Edition: 2nd
Page count: 304
£75.00(inc 20% VAT)
For easier testing with the GMFM-66-B&C, a modifica-tion of the scoring sheet has been developed in which the single tasks are presented in order of their degree of diffi-culty based on the child’s age and GMFCS level. The dif-ferent scoring sheets of the GMFM–66-IS and the GMFM-66-B&C are provided in Appendix 5 and Appendix 6. Scoring program tutorial for the gmfm-66 210 appendix 4. Case scenarios of two children who misfit the gmfm-66 item difficulty model 231 appendix 5. Gmfm-66 item set score sheet 237 appendix 6. Gmfm-66 basal & ceiling score sheet 244 appendix 7. Gross motor function classification system-expanded & revised (gmfcs-e&r) 247 appendix 8.
The scoring key is meant to be a general guideline. However, most of the items have specific descriptors for each score. GMFM-88 and 66 Score Sheet The GMFM is a standardized observational instrument designed and validated to measure change in gross motor function over time in children with cerebral palsy. GROSS MOTOR FUNCTION MEASURE (GMFM) SCORE SHEET (GMFM-88 and GMFM-66 scoring) Version 1.0. Year / month /day. Year / month /day. SCORING KEY 0 = does not initiate. 2 = partially completes. NT = Not tested used for the GMAE scoring.
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The Gross Motor Function Measure (GMFM) has become the best evaluative measure of motor function designed for quantifying change in the gross motor abilities of children with cerebral palsy. The measure is very widely used internationally and is now the standard outcome assessment tool. This second edition builds on the wide success of the first edition; new details of the measure are presented, its short forms and how to use the updated software. It also includes two abbreviated methods of estimating GMFM-66 scores using the GMFM-66-Item sets and the GMFM-66-Basal & Ceiling.
Readership
Physical therapists and other health professionals working with children, youth and adults with cerebral palsy; clinical and health services researchers; any clinician who is assessing and describing current gross motor function and evaluating its change over time.
Gross Motor Function Classification System Video
Video shared with permission from CanChild.
Software
The GMFM software can be purchased directly from CanChild. For further information, please visit their website.
Clinics in Developmental Medicine
Dianne J Russell is Research and Knowledge Exchange Specialist with CanChild Centre for Childhood Disability Research. She has been a health services researcher for over 20 years and a key individual in the development, evaluation and dissemination of clinical outcome measures such as the Gross Motor Function Measure (GMFM). Her current focus is on facilitating the use of research evidence in practice by engaging with research users throughout the research process and by making research results easily accessible in multiple formats to families, service providers, and policy decision-makers.
Peter L Rosenbaum is a Developmental Paediatrician, health services researcher, teacher, writer and editor. His career has been devoted to childhood disability, and all his roles have involved work with, or about, children with impairments and their families. He has held over 75 research grants and has contributed to almost 300 peer-reviewed papers, book chapters, editorials and invited commentaries in his field.
Marilyn Wright is a physiotherapist at McMaster Children's Hospital. She is Assistant Clinical Professor at McMaster University, Hamilton, Ontario, Canada.
Lisa M. Avery is an independent statistician and founder of Avery Information Services. She provides statistical consulting and analysis services to various academic institutions and is primarily involved in paediatric disability research. Her primary interests are outcome measurement and causation modelling.
Video shared with permission from CanChild. For further information, please visit their website.
'The second edition of the Gross Motor Function Measure (GMFM-66 & GMFM-88): User’s Manual is a wonderful resource for physical therapists and other health professional who work with children with cerebral palsy as well as for clinicians who are interested in assessing current gross motor function and monitoring change over time in both clinical and research settings.' Jennifer L McKinney, Journal of Child Neurology, 2014.
'Physical therapists and researchers who use the GMFM will find the User’s Manual a valuable resource to administer and interpret the GMFM appropriately in clinical practice and research. The new case illustrations are particularly useful in selecting the most appropriate approach.' Barbara Sargent, Pediatric Physical Therapy, 2014.
