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穿高跟鞋时出现短暂的疼痛和不适。

Transient pain and discomfort when wearing high-heeled shoes.

作者信息

Almadhaani Hour Matar Abdulla, Goonetilleke Ravindra S, Wijeweera Albert, Jayaraman Raja, Ameersing Luximon, Khandoker Ahsan H, Tamrin S B Mohd

机构信息

Department of Management Science and Engineering, Khalifa University, Abu Dhabi, UAE.

Healthcare Engineering Innovation Center, Khalifa University, Abu Dhabi, UAE.

出版信息

Sci Rep. 2024 Apr 23;14(1):9291. doi: 10.1038/s41598-024-59966-9.

DOI:10.1038/s41598-024-59966-9
PMID:38654097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11039660/
Abstract

In the dynamic world of fashion, high-heeled footwear is revered as a symbol of style, luxury and sophistication. Yet, beneath the facade of elegance of classy footwear lies the harsh reality of discomfort and pain. Thus, this study aims to investigate the influence of wearing high-heeled shoes on the sensation of pain across different body regions over a period of 6 h. It involved fifty female participants, all habitual wearers of high-heeled shoes, aged between 20 and 30 years. Each participant kept a record of their perceptions of pain and discomfort every hour for a total of 6 h using a 0-10 pain scale with 0 indicating no pain and 10 indicating severe pain. The findings reveal a progressive rise in pain throughout wear, with the most intense pain reported in the back, calcaneus, and metatarsals. The analysis shows that after approximately 3.5 h, participants experience significant increases in pain levels. However, the relationship between heel height and pain is not linear. It appears that a heel height of 7.5 cm is the threshold where overall body pain becomes significant. The study suggests that a duration of 3.5 h of wear and a heel height of 7.5 cm serve as critical points to decrease overall body pain. Moreover, beyond this heel height, knee pain diminishes compared to other body areas possibly due to the shift towards a more neutral posture. The study findings, coupled with the recommendations, can assist footwear designers in crafting not only stylish but also comfortable shoes.

摘要

在时尚的动态世界中,高跟鞋被誉为风格、奢华和精致的象征。然而,在优雅精致的鞋履外表之下,隐藏着不适与疼痛的残酷现实。因此,本研究旨在调查穿着高跟鞋6小时期间对不同身体部位疼痛感觉的影响。研究涉及50名女性参与者,她们均为高跟鞋的 habitual wearers,年龄在20至30岁之间。每位参与者使用0至10的疼痛量表,每小时记录一次她们对疼痛和不适的感受,共记录6小时,其中0表示无疼痛,10表示剧痛。研究结果显示,在整个穿着过程中疼痛逐渐加剧,背部、跟骨和跖骨部位报告的疼痛最为强烈。分析表明,大约3.5小时后,参与者的疼痛程度显著增加。然而,鞋跟高度与疼痛之间的关系并非线性。似乎鞋跟高度7.5厘米是全身疼痛变得显著的阈值。该研究表明,穿着3.5小时和鞋跟高度7.5厘米是减轻全身疼痛的关键点。此外,超过这个鞋跟高度,与其他身体部位相比,膝盖疼痛会减轻,这可能是由于姿势变得更加中立。研究结果以及相关建议可以帮助鞋类设计师设计出不仅时尚而且舒适的鞋子。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a62e/11039660/a634765f5f48/41598_2024_59966_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a62e/11039660/7b008cac2e4d/41598_2024_59966_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a62e/11039660/f2a9d685c890/41598_2024_59966_Fig2_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a62e/11039660/851671be8e12/41598_2024_59966_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a62e/11039660/a634765f5f48/41598_2024_59966_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a62e/11039660/7b008cac2e4d/41598_2024_59966_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a62e/11039660/f2a9d685c890/41598_2024_59966_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a62e/11039660/bc945e65fe2b/41598_2024_59966_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a62e/11039660/6da27e72f481/41598_2024_59966_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a62e/11039660/6ec73da4e73c/41598_2024_59966_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a62e/11039660/851671be8e12/41598_2024_59966_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a62e/11039660/a634765f5f48/41598_2024_59966_Fig7_HTML.jpg

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本文引用的文献

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Gait Posture. 2021 Mar;85:117-125. doi: 10.1016/j.gaitpost.2021.01.017. Epub 2021 Jan 21.
2
Walking variations in healthy women wearing high-heeled shoes: Shoe size and heel height effects.穿高跟鞋的健康女性的行走变化:鞋码和鞋跟高度的影响。
Gait Posture. 2018 Jun;63:195-201. doi: 10.1016/j.gaitpost.2018.04.048. Epub 2018 May 3.
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Effects of high heeled shoes on gait. A review.
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Electromyographic changes in muscles around the ankle and the knee joints in women accustomed to wearing high-heeled or low-heeled shoes.习惯穿高跟鞋或低跟鞋的女性踝关节和膝关节周围肌肉的肌电图变化。
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Effects of high-heeled footwear on static and dynamic pelvis position and lumbar lordosis in experienced younger and middle-aged women.高跟鞋对有经验的年轻及中年女性静态和动态骨盆位置及腰椎前凸的影响。
Gait Posture. 2018 Jan;59:53-57. doi: 10.1016/j.gaitpost.2017.09.034. Epub 2017 Sep 28.
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