Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Height of the Shoe Heel in a Static Posture on Muscle Activity of the Rectus Abdominis, Erector Spinae, Rectus Femoris and Hamstring

구두 굽의 높이가 한다리 서기 자세에서 배곧은근, 척추세움근, 넙다리곧은근, 뒤넙다리근의 근활성도에 미치는 영향

  • Lee, Won-Hwee (Department of Physical Therapy, Jeonju Vision College) ;
  • Lee, Hyeon-Jun (Department of Physical Therapy, Jeonju Vision College)
  • 이원휘 (전주비전대학교 물리치료학과) ;
  • 이현준 (전주비전대학교 물리치료학과)
  • Received : 2015.12.08
  • Accepted : 2016.03.03
  • Published : 2016.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to examine the effects of height of the shoe heel in a one leg standing posture on the muscle activity of the rectus abdominis, erector spinae, hamstring, and rectus femoris. Twenty healthy female subjects were asked to perform a one leg standing posture with three types of shoes, which had different heights of shoe heel, 0cm, 3cm, and 7cm. Surface electromyography was used to evaluate the activities of the right rectus abdominis, erector spinae, hamstring, and rectus femoris muscles. The data was analyzed by repeated one-way ANOVA and the muscle activities among three heights of shoe heel were compared. The results showed that the muscle activities of the erector spinae and rectus femoris increased significantly according to increase height of shoe heel (p<0.05). The activity of the rectus abdominis and hamstring were not significantly different among the three height of shoe heel (p>0.05). These results suggest that the height of shoe heel affects the lumbo-pelvic alignment and center of mass; therefore, high-heeled shoes lead to musculoskeletal pain in the lumbopelvic, hip, and knee areas.

본 연구의 목적은 젊은 여성을 대상으로 구두 굽 높이에 따라 한다리 서기 자세를 수행하는 동안 배곧은근, 척추세움근, 넙다리곧은근, 뒤넙다리근의 근활성도를 비교하기 위해 연구를 실시하였다. 본 연구는 건강한 20대 여성 20명을 대상으로 0cm, 3cm, 7cm 의 각각 다른 높이의 굽이 있는 구두를 착용하고 안정한 지지면 위에서 정적 균형검사 중 하나인 오른쪽 다리로 한다리 서기를 하는 동안 표면 근전도 장비를 이용하여 오른쪽 배곧은근, 척추세움근, 넙다리곧은근, 뒤넙다리근의 근활성도를 측정하여 비교 분석하였으며 연구 결과 척추세움근과 넙다리곧은근의 근활성도는 굽높이가 증가함에 따라 유의한 증가가 있었고(p<0.05), 배곧은근, 뒤넙다리근의 근활성도는 유의한 차이가 없었다(p>0.05). 구두 굽 높이의 증가는 척추세움근 및 넙다리곧은근의 근활성도를 증가시키며 이로 인한 허리 앞굽음과 골반의 앞쪽 기울임 증가는 신체분절의 위치나 무게 중심의 변화를 일으켜 허리 골반 부위 및 엉덩관절, 무릎관절에 근골격계 통증과 같은 문제를 일으킬 수 있을 것이다.

