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Purpose: This study aimed to investigate the effects of visual feedback-based step training on balance and gait abilities in patients after stroke. Methods: In this study, 30 patients after stroke were randomly assigned to two groups of 15 participants each. The experimental group received conventional physiotherapy combined with visual feedback-based step training, whereas the control group received two sessions of conventional physiotherapy. Balance and gait abilities were assessed using the Berg balance scale (BBS), timed up & go (TUG) test, and 10-meter walk test (10MWT). Within- and between-group comparisons were analyzed using paired t-tests and analysis of covariance, respectively. Results: Both groups showed significant improvements in balance and gait abilities after the intervention (p<.05). The experimental group demonstrated significantly greater improvements in the BBS, TUG, and 10MWT scores, compared with the control group (p<.05) Conclusion: These findings suggest that visual feedback-based step training is an effective intervention for improving balance and gait abilities in patients after stroke. Further studies are needed to validate its long-term effects and optimize training protocols.