The influence of high-heeled shoes on strain and tension force of the anterior talofibular ligament and plantar fascia during balanced standing and walking

Jia Yu, Duo Wai Chi Wong, Hongtao Zhang, Zong Ping Luo, Ming Zhang

Research output: Journal article publicationJournal articleAcademic researchpeer-review

25 Citations (Scopus)

Abstract

However, high-heeled shoes can also reduce the strain on plantar fascia, which may be beneficial for the treatment of plantar fasciitis. In this study, the influence of heel height on strain and tension force applied to the anterior talofibular ligament (ATL) and plantar fascia were investigated. A three-dimensional finite element model of coupled foot–ankle–shoe complex was constructed. Four heel heights were studied in balanced standing: 0 in. (0 cm), 1 in. (2.54 cm), 2 in. (5.08 cm), and 3 in. (7.62 cm). A walking analysis was performed using 2-in. (5.08 cm) high-heeled shoes. During balanced standing, the tension force on the ATL increased from 14.8 N to 97.0 N, with a six-fold increase in strain from 0 in. to 3 in. (0–7.62 cm). The tension force and the average strain on the plantar fascia decreased from 151.0 N (strain: 0.74%) to 59.6 N (strain: 0.28%) when the heel height increased from 0 in. to 2 in. (0–5.08 cm). When heel height reached 3 in. (7.62 cm), the force and average strain increased to 278.3 N (strain: 1.33%). The walking simulation showed that the fascia stretched out while the ATL loading decreased during push off. The simulation outcome demonstrated the influence of heel height on ATL alteration and plantar fascia strain, which implies risks for ankle injury and suggests guidance for the treatment of plantar fasciitis.
Original languageEnglish
Pages (from-to)1152-1156
Number of pages5
JournalMedical Engineering and Physics
Volume38
Issue number10
DOIs
Publication statusPublished - 1 Oct 2016

Keywords

  • Finite element analysis
  • Foot and ankle
  • Plantar fasciitis
  • Sprain ankle

ASJC Scopus subject areas

  • Biophysics
  • Biomedical Engineering

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