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Postural alignment in barefoot and high-heeled stance.

K A Opila1, S S Wagner, S Schiowitz

  • 1Department of Biomechanics, New York College of Osteopathic Medicine, New York Institute of Technology, Old Westbury.

Spine
|May 1, 1988
PubMed
Summary

Wearing high heels alters body posture, causing lumbar flattening and pelvic tilting. This study analyzed postural changes in subjects wearing high heels versus barefoot, noting significant shifts in spinal alignment.

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Area of Science:

  • Biomechanics
  • Human Anatomy
  • Ergonomics

Background:

  • Footwear, particularly high heels, is known to influence human posture.
  • Understanding these postural changes is crucial for assessing potential musculoskeletal health implications.

Purpose of the Study:

  • To analyze the postural differences in subjects when barefoot compared to wearing high heels.
  • To investigate the effect of high heels on the line of gravity relative to anatomical landmarks.

Main Methods:

  • Nineteen subjects were analyzed under two footwear conditions: barefoot and high-heeled stance.
  • Posture was assessed by analyzing the location of the line of gravity with respect to anatomical landmarks.

Main Results:

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  • High heels induced lumbar flattening, backward pelvic tilt, and posterior displacement of the head and thoracic spine.
  • Knee and ankle distances to the line of gravity were reduced when wearing high heels.
  • Hip joint alignment remained constant, suggesting a compensatory mechanism.

    • Conclusions:

    • High-heeled footwear significantly alters spinal and pelvic alignment.
    • Observed postural changes differ from clinical findings in habitual high-heel wearers, suggesting long-term muscle tone adaptations may lead to hyperlordosis.