For bedridden patients, exercises to maintain and improve the range of motion of the joints should be carried out, which helps to protect the joint function, improve the condition of muscles and soft tissues, and help to induce out active movement, laying the foundation for future recovery. According to the form of activities can be divided into completely passive activities, partially assisted active activities and active activities. Generally speaking, the exercises are developed from passive to active movement, from proximal to distal joints. Joint range of motion exercises can be done twice a day, about 10 times for each joint. Shoulder rubbing exercise The patient takes the side lying position with the patient’s side on top, the active person sits down close to the patient’s abdomen, stabilizes the patient’s torso, puts one hand on the patient’s scapula, puts the other hand on the pectoralis major muscle, clamps the scapular muscle, and does shoulder rubbing with both hands in a clockwise motion. Patients with hemiplegia often have limited range of scapular elevation, rotation, and abduction. Shoulder flexion exercise: Hold the patient’s wrist with one hand, hold the upper arm with the other hand, keep it stable, and lift the upper limb forward and upward to the position of 90 degrees to 180 degrees of flexion; 90 degrees to 129 degrees of flexion is sufficient for early muscular flaccid paralysis; pay attention to the synergy of the scapula in the latter half of the exercise, and then return to the position of flexion from the shoulder. Shoulder abduction exercise: Hold the patient’s forearm with one hand, protect the shoulder joint with the other hand, and abduct the upper limb to the lateral side, which can be done to 90 degrees in the soft paralyzed state. When you want to further abduct, you need to externally rotate the upper arm to 180 degrees at the same time, and stop immediately when you have shoulder pain. Assist scapular mobilization if necessary. Flexion and extension of the elbow joint Flex the patient’s upper limb slightly away from the side of the body, hold the patient’s upper elbow with one hand, hold the wrist with the other hand, and move the elbow joint from the extended position to the flexed position, and then from the flexed position to the extended position, and straighten the wrist joint. Early movement with attention to pulling the elbow joint can effectively relieve the flexion contracture of the joint that often occurs in the later stages. Wrist dorsiflexion Patients with traumatic brain injury tend to have their wrists and fingers in flexion, especially the thumb is always in flexion and inwardly retracted, and is often held in the center of the fist of the affected hand. Patients take the supine position, shoulder joint abduction 90 degrees, elbow flexion 90 degrees state, activity can be used with one hand to hold the patient’s wrist, the other hand will be the patient’s fingers straight, while practicing wrist dorsiflexion. Prolonged palmar flexion position is not conducive to the fluid return of the limb, easy to appear edema, pain. Finger joint activities The patient to take the supine position, shoulder abduction 90 degrees, elbow flexion 90 degrees state, the activities of the patient can be used with one hand to hold the patient’s thumb interphalangeal joints and their roots, the other hand will be the remaining four fingers straight, the practice of the thumb to expand the rest of the four fingers of the flexion and extension, the practice of dorsiflexion of the wrist joints. Hip and knee flexion The patient takes the supine position, the activity person holds the patient’s N fossa with one hand, holds the heel of the affected side with one hand, the forearm against the palm of the foot, so that the ankle is located in the neutral position, lifts the leg, makes the hip and knee flexion, and becomes hip flexion and knee flexion of 90 degrees each. Ankle dorsiflexion The patient takes the supine position, the lower limbs are placed flat on the bed, the active person holds the patient above the ankle with one hand, holds the bed with one hand, and utilizes his forearm against the palm of the patient’s foot, presses the foot in the direction of the ankle dorsiflexion, which can last for a few minutes in a retracted state. This also effectively tensions the Achilles tendon while practicing ankle dorsiflexion. Protect the arch of the foot. After stroke, foot drop and inversion contracture are most likely to occur, so practice ankle dorsiflexion to prevent ankle deformation contracture.