Conflicts of interest: None.
Effects of high heel wear and increased weight on the knee during walking
Version of Record online: 22 DEC 2014
© 2014 Orthopaedic Research Society. Published by Wiley Periodicals, Inc.
Journal of Orthopaedic Research
Volume 33, Issue 3, pages 405–411, March 2015
How to Cite
Titchenal, M. R., Asay, J. L., Favre, J., Andriacchi, T. P. and Chu, C. R. (2015), Effects of high heel wear and increased weight on the knee during walking. J. Orthop. Res., 33: 405–411. doi: 10.1002/jor.22775
- Issue online: 26 FEB 2015
- Version of Record online: 22 DEC 2014
- Manuscript Accepted: 26 OCT 2014
- Manuscript Received: 26 JUN 2014
- Department of Orthopedic Surgery, Stanford University. Grant Number: NIH R01 AR-052784
- high-heeled shoes;
- women's footwear;
- loaded gait;
Knee osteoarthritis (OA), a leading cause of disability, is more prevalent in women than men. Wearing high heeled shoes has been implicated as a potential contributing factor for the higher lifetime risk of osteoarthritis in women. This study tests the hypotheses that changes to knee kinematics and kinetics observed during high heeled walking increase in magnitude with increasing heel height and are accentuated by a 20% increase in weight. Fourteen healthy females were tested using marker-based gait analysis in combinations of footwear (flat athletic shoe, 3.8 cm and 8.3 cm heeled shoes) and weight (with and without 20% bodyweight vest). At preferred walking speed, knee flexion angle at heel-strike and midstance increased with increasing heel height and weight. Maximum knee extension moment during loading response decreased with added weight; maximum knee extension moment during terminal stance decreased with heel height; maximum adduction moments increased with heel height. Many of the changes observed with increasing heel height and weight were similar to those seen with aging and OA progression. This suggests that high heel use, especially in combination with additional weight, may contribute to increased OA risk in women. © 2014 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 33:???–???, 2015.