0/5
No visible or palpable contraction
1/5
No observable motion, palpable muscle contraction
2-/5
At least 50% but not full ROM, gravity minimized, no resistance
2/5
Full ROM, gravity eliminated
2+/5
Full available ROM, gravity minimized, slight manual resistance
3-/5
At least 50% but not full ROM, against gravity, no resistance
3/5
Full ROM against gravity
3+/5
Full ROM against gravity, slight resistance
4-
Full ROM against gravity, nearly moderate resistance
4
Full ROM against gravity, moderate resistance
4+
Full ROM against gravity, nearly strong resistance
5
Full available ROM, against gravity, strong manual resistance