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The Effect of Backward Walking Exercise using a Mirror on Balance and Gait in Patients with Stroke
J Korean Soc Phys Med 2018;13(2):53-60
Published online May 31, 2018;
© 2018 Korean Society of Physical Medicine.

Tae-Woo Kang⋅Beom-Ryong Kim1†

Dept. of Physical Therapy, Wonkwang University Hospital
1Dept. of Physical Therapy, Design Hospital
Received March 15, 2018; Revised March 19, 2018; Accepted April 19, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
PURPOSE: This study aimed to identify the effect of a backward walking exercise using a mirror on balance and gait in patients with stroke.
METHODS: Twenty subjects with post-stroke hemiparesis volunteered to participate in this study. The experimental and control groups performed backward walking exercise plus conventional therapy or conventional physical therapy, respectively, for 6 weeks. Assessment instruments included the Berg Balance Scale (BBS), timed up and go test (TUG), and 10-m walking test (10MWT). Evaluation was performed before and after the 6-week training period. We conducted a paired t-test to compare the within-group changes before and after the intervention. An independent t-test was used to compare between-group differences. The statistical significance level was set at α=.05 for all variables.
RESULTS: The experimental group showed a significant within-group change in the BBS, TUG, and 10MWT (p<.05). The control group also showed a significant change (p<.05). A significant difference was observed between the experimental and control groups with regard to changes in the BBS, TUG, and 10MWT results after the interventions (p<.05).
CONCLUSION: This study demonstrated that backward walking exercise using a mirror may be valuable for future research. Further studies with a wider range of pathology and longer experiment duration are required to validate the results of the present study.
Keywords : Backward walking, Balance, Gait, Mirror, Stroke

May 2018, 13 (2)
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