Özet:

The objective is to explore the effectiveness of passive neuromuscular electrical stimulation (NMES) combined with the conventional rehabilitation program (KRP) in infected patients; to improve the motor and functional healing of the upper end (EEA), spastility, pain and ability to participate in daily life activities. Methods: Thirty hemiplegic patients were randomly divided into 2 equal groups. In addition to 20 sessions of KRP, passive NEMS was applied to the shoulder muscles and hand arm extensors. The control group had only 20 sessions of KRP. The evaluations were made at the beginning of treatment, in the middle of treatment, at the end of treatment and 2 months after the end of treatment. As results measurements; Brunnstrom's UE and hand evolution, Fugl-Meyer Top Extreme Motor Function Score (FMA), Modified Ashworth Scale (MAS), Visual Analogy Scale (VAS) and Barthel Index were used. Results: The study group saw statistically significant improvements in the upper end and hand Brunnstrom phase, FMA and VAS scores after treatment and 2 months later in the control assessment. In the control group, a significant improvement was found at the end of the treatment in the total FMA score and 2 months later in the control. The MAS scores were higher in the control group at the end of treatment and 2 months after, but the values did not show significant differences between the groups. The result: In patients with infection, we believe that the passive NEMS applied to the shoulder and hand arm extensors added to the KRP should be used as a help for neurological rehabilitation because it is not superior to the conventional program alone and contributes to functional and motor improvement.

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