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The high-heeled shoes induce substantial noise in the process of postural control as they cause not only a reduction of the base of support (BS) but also shift upward the body center of mass (COM) [1,2]. Furthermore, the long-term wearing of high-heeled shoes is associated with muscle imbalance and instability around the ankle joint, a condition that increases the predisposition to an ankle sprain [3] and a fall incidence [4]. Thus, for an optimum body balance, the shoe heel height should range from 3 to 5 centimeters [4,5].

Effect of high-heeled shoes on postural control in the upright and the leaning body stance