pain and discomfort every hour for a total of 6 h using a 0–10 pain scale with 0 indicating no pain and 10 indicating severe pain. The findings reveal a progressive rise in pain throughout wear, with the most intense pain reported in the back, calcaneus, and metatarsals. The analysis shows that after approximately 3.5 h, participants experience significant increases in pain levels. However, the relationship between heel height and pain is not linear. It appears that a heel height of 7.5 cm is the threshold where overall body pain becomes significant. The study suggests that a duration of 3.5 h of wear and a heel height of 7.5 cm serve as critical points to decrease overall body pain. Moreover, beyond this heel height, knee pain diminishes compared to other body areas possibly due to the shift towards a more neutral posture. The study findings, coupled with the recommendations, can assist footwear designers in crafting not only stylish but also comfortable shoes.

3D Weight-Bearing CT Imaging Analysis of Foot Mechanics: Bridging High Heels and Hallux Valgus

Introduction/Purpose: Evidence in the literature suggests the negative effects of using High Heels (HH), becoming a challenge for clinicians and researchers since they are welcomed by women worldwide, mainly due to the subjective power of attractiveness given to them. Although some people blame HH as one of the causes of Hallux Valgus (HV), until now, there are no studies in the literature that effectively prove a cause-effect relationship between HH and HV. The objectives of this study are: (1) to analyze whether the increase in heel height can lead to HV and (2) to evaluate whether HV can increase in severity with increasing heels. We hypothesized that an increase in heel height could cause and increase the severity of HV deformity. Methods: Comparative cross-sectional study. Forty-one feet from twenty-one participants (11 males and 10 females, aged 30.8 ± 8.9 years, and with Body Mass Index 25.5 ± 2.0 m kg2) were recruited. HH shoes were designed for this study with three heights for each participant: 3, 6, and 9 cm. The inclusion criteria were: no regular wearing of heels. The exclusion criteria were: Hallux Valgus diagnosis and/or any orthopedic conditions that affect the Foot and Ankle joints. Hallux Valgus Angle (HVA), Intermetatarsal Angle (IMA), First-Metatarsal Phalangeal Angle, 1st-to-5th Intermetatarsal Angle, First Tarsometatarsal Angle (axial), Second tarsometatarsal angle (axial), Hindfoot Moment Arm (HMA) (mm), Saltzman 45 angle and, Foot Ankle Offset (FAO) were measurement using semiautomated software analysis. Multiple comparisons were performed (Bonferroni's for normal distributions and Wilcoxon test for no normal distributions) when there was a main effect on an outcome (p < 0.05). Results: With the increase in HH, we noticed a progressive increase in HVA (p < 0.001), IMA (p < 0.001), First-Metatarsal Phalangeal Angle (p < 0.001), First Tarsometatarsal Angle (axial) (p < 0.001), and the Second tarsometatarsal angle (axial) (p < 0.001). The Hindfoot Moment Arm (HMA) (mm), Saltzman 45 angle, and Foot Ankle Offset (FAO) had hindfoot varization behavior. When we stratified the groups and compared them, we noticed that an increase of 3 cm in heels slightly increased HVA and IMA (p > 0.05). However, heel increases above 6 cm significantly increased HVA and IMA (p > 0.001). Based on Coughlin's classification, a 3 cm heel increase promoted a mild HV and increases above 6 cm caused a moderate HV. Conclusion: Based on data from our study with patients without Hallux Valgus through analysis with WBCT versus high heels, we conclude that increasing heel height can lead to Hallux Valgus and can progressively increase the severity with increasing high heels. High heels above 6 cm can lead to moderate Hallux Valgus. These findings may be an essential step toward a better understanding of the effects of increasing high heels on Hallux Valgus pathology.

Energy Consumption during the Wearing of Pantyhose

The goal of the current study was to develop pantyhose that reduce leg muscle fatigue when heeled shoes are worn. To this end, pantyhose that provide a comfortable fitting sensation were developed, and the wear experience of the pantyhose and the effect of the pantyhose on energy consumption under walking muscle activity of the lower limbs were investigated. The study participants were 17 healthy Japanese females in their twenties who did not usually put on support wear. The respiratory metabolism was measured as the participants either walked without pantyhose or wore one of two types of pantyhose and wore three types of shoe, namely running/low-heeled/high-heeled shoes. Participants walked on a treadmill at 3 km/h. Regardless of whether pantyhose were worn, the energy consumption increased significantly with walking relative to standing. During walking, energy consumption increased significantly in the order of not wearing shoes, wearing running shoes, wearing low-heeled shoes, and wearing high-heeled shoes. In other words, a higher heel height corresponded to higher energy consumption, regardless of whether pantyhose were worn. Wearing pantyhose while standing upright increased energy consumption, especially in the case of pantyhose A, for which energy consumption was significantly higher than that when going barefoot. In addition, for walking in running shoes, the energy consumption was significantly higher when pantyhose A were worn than when no pantyhose were worn. The wearing of pantyhose A, but not the wearing of pantyhose B, was thus found to increase energy consumption.

Immediate Effect of Simulated High Heels on Pelvic and Spinal Posture in Healthy Young Subjects: A Cross-Sectional Study.

