Effectiveness of Shock-Absorbing Insole for High-Heeled Shoes on Gait: Randomized Controlled Trials
Abstract
:1. Introduction
2. Materials and Methods
- Healthy adult women;
- Persons who consented to the purpose and the method of this research, which were explained to them beforehand;
- Persons who had not suffered from a musculoskeletal injury to the lower extremities within the past year;
- Persons who did not have an orthopedic disability or pain in the lower Extremities;
- Persons whose buttocks, knees, and ankle joint range of motion (ROM) were in the normal range;
- Persons who satisfied height in the range of 155–175 cm and WHO Standard Normal BMI Index of 18.5–24.9.
2.1. Sample Size
2.2. The Information Regarding the Shock-Absorbing Insole for Use with HH Shoes
2.3. Study Design
2.4. Experimental Procedure
2.5. Data Analysis
3. Results
4. Discussion
5. Conclusions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Equipment Model (Company) | Variables | Unit | |
---|---|---|---|
In-Shoe Pressure Measuring System | Pedar-X System (Novel Gmbh, Germany) | Peak pressure (PP) Contact area (CA) Force time integral (FTI) | kPa cm2 Ns/cm2 |
Comfort Visual Analog Scale (Comfort VAS) | - | comfort levels | score |
Surface EMG | Noraxon EMG (Noraxon USA Inc., Scottsdale, AZ, USA) | Root Mean Square (RMS) Reference voluntary contraction (RVC) | uV % |
Kinematics (Joint Angles) Motion Analysis | OptiTrack (Natural Point, OR, USA) | Degree | ° |
Timed up and go test (TUG) | - | functional mobility | sec |
Experimental Group (n= 26) | Control Group (n = 26) | p | ||
---|---|---|---|---|
Age (years) | 25.38 ± 8.27 | 25.31 ± 7.01 | 0.973 a | |
Weight (kg) | 57.70 ± 7.49 | 56.49 ± 8.24 | 0.598 a | |
Height (m) | 162.62 ± 4.59 | 162.27 ± 6.26 | 0.793 a | |
BMI (kg/m2) | 21.75 ± 1.99 | 21.38 ± 2.26 | 0.578 a | |
Shoe size | 240.00 ± 5.10 | 239.42 ± 6.53 | 0.743 a | |
IPAQ | Low | 11 (42.31) c | 6 (23.08) | 0.574 b |
Moderate | 10 (38.46) | 11 (42.31) | ||
High | 5 (19.23) | 9 (34.62) | ||
TUG | 8.13 ± 0.98 | 9.13 ± 1.22 | 0.004 ** a |
Experimental Group (n = 26) | Control Group (n = 26) | p–Value | ES | ||||||
---|---|---|---|---|---|---|---|---|---|
Mean | SD | 95% CI | Mean | SD | 95% CI | ||||
Hallux | PP (kPa) | 110.27 | 18.05 | 106.20–114.34 | 114.67 | 44.17 | 104.71–124.63 | 0.393 | 0.613 |
CA (cm2) | 8.99 | 17.08 | 5.14–12.84 | 6.26 | 1.29 | 5.97–6.55 | 0.164 | 0.099 | |
FTI (Ns/cm2) | 184.75 | 53.85 | 172.61–196.90 | 209.16 | 58.56 | 195.96–222.36 | 0.005 ** | 0.503 | |
