Objective To observe the influence of multimodal exercise training combined with neuromuscular electrical stimulation (NMES) on limb function and daily living ability in patients with hemiplegic patients after cerebral infarction. Methods A total of 188 patients with hemiplegia after cerebral infarction in Luohe Rehabilitation Hospital of Traditional Chinese Medicine from August 2023 to January 2025 were selected as research subjects. According to the complete randomization grouping method of random number table method, they were divided into conventional group (n=94) and multimodal group (n=94). The conventional group received conventional rehabilitative treatment, while the multimodal group was given multimodal exercise training combined with NMES intervention. The limb function (Fugl-Meyer motor function assessment scale), affected limb muscle strength status [manual muscle strength test (MMT)], balance ability (Berg balance scale) and daily living ability [functional independence measure scale (FIM)] were compared between the two groups before intervention and after 1 month of intervention. Results After 1 month of intervention, the scores of Fugl-Meyer motor function assessment scale, MMT grading of affected upper and lower limbs, Berg balance scale and FIM scale in the two groups were risen than those before intervention (P<0.05), and the above scores in multimodal group were higher than those in conventional group (P<0.05). Conclusion Multimodal exercise training combined with NMES can effectively improve the limb ability in patients with hemiplegia after cerebral infarction, restore the normal muscle strength of the affected limb, and maintain high balance ability and daily living ability.