In patients with incomplete paralysis or complete hemiplegia, as the condition stabilizes and muscle strength progresses, the patient should be encouraged to do active functional exercise of the limbs to restore muscle strength, increase the range of motion of the joints, and improve the coordination of the limbs and muscles. Active exercise should be done in different ways according to the patient’s muscle strength. The general principle is to train movements from simple to complex, and gradually expand the range of activities. From a single joint to the overall activity, from short to long time, strength from weak to strong, step by step, do not be too hasty. And should be well protected to avoid joint and muscle damage. Patients who cannot get out of bed should abduct the shoulder joint by themselves, and also do backward movements, flex and extend the elbow and wrist joints, and do fist clenching and palm stretching exercises. The lower limbs should insist on abduction and internal rotation exercises and flexion of the lower limbs to exercise the muscle strength of the lower limbs and the function of the joints. The patient’s upper limbs should be exercised by pushing, pulling and grasping objects with the affected hand, in addition to performing the necessary extension and flexion movements. When the elbow joint is flexed, the patient’s upper limb can be used to hold round objects, pull and stretch the upper limb, or frequently shrug the shoulder, rotate the shoulder joint and pat the object with the affected hand. Patients with hemiplegia generally recover lower limb function faster than the upper limb, so they should carry out functional exercises for the lower limb as early as possible. When practicing walking, the patient can first step in place and then practice stepping. If the patient has difficulty in lifting the foot, tie a rope on the patient’s foot and let the supporter help to lift the foot and step, and gradually transition to supporting the object by oneself. As the condition improves and muscle strength progresses, let the patient stand first with the support of family members, with the patient’s arms hooked around the head and neck of the two family members, and then the family members help to move the affected leg. The knee joint should be straightened and the body straightened when striding. In the process of exercise, the patient’s small progress should be praised and encouraged to enhance the patient’s confidence and obtain the patient’s cooperation. Exercise time is usually 3 times a day, arranged before rehydration, after rehydration and before going to bed. The amount of activity should be increased day by day, from 3 people to 1 person to assist the activity, and finally walking independently. To prevent urinary tract infection, perineal care is given twice daily and bladder flushing twice daily during indwelling catheterization, and continuous tube clamping and regular urine release are given to exercise the contraction of the bladder wall in preparation for extubation. Patients with aphasia should also start articulation training with numbers and simple syllables, such as repeated training in counting, eating and drinking. In conclusion, active rehabilitation exercise measures can significantly improve the quality of life of stroke patients in the future.