Background Investigations regarding the role of high-heeled shoes in the alteration of the spinopelvic profile attempted to identify a correlation with pain in the lower back. Conclusions from these studies, however, are controversial. In authors knowledge no studies were carried out to investigate the effect of heels on male population, which has been overlooked due to gender-related customs. Research question What is the immediate effect of the height of heels on the sagittal back profile (trunk inclination (TI), pelvic inclination, lordotic lumbar angle (ITL-ILS), kyphotic dorsal angle, lumbar arrow, and cervical arrow) in females and males, not used to wearing high-heeled shoes? Methods One hundred healthy young adult subjects were enrolled. Three were excluded. The remaining 97 subjects (48 female and 49 male) underwent a three-dimensional analysis of the posterior surface of the trunk, using rasterstereography. The spinopelvic profile in the barefoot condition, and with the heel raised by 3 and 7 cm, was recorded. To evaluate the reproducibility of the measure, the neutral evaluation was repeated twice in 23 subjects (13 males, 10 females). Results The change of heel height did not show statistically significant differences for any of the variables used; instead, significant differences were found stratifying the results according to the sex of the subjects tested. Test-retest evaluation in the neutral condition showed no significant differences using the Student's t-test (p > 0.05). Repeatability was excellent and significant for all data used (minimum TI r = 0.85, maximum ITL-ILS r = 0.97). Significance Studying the effect of heels on the spino-pelvic profile also in the male population is crucial for promoting gender-inclusive healthcare, enhancing occupational health practices and developing possible preventive measures. Nevertheless, in the sample of females and males evaluated in this study, the different heights of heel lift did not immediately induce significant changes in pelvis and spine posture. If there is therefore a correlation between low-back pain and the use of heels, it should not reasonably be sought in the immediate change of the spino-pelvic profile caused by raising the heels. However, the variables analyzed differed according to sex.

Enhancing Footwear Safety for Fall Prevention in Older Adults: A Comprehensive Review of Design Features.

Falls are a global concern affecting people of all ages; however, older adults are particularly vulnerable to age-related factors and foot-related issues. Footwear is critical for preventing falls, as it provides stability and protection against slips, trips, and falls (STFs). However, a significant gap exists in the systematic exploration of the safety aspects of footwear design for fall prevention in older adults. This comprehensive review applied a meticulous search strategy encompassing prominent databases, including Google Scholar, ScienceDirect, SCOPUS, MEDLINE, ResearchGate, and PubMed. This review synthesized and analyzed existing research to bridge knowledge gaps and provide insights into optimal footwear choices for older adults in terms of design features such as fit, fixation, heel height, collar height, slip resistance, and sole/insole hardness. The results underscore the importance of specific design features for preventing falls among older adults. A proper fit, secure fixation, appropriate heel and collar heights, slip resistance, and sole/insole hardness significantly contributed to fall prevention. These findings offer valuable guidance for optimizing footwear designs to enhance comfort, stability, and safety in the daily lives of older individuals. This comprehensive review fills a critical knowledge gap regarding the safety of footwear designs for fall prevention in older adults. The identified design features play a vital role in reducing the risk of falls and offer practical recommendations for the development of safer footwear. Ultimately, this study contributes to the existing knowledge base and supports efforts to prevent STFs in older adults through improved footwear design.

Level of Physical Activity among Working Females Wearing High Heels

Background: Previous studies have indicated that wearing high-heeled shoes (HHS) may be associated with foot and low back pain and could potentially affect the physical activity levels of women. The impact of HHS on musculoskeletal discomfort, fatigue, and biomechanical alterations has been substantiated, albeit with varying conclusions regarding their influence on physical activity and health. Objective: The objective of this study was to evaluate the level of physical activity among working females who regularly wear HHS and to determine any associations with musculoskeletal discomfort. Methods: A descriptive cross-sectional study was conducted with 125 participants recruited from various malls in Lahore using non-probability convenience sampling. The inclusion criteria encompassed adult females aged between 19 to 44 years, wearing heels of varying types and heights for a minimum of six hours per day. Exclusion criteria included a history of ankle dislocation, foot surgery, orthopedic or neurological anomalies, systemic illness affecting physical activity, or flat feet. Physical activity levels were assessed using the International Physical Activity Questionnaire short-form (IPAQ-sf), and data were analyzed using the Statistical Package for Social Sciences (SPSS) version 25. Results: The average age of participants was 25.14 years with a standard deviation of 4.509. The mean physical activity level was 1615.33 METs with a standard deviation of 1065.15. The majority of participants (54.4%) displayed a moderate level of physical activity, while 29.6% were categorized with low and 16% with high levels of physical activity. No significant correlation was found between heel height and physical activity levels or musculoskeletal discomfort. Conclusion: Working females wearing high heels predominantly exhibit moderate levels of physical activity. The lack of significant associations suggests that heel height does not directly correlate with reduced physical activity or increased musculoskeletal discomfort in this sample. These findings highlight the complexity of factors influencing physical activity and musculoskeletal health in the context of HHS use.

The effect of heel height on the Achilles tendon and muscle activity in Latin dancers during a special-landing task

The effect of heel height on the Achilles tendon and muscle activity in Latin dancers during a special-landing task