Which practice helps improve patient comfort during NMES sessions?

• A. Avoid ramping up current gradually.
• B. Gradually ramping up current and adjusting to tolerable levels.
• C. Keep stimulation constant at high intensity throughout.
• D. Place electrodes on bony prominences only.

Answer: (B)

The key idea is to tailor NMES intensity to the patient’s comfort by ramping up gradually. Starting with a low current and slowly increasing it gives the patient time to acclimate to the sensation, helps you find the deepest acceptable level, and reduces the chance of sharp, uncomfortable contractions or skin irritation. This approach also supports achieving a functional muscle response without excessive discomfort or fatigue. Keeping stimulation constant at a high intensity tends to feel abrupt and painful and can limit tolerance, while placing electrodes on bony prominences can increase discomfort and improper contact, worsening the experience. Therefore, gradually ramping the current and adjusting to tolerable levels is the best practice for comfort.