Effectiveness of Backward Walking in Reducing Postural Low Back Pain: A Cross-Sectional Study

Kusum Agarwal; Srijeeta Biswas; Ravikant Ballav; Satyen Bhattacharya

Effectiveness of Backward Walking in Reducing Postural Low Back Pain: A Cross-Sectional Study

Date

2025-10-30

Authors

Publisher

Chitkara University Publications

Abstract

Background: Lower back pain (LBP) is a prevalent and common musculoskeletal issue that can affect both mobility and functional quality. Backward walking (retro-walking) has gained attention due to its ability to reduce pain and improve disability while maintaining strength, mobility, and balance in many other conditions. The aim of this study is to examine its therapeutic effectiveness in reducing the symptoms of pain related to postural low back pain and also improving functional abilities in adults aged 30–50 years. Purpose: The purpose of the study is to evaluate whether backward walking (retro-walking) can effectively reduce pain and improve daily functional activities in adults (aged 30–50 years) who are suffering from postural low back pain (LBP). Methods: Out of 69 individuals chosen on the basis of inclusion and exclusion criteria, a total of 34 participants with postural LBP were recruited and divided into Group A (control) and Group B (experimental). The six-week intervention for Group B included backward walking sessions three times per week, starting at 10 minutes per session and progressing to 30 minutes on a flat surface. Oswestry Disability Index (ODI) and Numerical Pain Rating Scale (NPRS) scores were recorded pre- and post-intervention. SPSS software was used for statistical analysis, with paired and unpaired t-tests assessing differences within and between groups. Results: Statistical evaluation revealed a significant reduction in pain scores post-intervention (p<0.001) and an improvement in functional abilities in both groups. However, Group B experienced a greater decline in NPRS scores compared to Group A. Conclusion: Backward walking is an effective, non-invasive, and cost-efficient intervention for individuals with postural LBP. The study had a relatively small sample size, which limits its generalization. Also, the study was done for a shorter period; therefore, long-term effects remain unpredictable.