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패션모델의 보행 동작에 대한 잠재적 상해 연구

The study on the potential injury for the walking movement of fashion model

  • Gon Sung Moon (Department of Physical Education, Yonsei University) ;
  • Ji Young Choi (Department of College of R.C. Convergence, Yonsei University)
  • 투고 : 2025.06.10
  • 심사 : 2025.07.21
  • 발행 : 2025.09.30

초록

Objective: Fashion models have a unique walking motion called cat walking that can affect musculoskeletal disorders in the lower limb joints. So, the purpose of this study was to give the basic data for the potential musculoskeletal injury on the fashion model walking. Ten applicants for fashion model who is studying in university and ten normal healthy women voluntarily participated in this study. Method: As a professional model applicant with experience as a fashion model, 10 people and 10 ordinary women were selected as targets. A three-dimensional motion analysis system (VICON) and force plates were used to analyze the fashion model and normal woman walking. Results: The results were as follows: There were significant differences for the angle values on maximum dorsiflexion of ankle joint, maximum flexion of knee joint and maximum flexion and extension of hip joint in gait cycle (p<.05). There were significant differences for the step length and width between the model and normal woman in walking. There were significant differences for the value on maximum adduction and abduction angle of hip joint, maximum varus and valgus angle of knee joint, maximum eversion and inversion angle of ankle joint in gait cycle (p<.05). There were significant differences for the value on maximum adduction and abduction moment of hip joint, maximum varus and valgus moment of knee joint, maximum eversion and inversion moment of ankle joint in gait cycle (p<.05). Conclusion: The walking motion of the fashion model showed the characteristics of faster walking speed, longer step length, and narrower step width compared to the general women, which decreased the stability of the body during walking. These characteristics may increase the possibility of scoliosis due to increased the adduction moment of the hip joint. Increased varus moments in the knee joint may make worsen arthritis. It was also predicted that excessive eversion of the ankle joint could cause muscle fatigue and shin splints in the related muscles.

