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Alternatively, World War II led to the popularization of pin-up girl posters, which men would often hang in their bunks while at war. Almost all of these girls were pictured wearing high heels, leading to an increase in the relationship between high heels and female sexuality. The tall, skinny stiletto heel was invented in 1950, strengthening the relationship between women, sexuality, and appearance. There was a weakening of the stiletto style during both the late 1960s / early 1970s and also 1990s when block heels were more prominent, followed by a revival in the 2000s.
In a 2016 study from the Sahmyook University in Korea, researchers wanted to investigate the effects of high heels on the activation of muscles in the cervical and lumbar portions of the spine which refers to the neck and lower back. Thirteen women were recruited to walk down a walkway in three different testing conditions: barefoot, in 4 cm heels and in 10 cm heels. Surface electrodes were placed on the muscle mass of the women’s spines as well as their feet to measure the electrical activity of muscles at different points of movement. The results of the study indicated an increase in both cervical and lumbar muscle activation as heel height increased. The cervical spine, the neck, assists in maintaining head stability and postural control in the body. The usage of high heels shifts the body’s center of mass which forces the spine to adjust itself in order to maintain balance. The researchers mentioned that over time these results would increase local muscle fatigue that could lead to muscle swelling, decreased muscle movement and even tissue deformation.