Usually, a high-topped shoe is secured by laces or zippers, although some styles have elastic inserts to ease slipping the shoe on. If it is not possible to avoid high heels altogether, some doctors suggest that the wearer wear high-heels no more often than twelve hours a day, and that they are spending at least a third of the time on their feet in contour-supportive "flat" shoes (such as exercise sandals), or well-cushioned "sneaker-type" shoes, saving high heels for special occasions. While mounted, the shaft protected the leg from saddle rubbing, brush and thorns. The two exceptions are cowboy boots, which continue to sport a taller riding heel, and a brief resurgence in higher-heeled shoes for men in the 1970s(in Saturday Night Fever, John Travolta's character wears a Cuban heel in the opening sequence). The Sabrina heel is the standard for court shoes and is named after.

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