키워드

참고문헌

  1. Baliunas, A. J., Hurwitz, D. E., Ryals, A. B., Karrar, A., Case, J. P. & Block, J. A. (2002). Increased knee joint loads during walking are present in subjects with knee osteoarthritis. Osteoarthritis Cartilage, 10(7), 573-579. https://doi.org/10.1053/joca.2002.0797
  2. Bennett, H. J., Shen, G., Cates, H. E. & Zhang, S. (2017). Effects of toe-in and toe-in with wider step width on level walking knee biomechanics in varus, valgus, and neutral knee alignments, The Knee, 24(6), 1326-1334. https://doi.org/10.1016/j.knee.2017.08.058
  3. Birmingham, T. B., Hunt, M. A., Jones, L. C., Jenkyn, T. R. & Giffin, J. R. (2007). Test-retest reliability of the peak knee adduction moment during walking in patients with medial compartment knee osteoarthritis, Arthritis Care & Research, 57(6), 1012-1017. https://doi.org/10.1002/art.22899
  4. Cash, T. F. & Pruzinsky, T. (2002). Bokdy Imang: A Handbook of Theory. Research & Clinical Practice, 530.
  5. Cicuttini, F., Wluka, A., Hankin, J. & Wang, Y. (2004). Longitudinal study of the relationship between knee angle and tibiofemoral cartilage volume in subjects with knee osteoarthritis. Rheumatology, 43, 321-324. https://doi.org/10.1093/rheumatology/keh017
  6. Cooke, D., Scudamore, A., Li, J., Wyss, U., Bryant, T. & Costigan, P. (1997). Axial lower-limb alignment: comparison of knee geometry in normal volunteers and osteoarthritis patients. Osteoarthritis Cartilage, 5, 39-47. https://doi.org/10.1016/S1063-4584(97)80030-1
  7. David, G. L. & Thor, F. B. (2003). An EMG-driven musculoskeletal model to estimate muscle forces and knee joint moments in vivo. Journal of Biomechanics, 36(6), 765-776. https://doi.org/10.1016/S0021-9290(03)00010-1
  8. Donelan, J. M., Kram, R. & Kuo, A. D. (2001). Mechanical and metabolic determinants of the preferred step width in human walking. Proceedings of the Royal Society B.: Biological Scienes, 268(1480), 1985-1992. https://doi.org/10.1098/rspb.2001.1761
  9. Eng, J. J. & Winter, D. A. (1995). Kinetic analysis of the lower limbs during walking: What information can be gained from a three-dimensional model? Journal of Biomechanics, 28(6), 753-758. https://doi.org/10.1016/0021-9290(94)00124-M
  10. Gefen, A., Megido-Ravid, M., Itzchak, Y. & Arcan, M. (2002). Analysis of muscular fatigue and foot stability during high-heeled gait. Gait & Posture, 15(1), 56-63. https://doi.org/10.1016/S0966-6362(01)00180-1
  11. Guo, R., Liu, B. & Hongyuan, H. Y. (2011). The study of female fashion model's basic walking posture. Advanced Materials Research, 332-334, 1272-1275. https://doi.org/10.4028/www.scientific.net/AMR.332-334.1272
  12. Han, S. H. (2002). Model walking. HakMunSa. Seoul: Hakmunsa Publising, Inc.
  13. Han, S. H. (2005). Aesthetic contemplation on body, walking and pose of fashion models. Kookmin University.
  14. Han, S. H. & Lee, S. G. (2003). Teaching method for walking. HakMunSa. Seoul: Hakmunsa Publising, Inc.
  15. Han, S. H. (2007). Aesthetic study on body activity of fashion models. Books I&I. Paju: Korean Studies Information Inc.
  16. Hof, A. L., Elzinga, H., Grimmius, W. & Halbertsma, J. P. K. (2002). Speed dependence of averaged EMG profiles in walking. Gait and Posture, 16, 78-86. https://doi.org/10.1016/S0966-6362(01)00206-5
  17. Hurwitz, D. E., Ryals, A. B., Case, J. P., Block, J. A. & Andriacchi, T. P. (2002). The knee adduction moment during gait in subjects with knee osteoarthritis is more closely correlated with static alignment than radiographic disease severity, toe out angle and pain. Journal of Orthopedic Research, 20(1), 101-107. https://doi.org/10.1016/S0736-0266(01)00081-X
  18. Hurwitz, D. E., Sumner, D. R., Andriacchi, T. P. & Sugar, D. A. (1998). Dynamic knee loads during gait predict proximal tibial bone distribution. Journal of Biomechanics, 31, 423-430. https://doi.org/10.1016/S0021-9290(98)00028-1
  19. Jackson, B. D., Teichtahl, A. J., Morris, M. E., Wluka, A. E., Davis, S. R. & Cicuttini, F. M. (2004). The effect of the knee adduction moment on tibial cartilage volume and bone size in healthy women. Rheumatology (Oxford), 43(3), 311-314.
  20. Jayishni, N. M., Lauren, E. M., Andrew, G. C. & Glen, A. L. (2019). Increasing step width reduces the requirements for subtalar joint. Jorunal of Biomechanics, 92, 29-34. https://doi.org/10.1016/j.jbiomech.2019.05.021
  21. Joffeir, J. (1992). Gait disturbance Austr. Family Physicians, 21(10), 1437-1440.
  22. Kim, D. S. (2005). Woman power walking. Ries & Book.
  23. Ko, E. H., Choi, H. S., Kim, T. H., Cynn, H. S., Kwon, O. Y. & Choi, K. H. (2008). The effect of high-heeled shoes with total contact inserts in the gait characteristics of young female adults during lower extremity muscle fatigue. The Korea Academy of University Trained Physical Therapists, 15(1), 38-45.
  24. Lee, D. H., Park, H. Y., Han, S. B. & Kim, H. W. (2004). Kinetic morphology in normal and pathological walking. Journal of Orthopaedic Research Society, 7(2), 169-177.
