Objectives: To study the effects of barefoot walking on three different surfaces for balance, lower limb strength, and confidence in older adults.

Methods: 45 healthy subjects (mean age 65.08 ± 4.86) were randomly divided into three groups of different surfaces namely grass, sand, and soil. After the assessment, they were made to walk barefoot on either surface for 30 minutes/day, five days/week for six weeks. Data were analysed using the ‘paired-t’ test and One-Way ANOVA with α set ≤ 0.05 at a 95% confidence interval.

Results: All groups showed statistically significant improvement in balance, lower limb strength, and confidence post-intervention (p<0.05). However, the inter-group analysis showed no significant difference, indicating no one surface is better than the other (p>0.05).

Conclusion: Barefoot walking on all three surfaces is equally effective. It can be included in balance training and rehabilitation program to reduce the risk of falls in older adults.