Objective To explore the effect of seven-step cycle standing balance training combined with Soundsory cognitive training on balance and cognitive function in stroke patients. Methods A total of 80 patients with first-time stroke hemiplegia in the rehabilitation period with cognitive impairment were divided into control group (40 cases) and intervention group (40 cases) by random number table method.The control group received routine rehabilitation nursing, and the intervention group received seven-step cycle standing balance training combined with Soundsory cognitive training. Brunel Balance Scale（BBA） and Montreal Cognitive Assessment Scale （MoCA）were used to evaluate the intervention effect before the intervention, 2 weeks and 4 weeks after the intervention, respectively. Results After 2 and 4 weeks of the intervention, the BBA score and MoCA score of the intervention group were significantly higher than those of the control group （all P＜0.05）. Conclusion The seven-step cycle standing balance training combined with Soundsory cognitive training can effectively improve the balance and cognitive function of patients with hemiplegia after first-time stroke, and promote their rehabilitation.