Hand walking is a skill that relies on a prerequisite ability to perform handstands, which in turn requires good upper body pressing strength in the deltoids and triceps as well as a heightened sense of balance and spatial awareness. Because the body is inverted during hand walking, blood pressure in the brain is greater than normal.
As with other physical skills, one must practice hand walking in order to become proficient and develop adequate endurance. Handstands and hand walking are often learned at the same time because hand walking can be used to help maintain balance in a handstand before one learns to perform a stable handstand. Balance can also be maintained by varying the arch of the back.