Many styles of dance involve the usage of heels. Ballroom dancing shoes are designed for usage based on the style of dance being performed. International Standard Ballroom shoes for women are closed toed shoes with a 2 to 2.5 inch sturdy heel because steps are performed using the heel of the foot.[49] International Latin and American Rhythm shoes are open toed, strapped heels that are an average of 2.5 to 3 inches in height. These shoes have the least sturdiest heel because International Latin and American Rhythm styles are performed on the ball of the foot. Additionally, this style of shoe is designed with a flexible sole to allow for pointed feet. Lastly, American Smooth shoes are closed toed, flexible soled shoes that range in heel height from 2 to 2.5 inches. An additional non-traditional ballroom dance that uses heels is the Argentine Tango. While dancing the Argentine Tango, women often wear pointed heels ranging in 2 to 4 inches in height.[20] The higher the heel height, the more advanced in technique and ability a dancer is. The heels are used to change the overall stance of the woman by tilting the hips forward, making the stomach flatter and pushing the backside out. Additionally, the heels cause unsteadiness which forces women to dance on their toes and lean on their partner which adds to the fluidity of the movements. A relatively modern style of dance called Heels Choreography or Stiletto dance specializes in choreography that blends the styles of jazz, hip-hop and burlesque with the fusion of vogue movements and is performed using stilettos or high heels.[50] Some dancers such as Yanis Marshall specialize in dancing with high-heels.[51]
In a 1992 study, researchers from the University of California, Davis and Thomas Jefferson University wanted to investigate the effects of increased heel height on foot pressure using forty-five female participants walking across a pressure plate in various heel heights.[24] A Biokinetics software was used to analyze the exact pressure locations on and along each participants' foot. The researchers were able to conclude that an increase in heel height lead to an increase in pressure beneath each of the Metatarsal bones of the foot. Additionally, they found that the highest heel heights caused constant pressure that could not be evenly dispersed across the foot.
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