Strength training for long-term bedridden and the existence of weakness, weakness of the patient, can be targeted to strength training guidance, the initial can be used in the way of unarmed training, gradually increase the load, strength training can be broadly divided into upper limb strength training, lumbar and abdominal core strength training and lower limb strength training three parts. The following for the upper limb strength training of different muscle groups training, to explain: 1.1, elbow flexor muscle group: patients can choose to stand, sitting, semi-recumbent and lying position for training, we take the standing position as an example, will be placed on both upper limbs on either side of the trunk, the trunk remains upright, eyes forward, hands relaxed, upper arms close to the chest wall, exhale when flexing the elbow, inhale back to the original position, do not hold your breath during the exercise, the patient choose Patients choose the appropriate weight, one group of 8-12, do 3-4 groups, finish one side and then do the other; 1.2, elbow extension muscle group: patients can choose to train in standing, sitting, semi-recumbent and recumbent positions, we take sitting and recumbent positions as examples. In the sitting position, the patient is instructed to flex one shoulder forward to the maximum, keep the trunk upright, look ahead, hang the small arm naturally behind the head, keep the upper arm close to the ear, extend the elbow when exhaling, return to the original position when inhaling, do not hold the breath during the exercise, the patient chooses the appropriate weight, one group of 8-12, do 3-4 groups, do one side and then do the other side. For patients who cannot complete the exercise in sitting position, it can be done in lying position with legs flexed so that the lumbar vertebrae are close to the bed, both upper limbs can be flexed forward to the maximum, one side of the small arm naturally hanging under the edge of the bed, extend the elbow when exhaling, return to the original position when inhaling, do not hold your breath during the exercise, patients choose the appropriate weight, one group of 8-12, do 3-4 groups, finish one side and then do the other side; 2.1. Shoulder anterior flexion muscle group: patients can choose In the seated position, both upper limbs are placed on both sides of the torso, the torso is kept upright, the eyes are looked straight ahead, the hands are relaxed, one shoulder joint is flexed forward, the shoulder is flexed forward when exhaling and returns to the original position when inhaling, do not hold your breath during the exercise. For patients who can’t finish in sitting position, they can do it in lying position with legs flexed so that the lumbar vertebrae are close to the bed surface, one upper limb does shoulder forward flexion, shoulder forward flexion when exhaling, return to the original position when inhaling, don’t hold your breath during the exercise, patients choose the right weight, one group of 8-12, do 3-4 groups, finish one side and then do the other side; 2.2. Shoulder abduction muscle group: patients can choose standing position, sitting position, semi-recumbent position and lying position for training. When sitting, ask the patient to place both upper limbs on both sides of the torso, keep the torso upright, look straight ahead, relax your hands, do shoulder abduction on one upper limb, the elbow joint can be slightly flexed, when exhaling, the shoulder abducts, when inhaling, return to the original position, do not hold your breath during the exercise, the patient can choose a suitable weight, one set of 8-12, do 3-4 sets, finish one side and then do the other side. The other side. For patients who cannot complete the exercise in the sitting position, the exercise can be performed in the lying position with the legs flexed so that the lumbar vertebrae are close to the bed surface and one upper limb does shoulder abduction, the elbow joint can be slightly flexed, the shoulder is abducted when exhaling and returns to the original position when inhaling, the upper limb can be slightly lifted off the bed surface when lying down, do not hold your breath during the exercise, the patient can choose the appropriate weight, one group of 8-12, do 3-4 groups, finish one side and then do the other side; 3. Posterior shoulder extension muscle group: the patient can choose the standing position, one group of 8-12, do 3-4 groups, finish one side and then do the other side. Patients can choose the standing position, sitting position, semi-recumbent position and recumbent position for training. Take the standing position as an example, ask the patient to place both upper limbs on both sides of the torso, keep the torso upright, look forward, relax your hands, do the shoulder extension movement on one upper limb, the elbow joint can be slightly flexed, extend the back when exhaling, and return to the original position when inhaling. Do not hold your breath during the exercise, patients choose the right weight, a group of 8-12, do 3-4 groups, do one side and then do the other. Content source: Dr. You Lai