How the stiletto heeled shoes which are popularly preferred by many women affect balance and functional skills?

We aimed at investigating the effects of using stiletto style shoes with different heel heights on balance and climbing up the stairs. Assessments were conducted in three conditions (barefoot, 4 cm, 10 cm heels) on 40 women who are familiar with stiletto heels. In conclusion, when stilletto heeled shoes were worn, both balance and climbing up the stairs got worsen. Although 4 cm heel height had been considered as a normal heel height or upper limit of heel height in other shoe styles, stiletto heeled shoes with 4 cm heel height has affected every parameter negatively.