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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(6):1186-1190.
Comparison of Lumbar Lordosis according to Heel Height in Normal Adults and Patients with Spondylolisthesis.
Lee, Kyu Hoon , Kim, Yong Geol , Hwang, Chi Moon , Kim, Sung Soo , Choi, Hyun Jin , Kim, Hee Sang , Ahn, Kyung Hoi
1Department of Rehablitation Medicine, Joong Moon College of Medicine.
2Department of Rehablitation Medicine, College of Medicine, Kyunghee University.
정상인과 척추전방전위증 환자에서 뒷굽높이에 따른 요추 전만도의 비교
이규훈, 김용걸, 황치문, 김성수, 최현진, 김희상1, 안경회1
중문의대 재활의학과, 1경희대학교 의과대학 재활의학교실
Abstract

Objective
To evaluate how to influence static lumbar lordosis by different heel heights in normal adults and patients with spondylolisthesis.


Method
The lumbolumbar angles, lumbosacral angles and slip angles were examined while standing on barefoot, on heel support with 5 cm heel, and with 10 cm heel in 14 normal adults and 10 patients with first grade of spondylolisthesis. Standing lumbar spine lateral view was performed by one half hour adaptation with corresponding shoe types.

Result: The lumbolumbar angles (angles between upper margin of 2nd lumbar body and low margin of 5th lumbar body) and the lumbosacral angles (between upper margin of 2nd lumbar body and low margin of 1st sacral body) in normal are 36.8⁑6.5o, 50.1⁑9.5o on barefoot, 36.0⁑7.3o, 49.6⁑7.4o on heel support with 5 cm heel, and 36.1⁑7.6o, 49.7⁑8.3o with 10 cm heel. Lumbolumbar angles and lumbosacral angles in 10 patients with spondylolisthesis 38.8⁑8.3°on barefoot, 47.2⁑10.4o on heel support with 5 cm heel, 38.3⁑7.0o, 47.7⁑9.2o with 10 cm heel. The slip angles in 10 patients with spondylolisthesis are 29.8⁑1.2o on barefoot, 30.2⁑1.8o on heel support with 5 cm heel, and with 10 cm heel.


Conclusion
The changes of heel height did not significantly influence the lumbar lordosis in normal adults and patients with spondylolisthesis. There were no significant differences in average slip angle according to heel height in patients with spondylolisthesis were found.

Key Words: Slip angles, Heel height, Lumbar lordosis, Slip angles, Spondylolisthesis


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