What is the level of evidence for NMES after meniscus procedures?

• A. High
• B. Moderate
• C. Low
• D. Moderate evidence that NMES should be provided to increase quad strength, functional performance, and knee function

Answer: (D)

After meniscal procedures, the quadriceps often lose strength and activation, so interventions that boost muscle recruitment can aid recovery. NMES helps activate the quadriceps when voluntary contraction is limited, supporting greater strength gains, better functional performance, and improved knee function during rehab. The level of evidence for using NMES in this setting is moderate. This reflects findings from several trials and reviews showing consistent, but not uniform, improvements in quadriceps strength and functional outcomes, with variability in protocols and study quality. It’s not classified as high-level evidence because results aren’t uniformly strong across all studies, and it’s not considered low-level evidence due to the presence of several positive findings. Therefore, there is moderate evidence that NMES should be provided to help increase quad strength, functional performance, and knee function.