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grade 0
No increase in muscle tone
grade 1
Slight increase in muscle tone, manifested by a catch and release or by minimal
resistance at the end of the range of motion when the affected part(s) is moved
in flexion or extension
grade1+
Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM
grade 2
More marked increase in muscle tone through most of the ROM, but affected
part(s) easily moved
grade 3
Considerable increase in muscle tone, passive movement difficult
grade 4
Affected part(s) rigid in flexion or extension