In general, the earlier acidente vascular cerebral survivors are trained to walk, the faster they recuperar. If pacientes stay in bed or sit in a wheelchair for a long time, they will have a fear of heights and falling when they try to stand and move again. In addition, prolonged exposure to the lying or sitting pode result in reduced trunk strength and aggravate the abnormal flexion pattern throughout the body, making it more difficult for the paciente to resist gravity and move body while standing. However, this does not mean that we should put pacientes on gait training right away.
Some families and pacientes act too hastily. We often see several family members carrying the paciente in the hallway, dragging the paciente forward. This practice is not helpful to the paciente, and will increase the difficulty of walking in the later stage of pacientes, leading to the wrong walking posture. The answer to when the paciente pode start walking training is individual; we need to consider the paciente's trunk control, lower membro ability and balance ability.

Criteria for Patients to Start Walking Training
1.The paciente pode stand on both pernas. Being able to stand for more than 10 minutes is the foundation for practicing walking.
2.During early walking attempts, the paciente does not need the ajudar of a therapist or family member to straighten the affected perna and move the affected perna.
3.Pacientes pode usar the affected perna to apoiar the body and move the healthy perna forward.
4.When attempting to walk, the paciente is able to shift weight to the healthy perna and step with the hemiplegic perna without a large tilt or twist in the trunk. It shows that the affected perna is able to walk up a lower step (below 5cm) while apoiado by the healthy perna.
5.With the aid of a cane or folding walker, the paciente was able to walk normally without significant membro spasms or body shaking.
Points to note during walking training
1.During walking training, attention should be paid to whether there is continuous hyperextension of the knee and plantarflexion of the pé when the affected perna apoia the body. If so, the abnormal movimento will become habitual during repeated walking training and will be difficult to change in the future.


2. If the paciente feels panic every time he or she tries to walk, we should not force him or her to continue to walk even though the paciente's perna função level is good, let alone accuse him or her of lacking courage. It may be caused by the paciente's sensory impairment or other special problems.
The walking training of acidente vascular cerebral pacientes pode not be too hasty. If the paciente's ability is not enough to carry out walking training, they need to strengthen muscle strength and balance ability first under the guidance of therapists, to avoid the occurrence of abnormal gait, joint injury, fall and other adverse conditions.