<Tr> <Td> </Td> <Td> No effort against gravity; the leg falls immediately after being helped to the initial position, however the patient is able to move the leg in some form (e.g. hip flex) </Td> </Tr> <Tr> <Td> </Td> <Td> No movement; patient has no ability to enact voluntary movement in this leg </Td> </Tr> <Ul> <Li> Default Coma Score: 8 </Li> <Li> This is performed for each leg, indicating a maximum possible score of 8 </Li> <Li> Test the non paralyzed leg first if applicable </Li> <Li> Motor leg assessment should be skipped in the case of an amputee, however a note should be made in the score records </Li> <Li> If patient is unable to understand commands, the investigator should deliver the instructions via demonstration </Li> </Ul> <Li> Default Coma Score: 8 </Li>

Which of the following would you use to supplement the nihss when assessing patient disability