This study explores relevant full-text literature to reveal the effects of heel height on gait and posture and the kinetics and kinematics of the foot, ankle, knee, hip, and spine.
The risk of ankle inversion injury has been shown to relate to increased heel height, which may contraindicate the use of heel raises in patients with a history of lateral ankle sprains.
In high-heeled shoes, the ankle joint has greater freedom of frontal plane motion (and is therefore less mechanically stable) because of the reduced articular congruence between the talus and tibiofibular mortice.
This reduced articular congruence can be attributed to the plantarflexed position of the foot.
Payne et al. found that feet with laterally deviated subtalar joint axes, especially when combined with a plantarflexed ankle joint, are at risk of inversion ankle injury.
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