Toes | PP (kPa) | 41.38 | 14.66 | 38.08–44.69 | 50.34 | 12.86 | 47.44–53.24 | 0.000 *** | 0.457 |
CA (cm2) | 5.60 | 5.35 | 4.40–6.81 | 5.87 | 1.55 | 5.52–6.22 | 0.678 | 0.197 | |
FTI (Ns/cm2) | 76.07 | 35.46 | 68.07–84.06 | 121.42 | 38.15 | 122.82–130.02 | 0.000 *** | 0.311 | |
Medial forefoot | PP (kPa) | 109.40 | 17.40 | 105.48–113.32 | 109.86 | 75.59 | 92.82–126.90 | 0.960 | 0.715 |
CA (cm2) | 13.97 | 18.44 | 9.81–18.12 | 9.21 | 2.91 | 8.55–9.86 | 0.028 * | 0.216 | |
FTI (Ns/cm2) | 441.60 | 105.91 | 417.72–465.48 | 363.85 | 97.14 | 341.95–385.75 | 0.000 *** | 0.492 | |
Lateral forefoot | PP (kPa) | 75.94 | 13.27 | 72.95–78.93 | 59.07 | 43.09 | 49.35–68.78 | 0.002 * | 0.346 |
CA (cm2) | 12.23 | 13.24 | 9.24–15.21 | 8.85 | 2.85 | 8.21–9.49 | 0.031 * | 0.344 | |
FTI (Ns/cm2) | 274.12 | 70.63 | 258.20–290.05 | 196.99 | 75.47 | 179.97–214.01 | 0.000 *** | 0.430 | |
Midfoot | PP (kPa) | 12.20 | 6.37 | 10.76–13.63 | 15.79 | 8.03 | 13.98–17.60 | 0.002 ** | 0.354 |
CA (cm2) | 3.20 | 2.42 | 2.66–3.75 | 4.38 | 2.52 | 3.82–4.95 | 0.004 ** | 0.331 | |
FTI (Ns/cm2) | 24.96 | 20.40 | 20.36–29.56 | 45.49 | 26.28 | 39.57–5.42 | 0.000 *** | 0.297 | |
Heel | PP (kPa) | 76.12 | 22.06 | 71.14–81.09 | 86.57 | 49.19 | 75.48–97.66 | 0.106 | 0.511 |
CA (cm2) | 15.98 | 16.69 | 12.21–19.74 | 14.86 | 5.54 | 13.61–16.10 | 0.575 | 0.219 | |
FTI (Ns/cm2) | 355.34 | 136.30 | 324.61–386.07 | 518.70 | 192.91 | 475.21–562.20 | 0.000 *** | 0.478 |
Variables | Overall Comfort of EG | Overall Comfort of CG | ||
---|---|---|---|---|
r | p | r | p | |
Hallux | 0.045 | 0.829 | 0.382 | 0.054 |
Toes | 0.337 | 0.093 | −0.174 | 0.395 |
Medial forefoot | −0.082 | 0.691 | 0.385 | 0.052 |
Lateral forefoot | −0.131 | 0.525 | −0.224 | 0.272 |
Midfoot | −0.096 | 0.64 | −0.293 | 0.146 |
Heel | 0.555 ** | 0.003 | −0.049 | 0.813 |
Type Event | Experimental Group | Control Group | p–Value | ES | |||||
---|---|---|---|---|---|---|---|---|---|
Mean | SD | 95% CI | Mean | SD | 95% CI | ||||
Gait Cycle | VL | 35.89 | 11.67 | 33.09–38.69 | 42.49 | 17.27 | 38.34–46.64 | 0.015 * | 0.431 |
TA | 341.53 | 106.48 | 315.95–367.11 | 280.79 | 107.56 | 254.95–306.63 | 0.000 *** | 0.472 | |
BF | 458.69 | 172.93 | 417.15–500.24 | 496.54 | 158.51 | 458.46–534.62 | 0.179 | 0.367 | |
GA | 712.65 | 282.33 | 787.86–883.81 | 835.83 | 199.70 | 644.82–780.47 | 0.002 ** | 0.631 | |
Stances Period | VL | 37.42 | 11.48 | 34.66–40.18 | 40.39 | 13.29 | 37.20–43.58 | 0.153 | 0.450 |
TA | 342.26 | 101.61 | 317.85–366.67 | 310.09 | 108.12 | 284.12–336.07 | 0.065 | 0.413 | |
