الفهرس 
Impact of different shoe heel heights on spinal configuration during different phases of menstrual cycle
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Abstract
Background: High heeled shoes adversely affect spinal curvature and increase risk of back pain. It also disturbs balance and normal gait pattern. Purpose: To explore the short term impact of usage different shoe heel heights on spinal configuration during different phases of menstrual cycle. Methods: Seventy females participated in this study; they were assigned to one group, each female wear four sport shoes with different heel heights (0cm, 2.5cm, 4.5cm, and 7cm). Spinopelvic alignment was evaluated by Raster-stereography Formetric 3 D analysis during different menstrual phases (early follicular, ovulatory and mid- luteal phases). Result: Statistical analysis revealed that there was no significant difference (p>0.05) in lordotic angle, pelvic tilt, kyphotic angle, trunk inclination and pelvic inclination between phases of menstrual cycle at different sport shoes with different heel heights(0,cm,2.5 cm, 4.5 cm and 7 cm). Also, there was no significant difference (p>0.05) in lordotic angle, pelvic tilt, kyphotic angle, trunk inclination and pelvic inclination among sport shoes with different heel heights at all phases of menstrual cycle (early follicular, ovulatory and mid luteal phases).The results of VAS and 7 point LS revealed that with increasing height of shoes heel, the shoes become more uncomfortable.Conclusion: There is no impact of short term usage of high heeled shoes on spinal configuration during different phases of menstrual cycle