People with Spinal cord injuries are having difficulty in health care, and complications cause physical, social and economic losses. In severe cases, complications lead to death and require systematic management. In this study, ICT-based health care service was developed to manage the respiratory function and urinary function of the people with spinal cord injuries and to help adapt to daily living activities and social participation through home visit occupational therapy. A pilot study was conducted with five clients with spinal cord injuries to investigate the effectiveness of the intervention services. As a result, it was confirmed that satisfaction, importance, and difficulty were appropriate. In the future, RCT clinical studies will be needed to diversify intervention services and expand the number of patients.