Changes in Balance and Gait Patterns with Different Heel Heights Among Women in Their 20's

20세 이상 성인의 구두 굽 높이에 따른 균형과 보행형태의 변화

  • Received : 2015.11.24
  • Accepted : 2016.01.05
  • Published : 2016.03.31


Purpose : The purpose of this study is to examine the effect of different heel heights on gait deviation and balance. Method : Participants were 16 women majoring in physical therapy in Kyungbuk college, located in Yeong-ju, North Kyungsang Province. Balance and gait patterns were measured by Good Balance and GAIT Rite. Result : Statistically significant differences were found in swing right measured by Gait-rite, and also in Analyze End, Ant-post, Med-Lat, and gait ability score(p < .05) regarding dynamic balance ability. Conclusion : There was no statistically significant difference in gait ability between those who walked barefoot and highheeled. However, balance ability was different "between them". This shows that heel height can lead to decrease in gait ability. Further research should include more participants and use a wide range of heel heights.


barefoot;dynamic balance;heel height


  1. 강길령(1994). 보행각의 정도에 따른 발의 압력분포에 관한 연구. 이화여자대학교 대학원, 석사학위 논문.
  2. 김영록(2004). 건강한 여성들의 구두 굽 높이에 따른 균형능력의 차이. 대불대학교 대학원 연구논문집, 3, 415-428.
  3. 김해진(2009). 구두 굽 높이에 따른 여자 대학생의 보행변인에 대한 운동역학적 분석. 목포대학교 대학원, 석사학위 논문.
  4. 배성수(1999). 물리치료학개론. 서울, 대학서림.
  5. 오덕원, 천승철, 심재훈(2010). 하이힐 뒤굽 높이가 서기 균형 및 발목 근육 활성도에 미치는 영향. 대한인간공학회지, 29(5), 789-795.
  6. 이유진, 오명화, 김계엽 등(2007). 노인들의 신발선호도에 따른 균형과 보행과의 관계. 고령자치매작업치료학회지, 1(1), 30-37.
  7. 이주상(2003). 편마비 환자에서 신발 높이의 차이가 보행과 균형에 미치는 영향. 연세대학교 대학원, 석사학위 논문.
  8. Andriacchi TP, Andersson GB, Fermier RW, et al(1980). A study of lower-limb mechanics during stair-climbing. J Bone Joint Surg, 62, 749-757.
  9. Bobath B(1990). Adult hemiplegia: evaluation and treatment. Elsevier Health Sciences.
  10. Ebbeling CJ, Hamill J, Crussemeyer JA(1994). Lower extremity mechanics and energy cost of walking in high-heeled shoes. J Orthop Sports Phys Ther, 19(4), 190-196.
  11. Frey C, Thompson F, Smith J(1995). Update on women's footwear. Foot Ankle In, 16(6), 328-331.
  12. Gefen A, Megido-Ravid M, Itzchak Y, et al(2002). Analysis of muscular fatigue and foot stability during high-heeled gait. Gait & Posture, 15(1), 56-63.
  13. Lord SR(1996). Shoe characteristics and balance in older women. J am Geriatr Soc, 44(4), 429-433.
  14. Loy DJ, Voloshin AS(1987). Biomechanical aspects of high heel gait. J Biomech, 20(9), 909.
  15. Nashner L(1994). Evaluation of postural stability, movement, and control. Clin Exer Physiol, St. Louis, Mosby, pp.67-85.
  16. Perry J, Davids JR(1992). Gait analysis: normal and pathological function. J Pediatr Orthop, 12(6), 815.
  17. Shumway-Cook A, Woollacott MH(1995). Motor control: theory and practical applications. Lippincott Williams & Wilkins.
  18. Snow RE, Williams KR(1994). High heeled shoes : Their effect on center of mass position, posture, threedimensional Kinematics, rearfoot motion, and ground reaction forces. Arch Phys Med Rehabil, 75(5), 568-576.