Abstract
Background: Gait training after stroke is of paramount importance for independent living and quality of life. Objectives: The purpose of this study was to examine the effects of forward and backward walking over a firm level and a sandy surface on gait parameters among stroke patients. Methods: A total of 20 subjects randomly assigned to four groups were evaluated on various gait parameters while walking on a firm level surface and on sand. Baseline evaluation of temporal and spatial parameters of gait was conducted through stride analysis and final measurement after 3 weeks of intervention. Results: Backward walking on sand showed a statistically significant improvement in walking velocity, cadence, step/stride length, and gait symmetry among chronic stroke patients. Conclusion: The results of this study support the use of backward walking on sand as a new tool to improve functional walking among stroke patients. Such enhanced improvement can be attributed to the fact that backward walking on sand is more challenging than forward walking.
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