The purpose of this article is to examine the use of radial extracorporeal shock wave therapy (rESWT) and rehabilitation therapy for the treatment of spastic cerebral palsy. Cerebral Palsy has a prevalence of 2.0-3.5 births out of every 100. This is prospective randomized control study. This study consisted of 82 children between the ages of 6 years to 12 years, this study was performed over the course of 3 years (2014-2017). Inclusion criteria consisted of 1) being between the ages of 6 and 12, 2) having spastic cerebral palsy, and 3) received multi-stage surgical strategy in the hospital for 6 weeks after lower extremity lysis operation, and 4) were able to participate in shock wave and routine rehabilitation. The participants were split into two groups the treatment group (n=43) and the control group (n=39). Both groups, treatment and control, underwent regular treatment including physical therapy, speech therapy, occupational therapy, and…
Purpose: Investigate the relationship between the Selective Control Assessment of the Lower Extremity (SCALE), muscle volume, Gross Motor Function Measure (GMFM-66), and the Modified Ashworth Scale (MAS) in individuals with cerebral palsy. Study Population: The population recruited for this study included 11 male participants between the age of 12 to 25 years old with a diagnosis of bilateral spastic CP and were a level I-IV on the Gross Motor Function Classification System. Those who had underwent surgery, serial casting, or had been given botox injections in the past year were excluded. Methods/Intervention: In order to obtain muscle volume, all participants underwent a magnetic resonance image (MRI) of both lower extremities to obtain imaging for 18 muscles in each lower extremity. Muscle volumes were averaged between both lower extremities and normalized to body mass. The measurements were obtained by two examiners, and inter-rater reliability was established. Outcome Measures: On the same…
Purpose: The purpose of the study was to assess gait changes over time after children diagnosed with cerebral palsy received a botulinum toxin type A (BTX-A) injection. Study population: The study included nine children between the ages of 4 and 8 years old diagnosed with wither hemiplegic or diplegic cerebral palsy, of which the gross motor functional classification system (GMFCS) was used to assess the severity. Each participant had previously received BTX-A treatment 2-15 times, one of which had been in the last 3-6 months. Methods and Intervention: BTX-A injections were placed in the following muscles, different per participant: hip adductor muscle, rectus femoris, hamstrings, gastrocs, soleus, tibialis posterior and upper limb muscles. Measurements were taken before the injection, and at 4-weeks, 8-weeks and 12 weeks post-injection. Outcome measures: The participants were brought in to have measurements performed four times throughout the study: before BTX-A injection, 4 weeks post-injection, 8…
Purpose: This study examined the association between ambulatory status, based on the Gross Motor Function Classification System (GMFCS), Habitual Physical Activity (HPA), and Quality of Life (QOL) in children with Cerebral Palsy (CP) at the age of 5. Study Population: This study used children with CP at the age of 5. Participants could not have lesions that were progression or neurodegenerative. Methods, Outcome Measures, and Intervention: Participants were assessed based on Gross Motor Function Measure (GMFM) 66 item, as well as placed into ambulatory categories based on the GMFCS in five groups, Level I independent walking without restrictions, Level II independent walking with limited on uneven surfaces, Level III walking with an assistive device, Level IV limited self-mobility or use power mobility, Level V severely limited self-mobility and used wheeled mobility. HPA was determined by placing an ActiGraph triaxial accelerometer around the lower back of the child for a period…
Additional information about the GMFM: There is no overall magnitude of change for the GMFM-66 that is “clinically important.” As physical therapists, we must use our clinical judgment to determine this magnitude for each child that we encounter. CanChild Resources. Gross Motor Function Measure (GMFM). Accessed Feb 25th 2018. Article Review Contributing Factors Analysis for the Changes of the Gross Motor Function in Children with Spastic Cerebral Palsy After Physical Therapy Purpose: This study was aimed to assess different factors that may impact gross motor function in those patients with spastic cerebral palsy. Study population: The patients were children diagnosis with spastic cerebral palsy from 2 to 6 years old. This study included 24 males and 21 females (45 children total) with spastic CP. Those included were not allowed to receive botulinum toxin injection or surgery within the past 6 months. Methods: It was a retrospective study reviewing patient’s…
