Book
GMFCS - E & R Gross motor function classification system: expanded and revised
2007
Abstract
The Gross Motor Function Classification System (GMFCS) for cerebral palsy is based on self-initiated movement, with emphasis on sitting, transfers, and mobility. When defining a five-level classification system, our primary criterion has been that the distinctions between levels must be meaningful in daily life. Distinctions are based on functional limitations, the need for hand-held mobility devices (such as walkers, crutches, or canes) or wheeled mobility, and to a much lesser extent, quality of movement. The distinctions between Levels I and II are not as pronounced as the distinctions between the other levels, particularly for infants less than 2 years of age.
The expanded GMFCS (2007) includes an age band for youth 12 to 18 years of age and emphasizes the concepts inherent in the World Health Organization’s International Classification of Functioning, Disability and Health (ICF). We encourage users to be aware of the impact that environmental and personal factors may have on what children and youth are observed or reported to do. The focus of the GMFCS is on determining which level best represents the child’s or youth’s present abilities and limitations in gross motor function. Emphasis is on usual performance in home, school, and community settings (i.e., what they do), rather than what they are known to be able to do at their best (capability). It is therefore important to classify current performance in gross motor function and not to include judgments about the quality of movement or prognosis for improvement.
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Details
- Title
- GMFCS - E & R Gross motor function classification system
- Creators
- Robert J Palisano - Drexel University, Physical Therapy (and Rehabilitation Sciences)Peter L Rosenbaum - McMaster UniversityDoreen J. Bartlett - Western Caspian UniversityMichael H. Livingston
- Publisher
- CanChild Centre for Childhood Disability Research, McMaster University; Hamilton
- Resource Type
- Book
- Language
- English
- Academic Unit
- Physical Therapy (and Rehabilitation Sciences)
- Other Identifier
- 991019203674504721