For stroke patients with hemiplegia, the rehabilitation process requires a gradual progression of any training that cannot be performed, especially the extreme from lying to sitting, which requires exercise and adaptation. At the same time, rehabilitation training should be combined with activities of daily living, paying attention to gradual progress and gradually increasing the complexity and difficulty of training while ensuring safety. We know that stroke patients need a process of exercise and adaptation from lying to sitting, because suddenly sitting up will cause transient cerebral ischemia due to the change of position, resulting in pallor, dizziness, and sweating all over the body, so the exercise should be gradual. Let the patient’s head and back be raised 10 degrees every day, and exercise more than twice a day, each time needing 3-5 minutes. After a week, the patient can sit firmly on the backrest bed and chair, then both feet on the ground, the healthy side of the hand holding the bed rails, the auxiliary hands to hold the patient’s shoulders, 3-5 times a day, each time for 20-30 minutes. The patient should be prevented from falling to the paralyzed side during the exercise. As the patient’s sitting stability increases, the helper can gradually withdraw his or her hands and let the patient hold the bedrail with his or her healthy hand to maintain balance, and then encourage the patient to withdraw his or her healthy hand and sit completely on his or her body balance. At the same time, stroke patients with hemiplegia often have a significant decrease in balance due to sensory impairment. As a result, sitting and standing are unstable, which brings problems to normal life. So, how to make the patient sit upright on his own without support or reliance? Sitting balance is a prerequisite for standing balance. When the patient can rely on the back to reach sitting position, sitting balance training should be started: 1. Body swing training: The patient sits on the edge of the bed or chair, with the back not against the back of the chair, and the helper stands opposite to him/her, holding the patient’s shoulders with both hands and pinching the patient’s knees with both knees. Swing and do not fall, also can be used to rocking chair training. 2. Elbow top lateral training: Let the patient tilt to the affected side until the elbow touches the bed, and then return to the upright sitting position. The helper puts one hand on the patient’s shoulder and the other hand induces the patient’s hand or upper limb, and the hand on the shoulder presses down on the patient’s shoulder to promote the head turning response. Elbow top lateral training should be practiced on both the healthy side and the affected side. 3.Balance training of the left and right direction of body weight: the patient takes a sitting position, the helper sits on the patient’s affected side, and let the patient tilt to the affected side. The helper puts one hand on the patient’s healthy side waist and the other hand on the affected side armpit to help the patient move the center of gravity to the affected side and keep the patient’s head upright. This movement allows for a corresponding shift in the center of gravity, allowing the affected side to bear more weight and maintain the center of gravity, while also stretching the affected trunk and inhibiting trunk muscle spasm. After shifting the center of gravity to the affected side, the therapist changes the hand contact area, placing one hand against the affected lumbar area and one hand on the affected shoulder, keeping the patient’s head upright and shifting the center of gravity to the healthy side, and then repeating the shift to the affected side. In this training process, the auxiliary force can be gradually reduced until the patient can independently complete the center of gravity shift and maintain balance. 4.Balance training in the front and back direction: the patient takes a chair sitting position, puts both feet flat on the ground, reaches for the toes (the affected hand reaches first), or can fork the hands to reach the feet. The degree of forward to be able to return to the sitting position and maintain the sitting posture, the heel does not leave the ground is appropriate.