Manal M. Fahim Salib, Hamada Ahmed Hamada, Amel M. Yousef, Azza B. Nashed Kassab, Nagui S. Nassif, Mohamed H. Mostafa

Manal M. Fahim Salib, Hamada Ahmed Hamada, Amel M. Yousef, Azza B. Nashed Kassab, Nagui S. Nassif, Mohamed H. Mostafa – Effect of Different Heel Height Shoes on Spinal Configuration In Osteoporotic Post Menopausal Women: Repeated Measure Design. Fizjoterapia Polska 2019; 19(4); 104-109

Abstract
Background. Menopause causes reduction in bone strength. Wearing shoes with different heights in old women, affecting their performance while they’re working either in erect position or in 90˚ trunk flexion or complete trunk flexion. Purpose. This study was designed to investigate the effect of different heel height shoes on spinal configuration in osteoporotic post menopausal women, in different trunk positions. Methods. This study was carried out upon 40 post menopausal osteoporotic women who were selected from faculty of physical therapy wearing different shoes: flat, sneakers and 3cm heel height.Their mean age was, 49.05 ± 2.14 (years), mean body mass 79.02 ± 7.7 (kg), mean height 163.06 ± 6.17 (cm), and mean body mass index BMI 29.57 ± 1.9 (kg/m2). The spinal angle deviation was measured between 2 definite vertebrae while wearing different heel height and comparing it with the spine deviation using flat shoes. The changes in the spine position were recorded for (flat shoes, sneakers and 3cm heel height shoes) during erect position, flexion trunk 90 degrees and complete flexion trunk by the spinal mouse device. The spinal angle deviation was measured in 4 levels T1–T2, T7–T8, T12–L1, L5–S1 levels. Result. There was a significant effect of different trunk position on deviation of spinal angle. At the level of T1-T2, there was a significant difference in the mean value of spinal angle between the 3 positions using sneakers and 3 cm heel shoes. At the level of T7–T8,there was a significant difference in the mean values of spinal angle between the 3 positions using flat shoes, sneakers and 3 cm heel shoes. At level of T12–L1, there was a significant difference between the mean values of spinal angle while wearing 3 types of shoes, flat shoes, sneakers, 3 cm heel, from 90˚ trunk flexion and a significant difference in the mean value of spinal angle between the 3 positions using flat shoes, sneakers and 3 cm heel shoes. At the level of L5–S1, there was a significant difference between the mean values of spinal angle of the 3 types of shoe, at erect position and significant difference in the mean value of spinal angle between the 3 positions using flat shoes, sneakers and 3 cm heel shoes. Conclusion. At level of T1– T2 and T7–T8, as the trunk flexion increases the spinal angle deviation decrease. At T12– L1 level, when flexion 90˚ the flat shoes is the best, followed by the 3 cm heel height. At the level of L5–S1 at erect position the flat is the best,followed by the 3 cm heel height.

Key words:
post menopause, spinal angles, different heel height shoes, Spinal Mouse different trunk positions