To come or arrive, by motion, growth, bodily exertion, or efforts toward a place, object, state, etc.
To reach or come to, by progression or motion; to arrive at (a place, time, state, etc.).
To gain (an object or desired result).
To strive, or to make efforts, with a twisting, or with contortions of the body.
To strive, to labour in difficulty, to fight (for or against), to contend.
A contortion of the body in an attempt to escape or to perform a difficult task.
Strife, contention, great effort.