Health  Vol.6 No.16 , September 2014
Barefoot and High-Heeled Gait: Changes in Muscles Activation Patterns
ABSTRACT
Most women like wearing high-heeled shoes for the benefit of sensuous attractiveness and self-esteem while musculoskeletal problems and gait patterns changes are often associated. The present study aimed to identify changes during the gait stance and swing phases in some lower limb muscles. In addition, abdominal muscle was included due to its importance in dynamic trunk stability, and lack of studies on the subject. Here, we found that the use of high-heeled shoes elicited not only the increasing of the electrical activity from the muscles involved in the gait cycle, but also altered the temporal sequence of their recruitment. As practical applications, these changes may be strategies to maintain stability and minimize risks of falling, but they are often associated to diseases. Women that use high-heeled shoes for prolonged time must apply specific muscle exercises to minimize its long-term effects.

Cite this paper
do Nascimento, N. , Saraiva, T. , da Cruz Jr., A. , da Silva Souza, G. , Callegari, B. (2014) Barefoot and High-Heeled Gait: Changes in Muscles Activation Patterns. Health, 6, 2190-2196. doi: 10.4236/health.2014.616254.
References
[1]   Mika, A., Oleksy, L., Mika, P., Marchewka, A. and Clark, B.C. (2012) The Influence of Heel Height on Lower Extremity Kinematics and Leg Muscle Activity during Gait in Young and Middle-Aged Women. Gait & Posture, 35, 677-680.
http://dx.doi.org/10.1016/j.gaitpost.2011.12.001

[2]   Kerrigan, D.C., Todd, M.K. and Riley, P.O. (1998) Knee Osteoarthritis and High-Heeled Shoes. The Lancet, 351, 1399-1401.
http://dx.doi.org/10.1016/S0140-6736(97)11281-8

[3]   Kerrigan, D.C., Johansson, J.L., Bryant, M.G., Boxer, J.A., Della Croce, U. and Riley, P.O. (2005) Moderate-Heeled Shoes and Knee Joint Torques Relevant to the Development and Progression of Knee Osteoarthritis. Archives of Physical Medicine and Rehabilitation, 86, 871-875.
http://dx.doi.org/10.1016/j.apmr.2004.09.018

[4]   Barton, C.J., Coyle, J.A. and Tinley, P. (2009) The Effect of Heel Lifts on Trunk Muscle Activation during Gait: A Study of Young Healthy Females. Journal of Electromyography and Kinesiology, 19, 598-606.
http://dx.doi.org/10.1016/j.jelekin.2008.03.001

[5]   Nam, S.J., Kim, M.J., Yim, S.J., Oh, D.W., Park, H.J. and Kim, C.Y. (2014) Influence of Walking Speed on Electromyographic Activity of the Rectus Abdominis and Erector Spinae during High-Heeled Walking. Journal of Back and Musculoskeletal Rehabilitation, 27, 355-360.

[6]   Alkjær, T., Raffalt, P., Petersen, N.C. and Simonsen, E.B. (2012) Movement Behavior of High-Heeled Walking: How Does the Nervous System Control the Ankle Joint during an Unstable Walking Condition? PLoS One, 7, e37390.
http://dx.doi.org/10.1371/journal.pone.0037390

[7]   Vaughan, C.L., Davis, B.L. and O’Connor, J.C. (1992) Dynamics of Human Gait. 2nd Edition, Kiboho Publishers.

[8]   Rose, J. and Gamble, J.G. (2006) Marcha, Teoria e Prática da Locomoção Humana. 3rd Edition, Guanabara Koogan, Rio de Janeiro.

[9]   Viel, E. (2001) A Marcha Humana, a Corrida e o Salto. Manole, São Paulo.

[10]   Cronin, N.J., Barrett, R.S. and Carty, C.P. (2012) Long-Term Use of High-Heeled Shoes Alters the Neuromechanics of Human Walking. Journal of Applied Physiology, 112, 1054-1058.
http://dx.doi.org/10.1152/japplphysiol.01402.2011

[11]   Candotti, C., Carvalho, K., Torre, M., Noll, M. and Varela, M. (2012) Ativação e co-contração dos músculos gastrocnêmio e tibial anterior na marcha de mulheres utilizando diferentes alturas de saltos. Rev. Bras. Ciênc. Esporte, 34, 27-39.

[12]   Johanson, M.A., Allen, J.C., Matsumoto, M., Ueda, Y. and Wilcher, K.M. (2010) Effect of Heel Lifts on Plantarflexor and Dorsiflexor Activity during Gait. Foot & Ankle International, 31, 1014-1020.
http://dx.doi.org/10.3113/FAI.2010.1014

[13]   Hong, W.H., Lee, Y.H., Lin, Y.H., Tang, S.F. and Chen, H.C. (2013) Effect of Shoe Heel Height and Total-Contact Insert on Muscle Loading and Foot Stability While Walking. Foot & Ankle International, 34, 273-281.
http://dx.doi.org/10.1177/1071100712465817

[14]   Simonsen, E.B., Svendsen, M.B., Norreslet, A., Baldvinsson, H.K., Heilskov-Hansen, T., Larsen, P.K., Alkjær, T. and Henriksen, M. (2012) Walking on High Heels Changes Muscle Activity and the Dynamics of Human Walking Significantly. Journal of Applied Biomechanics, 28, 20-28.

[15]   Esenyel, M., Walsh, K., Walden, J.G. and Gitter, A. (2003) Kinetics of High-Heeled Gait. Journal of the American Podiatric Medical Association, 93, 27-32.

[16]   Chang, W.N., Lipton, J.S., Tsirikos, A.I. and Miller, F. (2007) Kinesiological Surface Electromyography in Normal Children: Range of Normal Activity and Pattern Analysis. Journal of Electromyography and Kinesiology, 17, 437-445.
http://dx.doi.org/10.1016/j.jelekin.2006.02.003

[17]   Hermens, H.J., Freriks, B., Disselhorst-Klug, C. and Rau, G. (2000) Development of Recommendations for SEMG Sensors and Sensor Placement Procedures. Journal of Electromyography and Kinesiology, 10, 361-374.
http://dx.doi.org/10.1016/S1050-6411(00)00027-4

[18]   Burden, A. and Bartlett, R. (1999) Normalisation of EMG Amplitude: An Evaluation and Comparison of Old and New Methods. Medical Engineering & Physics, 21, 247-257.

[19]   Lee, C.M., Jeong, E.H. and Freivalds, A. (2001) Biomechanical Effects of Wearing High-Heeled Shoes. International Journal of Industrial Ergonomics, 28, 321-326.

[20]   Foster, A., Blanchette, M.G., Chou, Y.C. and Powers, C.M. (2012) The Influence of Heel Height on Frontal Plane Ankle Biomechanics: Implications for Lateral Ankle Sprains. Foot & Ankle International, 33, 64-69.

[21]   Sundstrup, E., Jakobsen, M.D., Andersen, C.H., Jay, K. and Andersen, L.L. (2012) Swiss Ball Abdominal Crunch with Added Elastic Resistance Is an Effective Alternative to Training Machines. International Journal of Sports Physical Therapy, 7, 372-380.

 
 
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