BF | 478.53 | 115.63 | 450.75–506.31 | 510.00 | 171.11 | 468.90–551.11 | 0.192 | 0.391 | |
GA | 677.72 | 127.37 | 695.55–770.98 | 733.27 | 157.00 | 647.13–708.32 | 0.022 * | 0.378 | |
Swing Period | VL | 28.53 | 11.53 | 25.76–31.30 | 43.11 | 14.06 | 39.73–46.49 | 0.000 *** | 0.473 |
TA | 357.20 | 108.65 | 331.10–383.30 | 357.16 | 119.27 | 328.51–385.81 | 0.998 | 0.618 | |
BF | 442.88 | 155.39 | 405.55–480.21 | 435.91 | 151.00 | 399.64–472.19 | 0.783 | 0.552 | |
GA | 703.02 | 166.75 | 662.96–743.07 | 699.37 | 131.49 | 667.78–730.96 | 0.891 | 0.328 | |
%RVC | VL | 3.00 | 2.02 | 2.53–3.49 | 3.76 | 1.05 | 3.51–4.01 | 0.008 ** | 0.052 |
TA | 23.55 | 6.93 | 21.89–25.21 | 22.09 | 4.89 | 20.92–23.27 | 0.136 | 0.063 | |
BF | 31.10 | 7.05 | 27.70–32.98 | 30.34 | 11.01 | 29.41–32.79 | 0.634 | 0.008 | |
GA | 50.23 | 15.54 | 46.49,–53.96 | 55.91 | 15.73 | 52.13–59.68 | 0.038 * | 0.118 |
Experimental Group | Control Group | p−Value | ES | ||||||
---|---|---|---|---|---|---|---|---|---|
Mean | SD | 95% CI | Mean | SD | 95% CI | ||||
Hip | Flex−Ext | 3.28 | 6.43 | 1.83–4.73 | 0.42 | 2.54 | −0.15−0.99 | 0.000 *** | 0.253 |
Abd−Add | −4.94 | 2.85 | −5.58–4.30 | −7.99 | 5.15 | −9.15–6.83 | 0.055 | 0.319 | |
Int−Ext | −15.08 | 9.8 | −17.29–12.87 | −21.84 | 5.68 | −23.12–20.56 | 0.000 *** | 0.104 | |
Knee | Flex−Ext | 9.53 | 4.16 | 8.59−10.47 | 8.4 | 4.23 | 7.44−9.35 | 0.000 *** | 0.017 |
Abd−Add | 5.25 | 2.97 | 4.58−5.92 | 8.34 | 4.6 | 7.31−9.38 | 0.000 *** | 0.013 | |
Int−Ext | −0.64 | 2.65 | −1.24–0.04 | −0.89 | 2.3 | −1.41–0.37 | 0.000 *** | 0.003 | |
Ankle | Flex−Ext | 17.98 | 4.17 | 17.04−18.92 | 24.01 | 5.09 | 22.86−25.15 | 0.100 | 0.260 |
Abd−Add | −6.22 | 3.76 | −7.07–5.37 | −4.61 | 6.26 | −6.02–3.20 | 0.000 *** | 0.198 | |
Int−Ext | 14.44 | 9.97 | 12.19−16.68 | 22.15 | 5.18 | 20.99−23.32 | 0.486 | 0.158 |
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Cha, Y.-J. Effectiveness of Shock-Absorbing Insole for High-Heeled Shoes on Gait: Randomized Controlled Trials. Healthcare 2022, 10, 1864. https://doi.org/10.3390/healthcare10101864
Cha Y-J. Effectiveness of Shock-Absorbing Insole for High-Heeled Shoes on Gait: Randomized Controlled Trials. Healthcare. 2022; 10(10):1864. https://doi.org/10.3390/healthcare10101864
Chicago/Turabian StyleCha, Yu-Jin. 2022. "Effectiveness of Shock-Absorbing Insole for High-Heeled Shoes on Gait: Randomized Controlled Trials" Healthcare 10, no. 10: 1864. https://doi.org/10.3390/healthcare10101864