The Influence of High Heeled Shoes on the Sagittal Balance of the Spine and Whole Body
NCT ID: NCT02254694
Last Updated: 2015-05-28
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
23 participants
INTERVENTIONAL
2014-09-30
2015-05-31
Brief Summary
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The investigators hypothesize that wearing high heeled shoes leads to a hyperlordosis of the cervical spine, a decrease of thoracic kyphosis, hyperlordosis of the lumbar spine and a posterior tilt of the pelvis resulting in a posterior shift of the body's center of gravity. This would be an explanation for the increased prevalence of back pain in individuals frequently wearing high heels.
In order to assess these changes, differences in the two following outcome parameters will be measured on a standing lateral EOS-radiograph of the whole body - barefoot and with high heeled shoes: spino-sacral angle (primary) and meatus plumb line (secondary) .
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Detailed Description
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After obtaining informed consent, the participants will be interviewed with special regard to their age, gender, height, weight, shoe size, past medical history, occupational and recreational activities, and duration and frequency of wearing high heeled shoes.
A clinical examination of the spine and pelvis will be performed as well as a pregnancy urine test.
Standing lateral EOS-radiographs (http://www.eos-imaging.com/) of the whole body will be taken - once barefoot and once with high heeled shoes (heel height 9 cm).
All data acquisition is going to be performed during a single session, participants will not be followed up.
The following parameters will be assessed on the radiographs: presence and number of (healed) fractures, osseous metastases, sagittal C7 plumb line, meatus plumb line, cervical lordosis, thoracic kyphosis, lumbar lordosis, spino- sacral angle as described by Roussouly et al. (2006), pelvic incidence, pelvic tilt.
For statistical analysis, all data will be collected in a statistic software file (SPSS. 21.0, SPSS Inc, Chicago, Illinois). After testing for normal distribution, these differences in means of the primary and secondary outcome parameters between the barefoot and the high heeled radiograph will be assessed using a paired Student's T-test or non-parametric tests. The level of significance is p \< 0.05.
Conditions
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Study Design
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NA
SINGLE_GROUP
PREVENTION
NONE
Study Groups
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high heeled shoes
see detailed description
high heeled shoes
see detailed study description
Interventions
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high heeled shoes
see detailed study description
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* missing written informed consent
* cognitive inability to consent on their own
* pregnancy
20 Years
FEMALE
Yes
Sponsors
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University of Zurich
OTHER
Responsible Party
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Principal Investigators
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Clément ML Werner, MD, Prof
Role: PRINCIPAL_INVESTIGATOR
University of Zurich, Klinik für Unfallchirurgie
Locations
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Klinik für Unfallchirurgie, University Hospital Zurich
Zurich, Canton of Zurich, Switzerland
Countries
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References
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Opila KA, Wagner SS, Schiowitz S, Chen J. Postural alignment in barefoot and high-heeled stance. Spine (Phila Pa 1976). 1988 May;13(5):542-7. doi: 10.1097/00007632-198805000-00018.
Other Identifiers
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SNCTP000000049
Identifier Type: -
Identifier Source: org_study_id
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