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• W3126013952 abstract "Abstract Background High-heeled shoes have been thought to alter lower extremity joint mechanics during gait, however its effects on the knee remain unclear. Research question This systematic review and meta-analysis aimed to determine the effects of high-heeled shoes on the sagittal- and frontal-plane knee kinetics/kinematics during gait. Methods 1449 studies from 6 databases were screened for the following criteria: 1) healthy adult females, 2) knee joint kinematics/kinetics reported for the early stance phase during gait under varying shoe heel heights (including barefoot). Excluded studies included those mixing different shoe styles in addition to altering the heel heights. A total of 14 studies (203 subjects) met the selection criteria, resulting in 51 and 21 Cohen’s d effect sizes (ESs) comparing the differences in knee sagittal- (flexion) and frontal-plane (varus) moment/angle, respectively, between shoes with higher heels and shoes with lower heels/barefoot. Results Meta-analyses yielded a significant medium-to-large effect of higher heels compared to lower heels on increasing knee flexion moment (overall ES = 0.83; P  Significance Given the association between increased knee flexion/varus moments and risk of developing knee osteoarthritis (OA), women who wear high-heel shoes frequently and for a long period may be more susceptible to knee OA. Preventive treatments, such as lower extremity muscle strengthening, may help improve shock absorption to decrease knee loading in high-heel users." @default.
• W3126013952 created "2021-02-01" @default.
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• W3126013952 date "2021-03-01" @default.
• W3126013952 modified "2023-09-30" @default.
• W3126013952 title "Increased knee flexion and varus moments during gait with high-heeled shoes: A systematic review and meta-analysis" @default.
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• W3126013952 doi "https://doi.org/10.1016/j.gaitpost.2021.01.017" @default.
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