Backward Walking Training versus Standing Balance Training on Balance and Mobility in Acute Stroke: A Comparative Study
Author(s): Dinesh Palanisamy, Elamathi R, Thamarai Kannann S, Arunselvan D and Ponvijay G
Abstract: Background: Stroke frequently leads to impairments in balance and mobility, limiting independence and increasing fall risk. Backward walking training (BWT) has been proposed as a more challenging and potentially more effective alternative to conventional standing balance training (SBT). Objective: To compare the effects of BWT and SBT on balance and mobility in patients with acute stroke. Methods: Thirty acute stroke patients (age 40-60 years) were divided into two equal groups. Group A received BWT plus standard physiotherapy; Group B received SBT plus standard physiotherapy. Each group completed 30-minute sessions, twice weekly, for 4 weeks. Balance was assessed with the Berg Balance Scale (BBS), and mobility with the Performance-Oriented Mobility Assessment (POMA). Paired t-tests assessed within-group changes, and unpaired t-tests compared between-group differences. Results: Both groups showed significant improvements in BBS and POMA scores ( p<0.05). Group A achieved greater gains than Group B in BBS (mean change 4.93 vs. 2.40; p<0.05) and POMA (mean change 7.80 vs. 4.00; p<0.05). Conclusion: BWT is more effective than SBT in improving balance and mobility among acute stroke patients. Incorporating BWT into early rehabilitation may accelerate recovery.
Dinesh Palanisamy, Elamathi R, Thamarai Kannann S, Arunselvan D, Ponvijay G. Backward Walking Training versus Standing Balance Training on Balance and Mobility in Acute Stroke: A Comparative Study. Int J Phys Educ Sports Health 2025;12(5):318-321. DOI: https://doi.org/10.22271/kheljournal.2025.v12.i5e.3996
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