Practical ManagementRecommendations to Increase Neuromuscular Electrical Stimulation Training Intensity During Quadriceps Treatments for Orthopedic Knee ConditionsBremner, Cody B. PhD, LAT, ATC*; Holcomb, William R. PhD, LAT, ATC, FNATA, FNSCA†; Miller, Michael G. PhD, EdD, LAT, ATC, CSCS*D, NSCA-CPT*D, TSAC-F, FNATA‡Author Information *Department of Kinesiology and Outdoor Recreation, Southern Utah University, Cedar City, Utah; †College of Health Professions, Mercer University, Macon, Georgia; and ‡Department of Human Performance and Health Education, Western Michigan University, Kalamazoo, Michigan. Corresponding Author: Cody B. Bremner, PhD, LAT, ATC, Southern Utah University, 351 W. University Blvd, PEB 209, Cedar City, UT 84720 ([email protected]). The authors report no conflicts of interest. Clinical Journal of Sport Medicine: May 2021 - Volume 31 - Issue 3 - p 330-334 doi: 10.1097/JSM.0000000000000737 Buy Metrics Abstract Neuromuscular electrical stimulation (NMES) is often used by clinicians as a therapeutic adjunct to improve quadriceps strength deficits following orthopedic knee conditions. The efficacy of NMES treatments is primarily dependent on the NMES training intensity, which is a direct result of NMES-induced torque production. The importance of NMES training intensity is well known, yet adequate NMES training intensities are often difficult to achieve due to a variety of limitations associated with NMES (eg, fatigue and patient discomfort). This article provides recommendations that a clinician can use to increase NMES training intensity when strengthening the quadriceps with NMES for orthopedic knee conditions. These recommendations should allow forceful contractions that can be sustained over a treatment with multiple repetitions without the rapid decline in force that is typically seen when NMES is used. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.