There are many reports on the potential effects of standing training on many health-related aspects of spinal cord injury patients, such as reflex activity, joint range of motion, and feelings of well-being, while the method (e.g., inclined bed standing, standing frames, braces), frequency, and duration of standing training have different effects on rehabilitation outcomes, with standing training having most benefits and occasional negative effects. Studies have reported at least six benefits in patients who have been trained to stand for long periods of time and who have regular physical activity, with a regular standing training program of 4 d/week. and pain relief. It is believed that prolonged standing training occasionally has negative effects: such as increased pain, increased fatigue, difficulty breathing, increased spasticity, and dizziness. Two main studies are highlighted: therapeutic standing and walking can delay the loss of bone mineral density in patients with osteoporosis. Possible mechanisms: First, the mechanical stimulation of therapeutic standing and walking causes deformation, induces fluid movement in the interstitial space, leads to changes in cellular activity and increases nutrient and metabolic transport, and causes calcium loss between osteoblasts and osteoclasts accompanied by the flow of prostaglandins and growth factors, which stimulate osteoblasts and osteoclasts to promote bone formation and inhibit osteolysis; second, exercise increases blood flow in the bone and increases osteoblast activity. Secondly, exercise can increase the blood flow in the bone, increase the activity of osteoblasts, promote bone formation, inhibit calcium dissolution in the bone, and prevent osteoporosis; it can also affect the calcium balance of the body through neurological and endocrine regulation. Long-term bed rest of paraplegic patients can cause postural hypotension, pressure sores, osteoporosis, joint contracture, poor blood circulation, urinary tract infection, stones and other complications, which affect the rehabilitation effect of patients. Studies have shown that upright bed training does have a significant therapeutic effect on improving bladder voiding function and preventing urinary tract infections in patients with spinal cord injury. The reasons for improving bladder function may be the following: 1. Standing facilitates the drainage of urine from the kidneys to the bladder via the ureter, preventing secondary renal damage due to urinary reflux. 2, standing with abdominal breathing exercises to adjust abdominal pressure is conducive to improving blood circulation to the internal organs, including the bladder. 3.Standing helps prevent spasm of the lower limbs as well as relieves contracture of the urethral sphincter. 4.Standing can increase the input of various deep and superficial senses including vegetative senses, which is conducive to the reconstruction of the urinary reflex mechanism. The improvement of vegetative nerve function in turn helps to promote the improvement of immune system function. 5.Weight-bearing can promote blood circulation and metabolism of the lower limbs and the whole body, which is conducive to the prevention and treatment of lower limb muscular atrophy and osteoporosis as well as the improvement of overall health. 6.Standing training makes patients who have been bedridden for a long time stand up and enhance the confidence of rehabilitation. Orthostatic hypotension is the most common adverse reaction when paralyzed patients undergo electric bed standing training. Early detection and prevention of these risk factors during training should play a very important role in the rehabilitation of patients. In conclusion, to improve the quality of life and prolong the life span of patients, it is necessary that patients should be trained to stand and remain seated as early as possible, and the methods of standing training (such as inclined bed standing, standing frames, and supports) should be used to improve the urinary function of patients to reduce urinary tract infections, prevent osteoporosis, and improve cardiopulmonary function. For more severe paraplegics, standing to walking is a more realistic goal. Regardless of complete paraplegia, as long as the patient has sufficient muscle tone in the lower limbs, he or she can stand on the inclined bed. Patients with traumatic paraplegia treated with surgical internal spinal fixation can generally be trained to stand on the inclined bed about 2 weeks after surgery, and the standing training equipment is simple and easy to operate. There are no obvious side effects.