Objective To investigate the clinical effect of two grade prevention and rehabilitation community to promote the activities of daily living in patients with stroke. Methods 125 cases of stroke patients from January 2015 to July 2016 in community outpatient rehabilitation treatment as the object of study. According to the order of treatment were divided into intervention group 62 cases and control group 63 cases, control group patients were given routine medical treatment to control the disease, patients in the intervention group treatment to control the disease on the basis of the two grade prevention and rehabilitation in the community routine. The changes of activities of daily living in patients before and after treatment were compared between the 22 groups. Results The recurrence rate of intervention group were significantly lower than the control group, the difference was statistically significant (P<0.05). The patients in the intervention group after treatment, the improvement of ADL was significantly better than the control group, the difference was statistically significant (P<0.05). Conclusion The basis for the treatment of stroke patients to control the disease in the routine, through two levels of community prevention and rehabilitation treatment, can significantly improve the activities of daily living of patients, reduce the recurrence rate, worthy of clinical popularization and application.