  25. Messier, S. P., Pater, M, Beavers, D. P., Legault, C., Loeser, R. F. & Hunter, D. J. (2014). Influences of alignment and obesity on knee joint loading in osteoarthritic gait. Osteoarthritis Cartilage, 22, 912-917. https://doi.org/10.1016/j.joca.2014.05.013
  26. McKellop, H. A., Llinas, A. & Sarmiento, A. (1994). Effects of tibial malalignment on the knee and ankle. Orthopedic Clinics North America, 25, 415-423. https://doi.org/10.1016/S0030-5898(20)31926-X
  27. Miyazaki, T., Wada, M., Kawahara, H., Sato, M., Baba, H. & Shimada, S. (2002). Dynamic load at baseline can predict radiographic disease progression in medial compartment knee osteoarthritis. Annals of the Rheumatism Diseases, 61, 617-622. https://doi.org/10.1136/ard.61.7.617
  28. Moon, G. S. & Kim, T. H. (2011). The effect of total contact inserts on the gait parameters during high-heeled shoes walking. Korean Research Society of Physical Therapy, 18(2), 1-8.
  29. Moon, G. S., Park, S. H., Shin, S. A., Chung, J. W. & Lee, H. D. (2012). The kinetic analysis for the walking movement of fashion model and normal women. Journal of Sport and Leisure Studies, 49, 851-860.
  30. Neumann, D. A. (1989). Biomechanical analysis of selected principles of hip joint protection. Arthritis & Rheumatology, 2(4), 146-155. https://doi.org/10.1002/anr.1790020409
  31. Neumann, D. A. (2002). Kinesiology of the musculoskeletal System, Mosby.
  32. Paquette, M. R., Zhang, S., Milner, C. E. & Klipple, G. (2014). Does increasing step width alter knee biomechanics in medial compartment knee osteoarthritis patients during stair descent?, The Knee, 21(3), 676-682. https://doi.org/10.1016/j.knee.2014.02.020
  33. Park, J. Y. & Jin, Y. Y. (2009). The analysis of gait pattern about 20' adult male and female. Journal of the Ergonomics Society of Korea, 11, 466-469.
  34. Perry, J. (1992). Gait analysis: Normal and pathological function. New Jersey: Slack Incorporated, 50(3), 413-422. https://doi.org/10.1097/01241398-199211000-00023
  35. Piazza, S. (2005). Mechanics of the subtalar joint and its function during walking. Foot & Ankle Clinics, 10(3), 425-442. https://doi.org/10.1016/j.fcl.2005.04.001
  36. Ryu, J. S. (2009). The effect of walking with high-heel shoes on local dynamic stability. Korean Journal of Physical Education, 48(1), 431-438.
  37. Schipplein, O. D. & Andriacchi, T. P. (1991). Interaction between active and passive knee stabilizers during level walking. Journal of Orthopaedic Research, 9(1), 113-119. https://doi.org/10.1002/jor.1100090114
  38. Schnitzer, T. J., Popovich, J. M., Anderson, G. B. & Andriacchi, T. P. (1993). Effects of piroxicam on gait in patients with osteoarthritis of the knee. Arthritis Rheumatology 16, 1207-1213. https://doi.org/10.1002/art.1780360905
  39. Scott, S. H. & Winter, D. A. (1990). Internal forces of chronic running injury sites. Medicine & Science in Sports Exercise, 22(3), 357-369. https://doi.org/10.1249/00005768-199006000-00013
  40. Sharma, L., Hurwitz, D. E., Thonar, E. J., Sum, J. A., Lenz, M. E. & Dunlop, D. D. (1998). Knee adduction moment, serum hyaluronan level, and disease severity in medial tibiofemoral osteoarthritis. Arthritis Rheumatology, 41(7), 123140. https://doi.org/10.1002/1529-0131(199807)41:7<1233::AID-ART14>3.0.CO;2-L
  41. Sharma, L., Song, J., Felson, D. T., Cahue, S., Shamiyeh E. & Dunlop, D. D. (2001). The role of knee alignment in disease progression and functional decline in knee osteoarthritis. Journal of America Medicine Association, 286, 188-195. https://doi.org/10.1001/jama.286.2.188
  42. Sweeting, K. & Mock, M. (2007). Gait and posture - assessment in general practice. Australian Family Physician, 36(6), 398-401, 404-405.
  43. Tetsworth, K. & Paley, D. (1994). Malalignment and degenerative arthropathy. Orthopedic Clinics North America, 25, 367-377. https://doi.org/10.1016/S0030-5898(20)31921-0
  44. Turcot, K., Armand, S., Lubbeke, A., Fritschy, D., Hoffmeyer, P. & Suva, D. (2013). Does knee alignment influence gait in patients with severe knee osteoarthritis, Clinical Biomechanics, 8, 34-43. https://doi.org/10.1016/j.gaitpost.2013.07.026
  45. Underwood, A. H., Tokuno, C. D. & Eng, J. (2004). A comparison of two prosthetic feet on the multi-joint and multi-plane kinetic gait compensations in individuals with unilateral trans-tibial amputation. Clinical Biomechanics, 19, 609-616. https://doi.org/10.1016/j.clinbiomech.2004.02.005
  46. Weidenhielm, L., Svensson, O. K. & brostrom, L. A. (1992). Change of adduction moment about the hip, knee and ankle joints after high tibial osteotomy in osteoarthrosis of the knee. Clinical Biomechanics, 7(3), 177-180 https://doi.org/10.1016/0268-0033(92)90033-Z
  47. Zhao, D., Banks, S. A., Mitchell, K. H., D'Lima, D. D., Colwell, Jr C. W. & Frely, B. J. (2007). Correlation between the knee adduction torque and medial contact force for a variety of gait patterns. Journal of Orthopaedic Research, 25, 789-797. https://doi.org/10.1002/jor.20379