Lower limb balance training methods for hemiplegia

Hemiplegic lower limb balance training methods mainly include sitting balance, sitting to standing balance, standing balance and so on. 1. Sitting balance The patient takes a sitting position with hands on both sides of the body or thighs, keeping the mood relaxed; at the beginning, someone may need to be beside the body to protect the patient, gradually transitioning to an unprotected and independent sitting position; gradually and independently completing the transfer of the center of gravity, trunk flexion, extension and other movements. 2. Sitting to standing balance The patient sits on the edge of the bed or chair, feet flat on the ground, hands crossed and held, arms stretched out to the front, at this time the lower limbs try to keep straight; the trainer stood on the affected side of the patient, a hand to support the affected knee, the other hand to support the patient’s buttocks, the patient was asked to lean forward and lift the arms to stand up. The patient sits on the edge of the bed or chair, feet flat on the ground, arms crossed, arms stretched out to the front at the same time the body leaning forward, when the shoulders over the knees, lifting the hips and stretching the knee joints to stand up, that is, you can independently complete the seated position to stand. 3. Balance in standing position In the standing position, the center of gravity of the body is located on the healthy side, the body should not be bent to the affected side; if necessary, the rehabilitation physician can use both knees to control the patient’s lower limbs, or use a brace to help fix the knee joint. Begin the training with a larger distance between the feet to improve stability. After being able to stand independently, gradually reduce the distance between the two feet to reduce the support surface and increase the difficulty; gradually complete the training of transferring the body’s center of gravity, trunk flexion, extension, etc. independently. When hemiplegic patients perform lower limb balance training, it should be done under the guidance of rehabilitation physicians or other professionals to avoid secondary injury to the affected limbs due to incorrect posture.