Updated Information: The price of the current GMFM user manual (2nd edition, Wiley Publishing Co) has increased to $143.00 since the previous postings. The scoring program, GMAE-2, can be downloaded for free at www.canchild.ca. At this time, there are no additional updates to the information reported in the posts above. Article Summary: Title: Factors Influencing the Gross Motor Outcome of Intensive Therapy in Children with Cerebral Palsy and Developmental Delay Purpose: The purpose of this study was to identify factors that are influential in determining the effectiveness of intensive therapy programs on gross motor function in children who have cerebral palsy (CP) or various developmental delays. Study Population: The population of this study targets children with CP or developmental delays. Inclusion criteria for this study required participants to be less than 7 years old with developmental delays that required both physical and occupational therapy. Mean age at…
Updated Information: The price of the GMFM user’s manual, 2nd edition from Wiley Publishing Co. is now $119.00 for the spiral bound paperback copy. The Gross Motor Ability Estimator (GMAE-2), a computer program used for scoring the GMFM, is free for download at CanChild’s website (www.canchild.ca). Requirements for download include: Java version 7, 100MB Free Hard Disk Space is recommended for software and data storage, Windows XP and above (if using Windows), Mac OSX 10.7 and above (if using a Mac), Adobe Acrobat Reader, Unzip File utility, and a screen display resolution of at least 1024×768. Article Summary: Habitual Physical Activity in Children with Cerebral Palsy Aged 4 to 5 Years Across all Functional Abilities Purpose: The purpose of the study was to explore the impact of habitual physical activity versus sedentary time on functional abilities in preschool aged children with cerebral palsy. Also, to compare the children in…
Updated Information: GMFM (GMFM-66 and GMFM-88) User’s manual, 2nd edition from Wiley Publishing Co. is $119 for a spiral bound paperback The GMFM-88 can be best utilized for children with Cerebral Palsy or Down Syndrome who are very young or whose highest motor ability is lying and rolling. The GMFM-66 is a quicker to administrate than the GMFM-88 and can only be used for children with Cerebral Palsy. The online computer system required for the GMFM-66 has been updated to the GMAE-2 which offers the ability to import data from the original GMAE program and export into CSV files, an updated tutorial, the ability to plot the child’s percentile compared to peers, score sheets, and the ability to calculate scores for the GMFM-88, GMFM-66, GMFM-IS (item set), and GMFM-66-B&C (basal and ceiling). The GMAE-2 is available for free download on the Canchild website https://canchild.ca/en/resources/191-gross-motor-ability-estimator-gmae-2-scoring-software-for-the-gmfm Article Summary: This study aimed…
Updated Information: GMFM user’s manual, 2nd edition from Wiley Publishing Co. is $123 USD for a spiral bound paperback copy. The examiner will need a computer program entitled “Gross Motor Ability Estimator (GMAE) in order to calculate the interval level total score for the new version GMFM-66. Article Summary: Gross Motor Function Outcome After Intensive Rehabilitation in Children With Bilateral Spastic Cerebral Palsy The purpose of this study was to examine the changes in Gross Motor Function Measure (GMFM) scores for patients with bilateral spastic Cerebral palsy (CP) receiving various rehabilitation treatments. A retrospective chart review was performed for 44 children receiving physical therapy treatment from January 2011-January 2014. Participants were divided into an intensive rehab (inpatient) group of 24 patients and an intermittent rehab (outpatient) group of 20 patients. The inpatient group received 11, 30 minute sessions of PT and OT each per week for 4 weeks. The outpatient group…
Title: Gross Motor Function Test (GMFM-88, and most recent the GMFM-66), Date published, December 2002. Second edition, December 16, 2013 Authors: Dianne J. Russell, Peter L. Rosenbaum, Lisa M. Avery, Mary Lane Source: Published by Mac Keith Press, ISBN for GMFM-88 # 1 89868329 8 and ISBN for GMFM-66 # 1 89868329 8) Costs: $119 for User’s Manual, 2nd Edition through Wiley Blackwell Publishing. CanChild grants permission for printing, but does not allow the sale of the GMFCS. Go to the following website to learn more, http://motorgrowth.canchild.ca/en/GMFM/overview.asp Purpose: To evaluate change in motor function over time or with intervention for children with cerebral palsy. It has also been validated with children who have Down syndrome. Type of test: Standardized observational test Target Population and Ages: The original validation sample included children 5 months to 16 years old. The GMFM-88 is appropriate for children or adolescents with cerebral palsy or Down…