Keywords

References

  1. B. K. Kim, W. T. Gong, H. S. Kim, "The Effect of Heel-height on the Lumbosacral Region Angle of Young Ladies", Journal of the Korean Society of Physical Medicine, vol. 2, no. 1, pp. 49-59, 2007.
  2. M. H. Lee, J. S Chang, S. Y. Lee, J. Y. Ju, S. S. Bae, "The Effects of High-heeled Shoes on Static Balance and EMG Activity of Lower Extremity Muscles for Young Women", Journal of the Korean Society of Physical Medicine, vol. 4, no. 1, pp. 43-48, 2009.
  3. D. Y. Lee, "The Study of the Impact of Body Alignment of Height Shoe in a Womans", The Korea Academia-industrial cooperation Society Semianaual, pp. 94-96, 2012.
  4. M. S. Jang, "Research on the emotional response to the design factors of women's shoes", Dissertation of Master degree, Ulsan University, 2014.
  5. C. Frey, F. Thompson, J. Smith, M. Sanders, H. Horstman. "American Orthopaedic Foot and Ankle Society women's shoe survey", Foot Ankle, vol. 14, no. 2, pp. 78-81, 1993. DOI: http://dx.doi.org/10.1177/107110079301400204
  6. Y. H. Bae, M. S. Ko, Y. S. Park. "Effects of the revised high heeled shoes on joint angle of the lower extremity during standing: Pilot study", The Korea Academia-industrial cooperation Society Semianaual, pp. 743-744, 2014.
  7. J. S. Lee, J. S. Jang, H. P. Ahn, Y. G. Kim, E. J. Shin, Y. G. Kim, S. H. Bae. "Study of hallux valgus in women who's wearing heeled shoes", The Korea Academia-industrial cooperation Society Semianaual, pp. 658-663, 2014.
  8. C. J. Barton, J. A. Coyle, P. Tinley, "The effect of heel lifts on trunk muscle activation during gait: a study of young healthy females", Journal of Electromyography and Kinesiology, vol. 19, no. 4, pp. 598-606, 2009. DOI: http://dx.doi.org/10.1016/j.jelekin.2008.03.001
  9. A. Gefen, M. Megido-Ravid, Y. Itzchak, M. Arcan. "Analysis of muscular fatigue and foot stability during high-heeled gait", Gait & Posture, vol. 15, no. 1, pp. 56-63, 2002. DOI: http://dx.doi.org/10.1016/S0966-6362(01)00180-1
  10. B. J. Hsue, F. C. Su, "Kinematics and kinetics of the lower extremities of young and elder women during stairs ascent while wearing low and high-heeled shoes", Journal of Electromyography and Kinesiology, vol. 19, no. 6, pp. 1071-1078, 2009. DOI: http://dx.doi.org/10.1016/j.jelekin.2008.09.005
  11. K. H. Lee, J. C. Shieh, A. Matteliano, T. Semiehorowski, "Electromyographic changes of leg muscles with heel lifts in women: therapeutic implications", Archives of physical medicine and rehabilitation, vol. 71, no. 1, pp. 31-33, 1990.
  12. C. M. Lee, E. H. Jeong, A. Freivalds, "Biomechanical effects of wearing high-heeled shoes", International Journal of Industrial Ergonomics, vol. 28, no. 6, pp. 321-326, 2001. DOI: http://dx.doi.org/10.1016/S0169-8141(01)00038-5
  13. S. K. Seo, S. H. Kim, T. Y. Kim, "Evaluation of Static Balance in Postural Tasks and Visual Cue in Normal Subjects", The Journal Korean Society of Physical Therapy, vol. 21, no. 4, pp. 51-56, 2009.
  14. H. Cohen, C. A. Blatchly, L. L. Gombash, "A study of the clinical test of sensory interaction and balance", Physical Therapy, vol. 73, no. 6, pp. 346-351, 1993. https://doi.org/10.1093/ptj/73.6.346
  15. T. H. Kim, "Factors influencing pelvic and trunk motions during one-leg standing", Dissertation of Doctor degree, Yonsei University, 2010.
  16. S. A. Sahrmann, "Diagnosis and Treatment of Movement Impairment Syndrome", pp. 51-118, Mosby, 2002.
  17. D. W. Oh, S. C. Chon, J. H. Shim, "Effect of Shoe Heel Height on Standing Balance and Muscle Activation of Ankle Joint", Journal of the Ergonomics Society of Korea, vol. 29, no. 5, pp. 789-795, 2010. DOI: http://dx.doi.org/10.5143/JESK.2010.29.5.789
  18. J. Cram, G. Kasman, J. Holtz, "Introduction of surface electromyography", pp. 358-371, Aspen Publishers, 1998.
  19. S. G. Kim, D. H. Im, E. K. Kong, "Muscle Activation Changes of Rectus Abdominal Muscle and Erector Spinae Muscle depending on Shoe Heel-height on Gait", Journal of Korean academy of physical therapist, vol. 19, no. 2, pp. 1-7, 2012.
  20. W. W. Sagong, D. H. An, "Postural Strategy by the Difference of Shoe Heel Height During Quiet Standing on an Unstable Surface", Korean Research Society of Physical Therapy, vol. 21, no. 2, pp. 28-36, 2014. DOI: http://dx.doi.org/10.12674/ptk.2014.21.2.028
  21. A. Mika, L. Oleksy, P. Mika, A. Marchewka, B. C. Clark, "The influence of heel height on lower extremity kinematics and leg muscle activity during gait in young and middle-aged women", Gait & Posture, vol. 35, no. 4, pp. 677-680, 2012. DOI: http://dx.doi.org/10.1016/j.gaitpost.2011.12.001
  22. M. H. Kim, C. H. Yi, W. G. Woo, B. R. Choi, "EMG and kinematics analysis of the trunk and lower extremity during the sit-to-stand task while wearing shoes with different heel heights in healthy young women", Human Movement Science, vol. 30, no. 3, pp. 596-605, 2011. DOI: http://dx.doi.org/10.1016/j.humov.2010.09.003
  23. P. A. Gribble, J. Hertel, C. R. Denegar, W. E. Buckley, "The Effects of Fatigue and Chronic Ankle Instability on Dynamic Postural Control", Journal of Athletic Training, vol. 39, no. 4, pp. 321-329, 2004.
  24. K. A. Opila-Correia, "Kinematics of high-heeled gait", Archives of physical medicine and rehabilitation, vol. 71, no. 5, pp. 304-309, 1990.
  25. R. E. Snow, K. R. Williams, "High heeled shoes: their effect on center of mass position, posture, three-dimensional kinematics, rearfoot motion, and ground reaction forces", Archives of physical medicine and rehabilitation, vol. 75, no. 5, pp. 568-576, 1994.
  26. C. Kisner, L. A. Colby, "Therapeutic Exercise", pp383-405, FA Davis, 2002.
  27. J. W. Park, Y. J. Kim, "A Study on Changes in Lower Limb Joint Angles during Stair Walking with High Heel", The Journal Korean Society of Physical Therapy, vol. 25, no. 6, pp. 379-385, 2013.
  28. C. J. Ebbeling, J. Hamil, J. A. Crussemeyer, "Lower extremity mechanics and energy cost of walking in high-heeled shoes", The Journal of orthopaedic and sports physical therapy, vol. 19, no. 4, pp. 190-196, 1994. DOI: http://dx.doi.org/10.2519/jospt.1994.19.4.190

Cited by

  1. Numerical Study on the Water Monitor Extinction System for Performance Verification vol.54, pp.6, 2017, https://doi.org/10.12972/ksmer.2017.54.6.611