Data show that more than 2 million new strokes occur each year in China. Most of the time, a stroke can save a life if it is rescued early, but 3/4 of those who survive are left with varying degrees of functional impairment such as hemiplegia and aphasia, which seriously affects the quality of life. Experts remind that standardized rehabilitation treatment as early as possible after a stroke can help patients recover their functions to a great extent. The later the rehabilitation treatment is pushed, the worse the recovery effect will be. Stroke patients should not be “overprotected” If there is an elderly person who is paraplegic due to stroke, his family members will take care of him, feeding him with water and urine every day, which is considered filial piety by outsiders. But from the perspective of a rehabilitation doctor, the question may be asked: Has the patient undergone formal rehabilitation? Is the family being overprotective of the patient? If there is overprotection, it is completely wrong. At present, China’s rehabilitation medicine is still underdeveloped, most physicians have little awareness of rehabilitation, and people lack the concept of rehabilitation treatment. In fact, the “do-it-all” care approach makes it easy for stroke patients to underestimate their own abilities, and they are often “spoiled” by their families, which is not conducive to the recovery of motor function. This is not conducive to the recovery of motor function. In addition, patients are afraid of recurrence of the disease and are careful to move around, so they slowly lose the function of their arms and legs, and walking again becomes an impossible task, so they have to stay in bed all day. Many stroke patients and their families mistakenly believe that rehabilitation treatment should wait for one month or even three months after getting sick. Professor Zhou Guoping points out that, in fact, rehabilitation can start as soon as the condition of a patient with cerebral hemorrhage or cerebral infarction has stabilized. Generally speaking, patients with cerebral infarction can start rehabilitation after 48 hours as long as they are clear, their vital signs are stable and their condition is no longer developing; most patients with cerebral hemorrhage can start rehabilitation 7 to 14 days after their illness. Post-stroke rehabilitation is divided into three stages: acute rehabilitation (within two weeks after stroke), recovery rehabilitation (from two weeks to six months after stroke) and post-stroke rehabilitation. Among them, the rehabilitation in the first two periods is the most important. Once the rehabilitation is delayed until the sequelae appear, not only the effect is greatly reduced, but also the patient’s recovery rate has to be slowed down. Since the patient’s body is still weak, the acute phase of rehabilitation mainly includes correct placement of limbs and maintenance of joint mobility. Two weeks later to six months is the recovery period rehabilitation time, 80% of the patient’s functions should be recovered in this stage, if the rehabilitation training is missed or the rehabilitation is not satisfactory, the best time for recovery will be lost, and it may also lead to serious complications. If rehabilitation is not conducted in a timely manner within six months after stroke, not only will functional recovery slow down, but also sequelae such as shoulder-hand syndrome, pressure sores, lung infection, urinary tract infection, limb spasm, pain, and osteoporosis may appear one by one. Clinical studies have proven that the basic cure rate of stroke patients who received early rehabilitation is three times higher than those who did not receive early rehabilitation. A Danish trial showed that in 1197 cases of stroke patients who underwent rehabilitation training in the acute phase, 95% recovered their functions after 6 months of illness, and 80% of the patients regained their ability to take care of themselves within 6 weeks of the onset of illness. Rehabilitation training should be guided by professionals “Of course, advocating early rehabilitation training is not a random practice, but must be done scientifically under the guidance of professionals, otherwise it will cause ‘misuse syndrome’.” Professor Zhou Guoping reminded that muscle and joint contractures are one of the most important causes of disability in patients after stroke. In the United States, when a patient has a stroke, a rehabilitation physician and therapist usually consult with that patient the same day or the next day. For example, if a patient has hemiplegia on one side and cannot move his left arm and leg, the rehabilitation doctor will give a medical order and the therapist will give the patient regular passive exercises for his left arm and leg every day, one is to move each joint to prevent joint ankylosis, and the other is muscle strength. Some patients do not know about rehabilitation and feel that rehabilitation is just moving their arms and pulling their legs. Some patients desperately practice hand grip strength or practice pulling by various methods, but as a result, the more they practice, the less they can straighten their fingers and elbow joints. Rehabilitation training for stroke patients is like teaching a child, starting from turning over, sitting, standing and walking, and progressing step by step.