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Revista de la Asociación Médica del Centro Médico ABC

2020, Number 1

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An Med Asoc Med Hosp ABC 2020; 65 (1)

Postural alterations of the spine associated with the use of heels

De Regil-González P, Santiago-Galindo PZ, Nava-Bringas TI

Language: Spanish
References: 19
Page: 35-40
PDF size: 381.99 Kb.


ABSTRACT

Introduction: Low back pain is one of the main causes of medical care, affecting up to 80% of the world population at some time in their life. There are several risk factors for presenting low back pain or conditioning its persistence. The relationship of low back pain with footwear selection has been postulated for a long time, particularly with the use of heels, this due to postural alterations of the spine with its use, however there is no established standard of optimal footwear or its direct association with low back pain. Objective: To analyze the available literature related to postural alterations of the spine associated with the use of heels. Material and methods: Review of the literature available in the main search engines with a period from 1990 to 2018. Articles in English and Spanish were included, which included population wearing heels and described postural or functional alterations of the lumbar spine. Results: 14 articles were selected for review. Previous studies support the relationship between high heels and increased lumbar lordosis and, consequently, low back pain, however, there is literature that states that high-heeled shoes do not affect lumbar lordosis in standing, even report a decrease in lumbar lordosis wearing high heels. Conclusions: The use of heels is related to lordosis reduction, pelvic retroversion and postural adjustments that can be associated with increasing stress on the posterior elements of the lumbar segment and secondarily favor low back pain.


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