The effects of walking with internal and external attention on the balance and foot pressure pattern in patients with low back pain

Dehghani, Mahrokh The effects of walking with internal and external attention on the balance and foot pressure pattern in patients with low back pain. University of Mohaghegh Ardabili.

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Abstract

Background & Purpose: The aim of this study was to investigate the effects of walking with internal and external attention on the balance and foot pressure pattern in patients with low back pain. Methodology: The sample of this study included 15 women with low back pain. Peak plantar pressure variables during normal walking, internal and external attention walking were recorded by a foot scan system with 300 Hz sample rate. Alpha level was set at p<0.05. Results: The results of this study showed that in time to peak of ground reaction force during heel-contact phase increased during internal attention walking compared to normal walking (P=0.004) and increased during internal attention walking compared to external attention walking (P=0.001). Also, in time to peak of ground reaction force during mid-stance phase increased during internal attention walking compared to normal walking (P=0.001) and increased during internal attention walking compared to external attention walking (P<0.001). In time to peak of ground reaction force during push off phase increased during internal attention walking compared to normal walking (P<0.001) and increased during internal attention walking compared to external attention walking (P<0.001). The results showed that in loading rate values decreased during internal attention walking compared to normal walking (P=0.033) and decreased during internal attention walking compared to external attention walking (P=0.041). Moreover, in ground reaction force peak of Metatarsal 2 region increased during normal walking compared to internal attention walking (P=0.039) and increased during external attention walking compared to internal attention walking (P=0.031). Also, in ground reaction force peak of lateral heel region increased during normal walking compared to internal attention walking (P>0.001) and increased during external attention walking compared to internal attention walking (P>0.001). In plantar pressure peak of metatarsal 2 region increased during normal walking compared to internal attention walking (P=0.007) and increased during external attention walking compared to internal attention walking (P=0.001). Also, in plantar pressure peak of metatarsal 5 region decreased during normal walking compared to internal attention walking (P=0.016). Conclusion: The results of this study showed that walking with internal and external attention do not have significant effect on stance time. Also, in loading rate values decreased during walking with internal attention compared to walking with external attention walking.

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