Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Gynecology and Obstetrics

Wearing shoes with different heights in old women, affect their performance while they're working either in erect position or in flexion 90o trunk or complete trunk flexion. So the purpose of this study was to examine the effect of different heel height shoes on spinal configuration in osteoporotic post menopausal women, in different trunk positions. 40 osteoporotic post menopausal women wearing different shoes: flat, sneakers, 3cm heel height with mean age, 49.05± 2.14 (yrs), mean weight 79.02±7.7 (kg), mean height 163.06±6.17 (cm), and mean body mass index BMI 29.57±1.9 (kg/m2).were selected from Faculty of physical therapy, Cairo University. The changes in the spine position were recorded by the Spinal Mouse device, for every foot position (flat, sneakers and 3cm heel height). During erect position, flexion trunk 90 degrees and complete flexion trunk. The results have shown that: At the level of T1, there was significant difference in the mean value of spinal angle between the 3 positions using ,sneakers and 3cm heel shoes; P value was (0.011) and (0.022) respectively. At the level of T7,there was a significant difference in the mean values of spinal angle between the 3 positions using flat shoes, sneakers and 3cm heel shoes and; P value was (0.011) ,(0.013) and (0.006) respectively. At level of L1, there was a significant difference between the mean values of spinal angle of the 3 foot positions from standing with flexion 90o; P value was (0.001) and a significant difference in the mean value of spinal angle between the 3 positions using flat shoes sneakers and 3cm heel shoes, P value was (0.001), and (0.002) (0.001) respectively. At the level of L5, there was a significant difference between the mean values of spinal angle of the 3 foot positions from erect position; P value was (0.007) and significant difference in the mean value of spinal angle between the 3 positions using flat shoes, sneakers and 3cm heel shoes with P value was (0.002), (0.001) and (0.001) respectively

Issued also as CD