Mixed

Neuromuscular electrical stimulation (NMES) applied to critically ill patients in the ICU, added to usual care, is more effective than usual care alone for preventing skeletal-muscle weakness.

For ICU patients who cannot actively exercise due to sedation or critical illness, applying Neuromuscular Electrical Stimulation (NMES) to major muscle groups (like quadriceps) daily, starting from the first few days of admission, is a proven strategy to prevent muscle weakness. Ensure the device intensity is high enough to cause a visible muscle contraction. This should be done alongside standard medical care.