The Motricity Index (MI) is a reliable method for evaluating paralysis in patients with stroke. The MI was used for classifying the strength in each of three lower extremity muscle actions (hip flexion, knee extension and ankle dorsiflexion) in 6 stages as follows: 0 = No movement; 9 = Palpable contraction, but no movement; 14 = Movement, but not full range or against gravity; 19 = Movement, full range against gravity, not against resistance; 25 = Movement against resistance, weaker than contralateral side; 33 = Normal strength [40]. A total score for paretic lower extremity is obtained by adding one to the sum of the scores of all three individual actions (maximum score: 100). Lower extremity strength scores of the MI were validated previously [40].
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