신발 굽 높이와 착용 습관화에 따른 균형 능력 비교 = Comparison of Balance Ability on the Heel Height and the Habituation to the High Heel

다국어 초록 (Multilingual Abstract)

The aim of this study was to evaluate effects of the balance ability on the heel height (flat, low heel[3cm], and high heel[7cm]) and high heeled habituation (group A is used to a low heeled shoes (<7cm) and group B is used to a high heeled shoes (${\geq}7cm$). Thirty-five subjects participated in this study. In this study, the static balance with opened eyes and closed eyes and dynamic balance were measured. Also functional reach test was tested. The results found that the static balance ability was the best in a 7cm heeled shoes with open eyes and closed eyes, but there was not significant difference between group A and Group B. Dynamic balance ability with walking velocity and cadence were significant difference between Group A and B. In the walking velocity, a flat was the fastest, followed by 7cm heel and 3cm heel with Group A while 3cm and 7cm, then a flat with Group B. Also Cadence pattern was similar. Functional balance ability was the highest with a flat, but it was not difference significantly between Group A and B. Therefore, this study demonstrated that the habituation to the high heel altered gait velocity and cadence of dynamic balance ability.

참고문헌 (Reference)

1 태기식, "직립자세에서의 전방향 동요 시 균형회복 기전" 대한의용생체공학회 24 (24): 435-442, 2003

2 이건철, "구두 굽 높이의 차이가 균형 수행능력에 미치는 영향" 대한물리치료학회 16 (16): 112-124, 2004

3 Y. J. Lee, "The relationship of balance and walking with prefered type of shoes in the elderly" 1 : 30-37, 2007

4 R. E. Snow, "The effects of wearing high heeled shoes on pedal pressure in women" 13 : 85-92, 1992

5 C. J. Barton, "The effect of heel lifts on trunk muscle activation during gait:A study of young healthy females" 19 : 598-606, 2009

6 A. R. Bird, "The effect of foot wedging on electromyographic activity in the erector spinae and gluteus medius muscles during walking" 18 : 81-91, 2003

7 M.Ragnarsdottir, "The concept of balance" 82 : 368-375, 1996

8 I.A.Kapandji, "The Physiology of the Joints" Chruchill Livingstone 1974

9 H.K.Seong, "The Classification of Foot type and the Analysis of Foot Shape for Older Adult Women" 23 : 99-110, 1999

10 S. R. Lord, "Shoe characteristices and balance in older women" 44 : 429-433, 1996

11 J. C. Menant, "Rapid gait termination:Effects of age,walking surfaces and footwear characteristics" 30 : 65-70, 2009

12 F. B. Horak FB, "Postural orientation and equilibrium" Oxpord university press 252-292, 1995

13 C. J. Ebbeling, "Lower extremity mechanics and energy cost of walking in high-heeled shoes" 19 : 190-196, 1994

14 S. N. Garn, "Kinesthetic awareness in subjects with multiple ankle sprains" 21 : 23-27, 1988

15 K.A.Opila-Correia, "Kinematics of high-heeled gait with consideration for age and experience of wearers" 71 : 905-909, 1990

16 W. H. Hong, "Influence of heel height and shoe insert on comfort perception and biomechanical performance of young female adults during walking" 26 : 1042-1048, 2005

17 R. E. Snow, "High heeled shoes; Their effect on center of mass position,posture,three-dimensional kinematics,rearfoot motion,and ground reaction forces" 75 : 568-576, 1994

18 S.H.Yoon,Y.O, "Gait analysis" Saejin 1994

19 P. W. Duncan, "Functional reach:a new clinical measure of balance" 45 : M192-197, 1990

20 B. J. De Lateur, "Footwear and posture.Compensatory strategies for heel height" 70 : 246-254, 1991

21 U. Lindemann, "Elevated and adaptation to new shoes in frail elderly women" 36 : 29-34, 2003

22 K. H. Lee, "Electromyographic changes of leg muscles with heel lifts in women:Therapeutic implications" 71 : 31-33, 1990

23 W. H. Kim, "Effects of the high-heeled shoes on the sensory system and balance in women" 4 : 10-17, 1997

24 E. Y. Park, "Effects of high-heel shoes on EMG activities of rectus femoris and biceps femoris" 6 : 32-42, 1999

25 M. E. Franklin, "Effect of positive heel inclination on posture" 21 : 94-99, 1995

26 Y.R.Kim, "Changes of balance ability by different heel heights in healthy women" 3 : 415-428, 2004

27 J.M.Chandler, "Balance performance on the postural stress test:comparison of young adults,healthy elderly,and fallers" 70 : 410-415, 1990

28 A. Gefen, "Analysis of muscular fatigue and foot stability during high-heeled gait" 15 : 56-63, 2002

29 A. Voloshin, "An in vivo study of low back pain and shock absorption in the human locomotor system" 15 : 21-27, 1982

30 H. S. Lee, "A literature review on balance control factors" 3 : 82-91, 1996