Protocol - Gross Motor Function - 2-4 Years Old
Protocol Name from Source:
Gross Motor Function Classification System Family Report Questionnaire (GMFCS)
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.
Please read the following and mark only one box beside the description that best represents your child’s movement abilities.
[ ] 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
Personnel and Training Required
|Average time of greater than 15 minutes in an unaffected individual||No|
|Specialized requirements for biospecimen collection||No|
Mode of Administration
May 12, 2010
A questionnaire to assess the larger body movements that develop during childhood such as sitting, standing, and walking.
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.
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.
Dutch, English, French, German, Icelandic, Korean, Norwegian, Portugese, Romanian, Slovenian, Spanish, Swedish, Ukrainian
|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
[link[phenx.org/node/103|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
The Gross Motor Function Classification System (GMFCS) Family Report Questionnaire is available from CanChild Centre for Childhood Disability Research website, McMaster University,
Institute for Applied Health Sciences, McMaster University
1400 Main Street West, Rm. 408
Hamilton, ON, Canada L8S 1C7
Tel: 905-525-9140, Ext. 27850
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.
|Variable Name||Variable ID||Variable Description||Version||dbGaP Mapping|