| Grade | Description |
|---|---|
| 1 | Complete block (unable to move feet and knees). |
| 2 | Almost complete block (able to move feet only). |
| 3 | Partial block (just able to move knees). |
| 4 | Detectable decrease in hip flexion strength while supine (between grades 3 and 5). |
| 5 | No detectable decrease in hip flexion strength while supine (full knee flexion possible). |
| 6 | Able to flex one knee independently. |
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