English to French Medical Medical (general)

Assessment scale for distonia
I do not understand how these two elements fit together, please help!
Two examples, then the full scale:

***Sustained min effort*** contraction of shoulder, upper limb or hand; noticeable (>50% of the time)
***Sustained min effort*** contraction partial tongue protrusion; noticeable (>50% of the time)


0None
No contraction at rest or during action
1Minimal
Very mild contraction partial tongue protrusion; rare (