Limb dysfunction in patients with severe traumatic brain injury severely affects the quality of life of patients and brings a heavy burden to families and society. Domestic and international research reports suggest that early rehabilitation intervention can reduce the disability rate and improve the quality of life, and its functional recovery is based on the principle of remodeling and plasticity of the central system function after injury, which promotes the formation of normal movement patterns of patients through the infusion of normal movement patterns. The maximum functional recovery is achieved. The earlier the rehabilitation intervention, the better the prognosis of the Fugl-meyer score of limb function and Barthel index of daily life self-care ability. 1, limb function rehabilitation exercises: ① good limb position placement of the patient’s whole body joints in the correct functional position, the patient’s head under the pillow, a small pillow under the affected scapula, so that the scapula suspension, elbow extension on the pillow, wrist dorsal extension, finger extension, lower limb mild flexion, elbow joint under a small pillow, knee lateral pillow, so that the medullary joint and knee joint to maintain internal retraction; knee joint under the hot pillow, knee joint slightly flexed, foot under the pad support The foot support plate is placed under the palm of the foot to make the manic joint dorsiflexion to prevent the foot from sagging. ②Patients take supine position to passively move each joint, the order of activity is from the healthy side first and then the affected side, from top to bottom, from near to far, from small to large amplitude to do gentle passive activities of each joint in all aspects without pain. ③ Active movement in bed with both hands forked, affected side thumb on top, palm opposite to each other or the affected hand driven by the healthy hand over the head, lower limb abduction and extension, flexion and extension, bridge training, extension navigation and knee flexion training. ④ Position change and balance training include turning, moving the torso up and down, and changing the position from supine to sitting up. Elbow extension and dorsiflexion of the affected limb, and wrist tilt to the affected side to maintain sitting balance. ⑤Standing balance Wanfang data and gait training. ⑥Balance bar within the step training and up and down the ladder, etc. 1.2.4 Self-care ability exercise early to help patients develop a sense of initiative, when taking medicine and drinking, use the affected hand to hold a cup, brush teeth, eat with the affected hand to hold a toothbrush and chopsticks, wash the face with a towel to wipe the face, in addition, their own exercise with the affected hand to comb hair, button clothes, dress and undress at the same time, guide family members to assist patients in training, and often encourage and urge patients to do their best. 2.Operational therapy: Let patients use their fingers to quickly point to objects or fingers to each other, drawing, writing, flipping cards and other intensive training of coordination and control of fine activities of the affected upper limbs. Movements from simple to complex, step by step. 3.Psychological care and diet care At present, it is clinically believed that the adoption of scientific and effective nursing care measures can help patients recover as soon as possible. Psychological care can help to reduce patients’ pain and improve the treatment effect, so it has been widely used in the clinical rehabilitation process of patients due to role change, anxiety, depression, low self-esteem, pessimism and disappointment and other emotional changes. Rehabilitation nursing staff should understand the psychological state, timely guidance and encouragement, and do a good job of psychological guidance of family members, the use of personal experience, so that medical staff, family members and patients to maintain good psychological communication. Psychological care should run through the whole process of rehabilitation treatment In addition, a reasonable diet also helps patients recover early: that is, to strengthen nutrition, reasonable diet: to give reasonable nutritional supplements according to the patient’s basal metabolism and nutritional status, the principle of eating less and more meals; this helps patients recover. Encourage the patient to eat, eat little and often, drink a small amount of water several times, eat light and easy to digest, and pay attention to supplement high protein, high calorie and high vitamin food. In general, early rehabilitation exercises are based on giving the patient static and passive anti-spasticity posture therapy, and the placement of good limb positions should be used throughout the rehabilitation process. Early rehabilitation training adopts the stimulation method of passively moving the affected limb. On the one hand, it enhances the sensory stimulation transmission of the affected limb and reduces its neglect of the hemiplegic limb; on the other hand, through the activities of the hemiplegic limb and joints in the painless range, it plays a role in preventing muscle atrophy and joint fusion, prompting the improvement of muscle strength and making the coordination of the body well trained; the active movement of the rehabilitation exercise can improve the nervous system tension and activate the physiological functions of the systems and is very much valued to suck, early Taking active and correct rehabilitation exercises and strengthening psychological care and guidance to encourage patients to complete the treatment course can significantly improve the motor function of patients.