In order to allow the patient to recover as much function as possible, reduce complications and improve quality of life, the following instructions need to be followed (Due to different fracture conditions, the specific bed rest time should be decided by the treating physician) A. Dietary guidance The feeding time should be decided according to the injury site and the degree of abdominal distension. Generally speaking, after one week of fasting for high paraplegia, enter liquid or semi-liquid, and after 2 weeks, enter soft food. Paraplegic patients without abdominal distension can enter semi-liquid 3 days after injury, and gradually transition to soft food. B. Postural guidance: 1, the cervical fracture neck with sandbags or neck brace brake. 2, thoracolumbar fractures after the lumbar back pillow to play a fixed role. C. Prevention of complications: 1. Prevention of decubitus ulcers: (1) Lie on an air mattress, turn and massage the bony prominence 1-2 times every 2-3 hours to relieve local pressure and improve blood circulation. (1) Keep the head, shoulders and waist in a straight line when turning to prevent the spine from twisting and aggravating the injury. ②If the skin tissue is reactive congestion due to excessive pressure, massage is not recommended to avoid more serious injury, but gently massage around the reddened skin to promote local blood circulation. (2) flat position need to raise the head of the bed, generally not higher than 30 degrees; such as the need for semi-recumbent position, should be placed in the bottom of the foot a solid wooden pad or shake up the tail, flexing the hip 30 degrees, soft pillow under the hip padding, to prevent the body from slipping and moving, in order to reduce friction and shear force, to avoid dragging, pulling, dragging and other abrasive forces formed and damage to the skin. (3) Keep the bed tight and neat, and the mat in contact with the skin is loose, clean, dry, without wrinkles and crumbs to prevent abrasions and abrasion of the skin. 2. Prevention of pulmonary complications: (1) Pay attention to keeping warm in winter to avoid catching cold and inducing respiratory tract infection. (2) Brush your own teeth when your condition allows, and rinse your mouth after eating to remove food residues and pathogenic microorganisms in the mouth and keep your mouth clean. (3) Take deep breathing training such as blowing balloons and bubbles. The latter has a simple method: an empty bottle of infusion, half a bottle of water, the patient with a plastic tube or rubber tube to blow bubbles into the bottle of water. 3, prevention of constipation: ① diet regulation. ② rub the abdomen 2-3 times / day, with the umbilicus as the center of the clockwise direction around the massage, to promote intestinal peristalsis, to help digestion, to prevent constipation. D. Functional exercise: functional exercise in the horizontal position includes muscle and joint activities. 1.Use dumbbells or pulling springs to exercise the upper limbs and chest and back muscles to prepare for the abduction to the ground. 2, supine or prone position should actively exercise the lumbar back muscles, the methods are: (1) chest up. (2) five-point support method: supine, with the head, elbows and feet to support the whole body, so that the back to try to vacate the back extension, 3 weeks after the injury can practice this method. (3) four-point support method: use both hands and feet to support the bed, the whole body vacant, in the shape of a bridge, 6-8 weeks after the injury can practice this method. (4) three-point support method: arms in front of the chest, with the head and feet propped up on the bed, while the whole body vacant back extension, 3-4 weeks after the injury can practice this method. (5) back extension method: prone, lift the head, chest off the bed, double upper limbs to the back, two knees straight, lift both legs from the bed, 5-6 weeks after the injury can practice this method.