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If it's Real Time then, how could it have reveresed something that doesn't even yet exist??!!!
It wouldn't strictly be realtime because reversing a sound sample by sample by sample is impossible. You cannot reverse a single sample. What you could do, though, is pair up as few as two samples, reverse THEM, and then output.
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If you just want to flip the current a previous sample, i don't know if you could do it easily, but i would imagine, the resultant sudio file wouldn't sound to dis-similar.
I think you're talking about inversion, not reversal (IE, -4892 becomes 4892). If the difference was perceptible at all, you are right to say it would not be dissimilar.