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Protocol - Gross Motor Function - 2-4 Years Old

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Description:

The Gross Motor Function Classification System (GMFCS) Family Report Questionnaire is a five-item parent-report instrument that classifies children with cerebral palsy based on current motor ability, including the need for assistive technology.

Protocol:

Please read the following and mark only one box beside the description that best represents your child’s movement abilities.

My child...

[ ] Has difficulty controlling head and trunk posture in most positions

and uses specially adapted seating to sit comfortably

and has to be lifted by another person to move about

[ ] Can sit on own when placed on the floor and can move within a room

and uses hands for support to maintain sitting balance

and usually uses adaptive equipment for sitting and standing

and moves by rolling, creeping on stomach, or crawling

[ ] Can sit on own and walk short distances with a walking aid (such as a walker, rollator, crutches, canes, etc.)

and may need help from an adult for steering and turning when walking with an aid

and usually sits on floor in a "W-sitting" position and may need help from an adult to get into sitting

and may pull to stand and cruise short distances

and prefers to move by creeping and crawling

[ ] Can sit on own and usually moves by walking with a walking aid

and may have difficulty with sitting balance when using both hands to play

and can get in and out of sitting positions on own

and can pull to stand and cruise holding onto furniture

and can crawl, but prefers to move by walking

[ ] Can sit on own and moves by walking without a walking aid

and is able to balance in sitting when using both hands to play

and can move in and out of sitting and standing positions without help from an adult

and prefers to move by walking

© Amy Dietrich, Kristen Abercrombie, Jamie Fanning, and Doreen Bartlett, 2007

Protocol Name from Source:

Gross Motor Function Classification System Family Report Questionnaire (GMFCS)

Availability:

Publicly available

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self- or proxy-administered questionnaire

Life Stage:

Toddler, Child

Participants:

Child, aged 2-4 years old.

Specific Instructions:

None

Selection Rationale

The Gross Motor Function Classification System (GMFCS) Family Report Questionnaire was compared to similar protocols and selected because it is a validated, relatively short questionnaire that offers a low-cost alternative to physician-reported scales or medical records abstraction.

Language

Dutch, English, French, German, Icelandic, Korean, Norwegian, Portugese, Romanian, Slovenian, Spanish, Swedish, Ukrainian

Standards
StandardNameIDSource
Common Data Elements (CDE) Neurology Child Gross Motor Function Assessment Description Text 3076202 CDE Browser
Logical Observation Identifiers Names and Codes (LOINC) Gross motor func 2-4Y proto 62780-2 LOINC
Process and Review

Expert Review Panel 4 (ERP 4) reviewed the measures in the Neurology, Psychiatric, and Psychosocial domains.

Guidance from ERP 4 included the following:

· No changes

Source

The Gross Motor Function Classification System (GMFCS) Family Report Questionnaire is available from CanChild Centre for Childhood Disability Research website, McMaster University,

or

Institute for Applied Health Sciences, McMaster University
1400 Main Street West, Rm. 408
Hamilton, ON, Canada L8S 1C7
Tel: 905-525-9140, Ext. 27850
Fax: 905-522-6095
E-mail: canchild@mcmaster.ca

General References

Palisano, R., Rosenbaum, P., Walter, S., Russell, D., Wood, E., & Galuppi, B. (1997). Development and reliability of a system to classify gross motor function in children with cerebral palsy. Developmental Medicine & Child Neurology, 39, 214-223.

Morris, C., Galuppi, B. E., & Rosenbaum, P. L. (2004). Reliability of family report for the Gross Motor Function Classification System. Developmental Medicine and Child Neurology, 46, 455-460.

Protocol ID:

131201

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX131201_Gross_Motor_Function PX131201010000 My child... 4 N/A
Research Domain Information
Measure Name:

Gross Motor Function

Release Date:

May 12, 2010

Definition

A questionnaire to assess the larger body movements that develop during childhood such as sitting, standing, and walking.

Purpose

This measure is used to assess impairment of gross motor function. Development of gross motor function can be impaired by injury, congenital defects, and neurological and developmental disorders such as muscular dystrophy and cerebral palsy.

Keywords

Neurology, cerebral palsy, muscular dystrophy, developmental disorders, congenital disorders, movement, rare genetic conditions