Objective To explore the effect of task-oriented training on balance and gait of stroke patients with hemiplegia.

Methods A total of 96 stroke patients with hemiplegia were selected, among which 48 patients hospitalized from May 2019 to April 2020 were selected as control group and received ordinary rehabilitation treatment.Forty-eight patients hospitalized from May 2020 to April 2021 were selected as the observation group and given task-oriented training.The walking ability, joint angle and dynamic parameters of the knee joint before and after treatment were compared between the two groups.The walking ability was assessed using 10 m walking speed test and standing walking timing test.The balance and gait were analyzed by Biodex system.

Results After treatment, the maximum flexion angle, maximum extension angle, maximum extension moment, and maximum flexion moment of the knee joint on the hemiplegic side in both groups were significantly increased compared to those before treatment (P < 0.01), and the increase in the observation group was more significant than that in the control group (P < 0.01).The 10 m walking speed and standing walking timing of patients in both groups were significantly increased (P < 0.05), and the increase in the observation group was more significant than that in the control group (P < 0.05 and P < 0.01).The gait test indexes of patients in the two groups were improved to varying degrees compared with those before treatment (P < 0.05 to P < 0.01).The observation group was superior to the control group in other indexes except for the difference in gait speed and affected side gait frequency (P < 0.05 to P < 0.01).

Conclusions The task-oriented training is more conducive to the rehabilitation of hemiplegic patients than traditional rehabilitation training.It can not only significantly improve the muscle strength and joint movement, but also effectively improve their walking ability, gait and balance ability.