It is unfortunate to recover from a stroke (strokes). The patient has suffered the equivalent of a major physical and psychological battle and cataclysmic changes, often leaving behind peripheral motor and central cognitive impairments and varying degrees of deficits, and the patient is often psychologically traumatized as well. Therefore, a follow-up rehabilitation program is particularly important and must be a scientifically comprehensive yet practical solution. It is advisable to start rehabilitation in the early stages of stroke, i.e. 48 h after the patient is conscious, the vital signs are stable, and the neurological symptoms are no longer progressive. Early physical rehabilitation plays a significant role in preventing complications such as limb contracture, joint deformity, and deep vein thrombosis after stroke, but the recovery of cognitive function is equally important. According to the literature, the incidence of cognitive impairment after stroke ranges from 50% to 75%, and patients have emotional and behavioral abnormalities such as anxiety, depression, and resistance. Patients have difficulty concentrating, have reduced learning and memory abilities, and have poor comprehension, and are unable to cooperate correctly with early rehabilitation exercises. Rehabilitation training is an active participation process of motor relearning, which emphasizes subjective initiative and cognitive importance. Therefore, improving patients’ cognitive ability through strengthening functional training is a prerequisite for effective early rehabilitation training. In this study, the effect of early cognitive training was observed in patients with first ischemic stroke.