We advocate that as long as the patient’s consciousness is clear, vital signs are stable, and the condition is no longer aggravated for 24 hours, rehabilitation can be carried out almost simultaneously with drug therapy without affecting the patient’s treatment. Except for severe cerebral hemorrhage, which can be appropriately delayed, rehabilitation should mostly be started within 1 week after the disease. Choose a good mattress: too hard and prone to bedsores, too soft and sunken body, not easy to change position, hip sunken and prone to hip flexion contracture. Position change: turn over every 2 to 3 hours, lie on your side or half on your side, and lie more to the healthy side. Prevent the upper limb and shoulder joint on the affected side from being stretched, compressed and injured. Maintain good posture: prevent joint contracture and deformation: 1. Supine position: head up or to the affected side, extend the scapular band of the affected upper limb forward as much as possible, to prevent shoulder joint subluxation, shoulder joint abduction and external rotation; put a bath towel roll between the upper arm and torso to prevent shoulder joint inversion and internal rotation; to prevent elbow joint flexor tension, keep the extension position; pad a soft pillow under the affected limb, its height is slightly higher than the heart position, to prevent To prevent edema; wrist joint slightly dorsiflexion, hand holding towel roll, palm up, to prevent finger flexion; affected lower limb, hip should also be padded with soft pillow, so that the pelvis and hip forward; thigh slightly inward pressure or internal rotation, the entire lower limb to be soft pillow or sandbag cushion, so that the affected lower limb to maintain in the middle position or slightly internally rotated position, to prevent future due to the weakness of the femoral adductor muscle group paddle pace; under the knee joint padded with soft pillow to make slightly flexed, ankle joint to make a 90 The ankle joint is 90 degrees, so that it does not sag and turn inward. 2. Lateral position: Patients should lie on their side for a certain period of time every day to prevent the tension of the extensor muscles brought about by supination. The affected shoulder should be stretched forward, elbow straightened, forearm rotated back, fingers extended, knee slightly flexed, ankle joint kept at 90 degrees as far as possible, in order to avoid compression by the healthy leg, a soft pillow should be placed between the healthy and affected leg. 3. Passive activities: As long as the vital signs are stable, from the day of onset, those who cannot move actively in bed should do passive activities of the limb joints, twice a day, and the limbs should be relaxed so that the joints are fully active, first the large joints and then the small joints. Shoulder abduction and flexion should not exceed 90 degrees, which is 50% of normal, and stop if the patient has a painful expression. 4. Sitting training: first take 30 degrees to 40 degrees of sitting training, increase by 10 degrees every day for 2-3 days, and continue for 5-10 minutes every day to reach 90 degrees, after 30 minutes, you can train sitting endurance, and light patients can be exempted. The forearm of the affected limb should be suspended by a triangular scarf; when sitting, both upper limbs should be placed on the platform or moving table in front of the bed, and then enter the sitting balance training later, that is, after sitting, the patient should be pushed by both sides or front and back alternately to train to adjust the balance, which is the trunk balance training. 5.Bed movement training: bed activity training should be done at the same time as sitting training. (1) turn over: the patient lying flat and bend the elbow, use the healthy hand to hold the affected elbow, insert the healthy leg under the affected leg, while the trunk rotates, use the healthy leg to lift the affected leg can be turned to the healthy side, such as the affected upper limb can still extend the elbow, the healthy hand and the affected hand palm to palm, the healthy thumb should be under the affected thumb, so as to be able to lift the two upper arms, bend the knees (can be helped by others), first swing the uplifted hands to the healthy side, then reverse swing to the affected side, multiply The inertia of the swing can be turned to the affected side. (2) Movement: Lie flat, insert the healthy foot under the affected foot, hook the affected foot to the healthy foot, then use the healthy foot and shoulder to support the hip to move the lower body to the healthy side, and then move the head to the healthy side. (3) Bridge training: bend the knees of the two lower limbs, if you can not stand, others to help support, so that the two knees bend together, the two feet face the bed, the other hand to support the hip, later asked the patient to lift the hip, forming a bridge, can be repeated; if the lower limbs have strong support, you can start training single-leg bridge movement. (4) Trunk activity training: flex both lower limbs to 90 degrees, knees together, feet flat on the bed, then gently and rhythmically swing left and right, when the knee swings to the left, the patient’s head and shoulders face right, when swinging to the right, the head and shoulders face left; another method is for the patient to take a lying position, the affected side is on top, the staff supports the affected shoulder with one hand, the other hand holds the affected hip in the opposite direction, gently and rhythmically push, so that the patient’s shoulder and The reverse movement of the hip and shoulder is good for reducing the muscle spasm of the trunk. (5) Sit-up training: Sit-up from supine can be divided into four steps: place the healthy leg under the affected leg, bring the affected leg to the side of the bed, transfer the patient to the lateral position and support the trunk with the healthy forearm, lift the head to the upright position, use the healthy upper limb to push the support to make the trunk upright and sit on the side of the bed. After the patient has successfully completed the above rehabilitation process and achieved results, he/she can enter the functional rehabilitation training in the recovery period. For example, rehabilitation training for speech function, cognitive function, ADL ability, etc.