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Hypotonia and spasticity can lead to cognitive impairments and should be taken into account before transporting someone. Hypotonia is decreased muscle tone, while spasticity causes muscles to become stiff or rigid. It can also cause muscles to contract all at once when trying to move. Take extra caution when lifting and splinting. Hypotonia and spasticity are associated with some syndromes that can also cause cognitive impairments and must be considered prior to transportation. Hypotonia is a term that describes decreased muscle tone. Spasticity is a condition that causes muscles to become stiff or rigid. It can also cause muscles to contract all at once when you try to move. Be extra careful when lifting and splinting.