Pathophysiology
Descending stairs requires greater lower limb joint torques and ranges of motion compared to flat walking, with peak flexion torques of hip and knee joints increasing significantly 7. Wearing high heels further elevates these demands, affecting joint stiffness and potentially increasing injury risk 1011. [PMID:40461999]
Epidemiology
Surveys indicate that about 26% of falls occur during stair walking, with falls down stairs accounting for approximately 75% of these incidents 2. Young women wearing high heels face increased challenges and risks during stair descent due to gait abnormalities and compromised stability 1517. [PMID:40461999]
Clinical Presentation
High heels impair foot stability and control during stair descent, often resulting in discomfort and pain due to alterations in joint angles, moments, and stiffness 1517. These biomechanical changes can manifest clinically as gait abnormalities and musculoskeletal symptoms 19. [PMID:40461999]
Management
Further research into the biomechanics of stair descent with varying heel heights is crucial for developing strategies to mitigate risks and promote safer movement patterns 19. Clinicians can use this knowledge to advise on footwear choices and preventive exercises [PMID:40461999]
References
1 Wang Y, Yan X, Ma G, Sun W, Xu H, Wang J. Effect of heel height on lower limb biomechanics during stair descent in young women: a laboratory study. BMC musculoskeletal disorders 2025. link
1 papers cited of 3 indexed.