Table 3.

Modified Lower Extremity Motor Testing Scale for Telemedicine.

Muscle group	Nerve root	Strength	Description
Iliopsoasa	L1, L2, L3	0	Absence of any muscle activation
		1	Able to flex hip against gravity (allow knee to passively flex, chair for balance)
		2	Able to flex hip against gravity, and maintain (allow knee to passively flex, chair for balance)
		3	Difficult to assess; can consider full strength if flex hip against gravity and maintain without difficulty
Quadricepsb	L2, L3, L4	0	Absence of any muscle activation
		1	Able to perform a single leg raise from chair with support
		2	Able to perform a single leg raise from chair without support, moderate difficulty
		3	Difficult to assess; can consider full strength if able to perform a single leg raise from a chair without support or perceived difficulty
Tibialis anterior	L4	0	Absence of any muscle activation
		1	Able to raise onto heels, unable to maintain
		2	Able to raise onto heels and maintain this position for 10 seconds
		3	Difficult to assess; can consider full strength if able to raise onto heels and perform lateral walks for 10 paces
Gastrocnemius-soleus complex	S1	0	Absence of any muscle activation
		1	Able to raise onto toes, unable to maintain
		2	Able to raise onto toes (raise heels) and perform 10 heel raises, with some difficulty
		3	Difficult to assess; can consider full strength if able to perform 10 repetitions of heel raises without perceived difficulty

^a May be performed in seated position if patient unable to balance.

^b If unable to perform single leg raise, may perform knee extension and attempt to maintain against gravity