For Patients Who Are Obese, It May Not Be Possible

For patients who are obese, it may not be possible to achieve the desired muscle response with NMES. Why?

A) Patients who are obese do not have enough muscle mass to be stimulated with electrical stimulation.
B) The statement is false.
C) The motor nerve may be too "insulated" by the intervening layer of adipose to allow sufficient stimulation without painful stimulation of the sensory nerves in the skin.
D) The depth of the myoneural junction in patients with significant adipose is prohibitively deeper than in patients who are not obese, making stimulation of the motor nerve virtually impossible.