Methods for estimating the degree of neuromuscular block include valuation of muscular response to stimuli from surface electrodes, such as in the train-of-four test, wherein four such stimuli are given in rapid succession. With no neuromuscular blockade, the resultant muscle contractions are of equal strength, but gradually decrease in case of neuromuscular blockade.thefreedictionary.com > train-of-four Citing: Mosby's Medical Dictionary, 8th edition. It is recommended during use of continuous-infusion neuromuscular blocking agents in intensive care.
