GMFCS Flashcards - Cerebral Palsy Overview
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Questions and Answers

What disability is the GMFCS for?

Cerebral Palsy

The GMFCS is based on ___________ movement, with emphasis on ____, _____, and ______.

self-initiated; sitting; transfer; mobility

How many levels is the GMFCS?

5 levels

Distinctions for the GMFCS are based on functional limitations, need for hand-held mobility devices or wheeled mobility, and quality of movement.

<p>True</p> Signup and view all the answers

Which 2 levels have the least pronounced differences, especially in infants less than 2 years of age?

<p>Levels I and II</p> Signup and view all the answers

What is the added age band for the expanded GMFCS?

<p>12-18 years</p> Signup and view all the answers

What model does the GMFCS emphasize?

<p>IFC</p> Signup and view all the answers

What is the focus of GMFCS?

<p>Determining which level best represents the child's or youth's present abilities and limitations in gross motor function.</p> Signup and view all the answers

GMFCS focuses on their _____ performance in their home, school, and community settings.

<p>Usual</p> Signup and view all the answers

The functional abilities and limitations for each age are ____ and not independent to describe everything about function.

<p>Broad</p> Signup and view all the answers

The distances between levels are considered equal, and kids with cerebral palsy are equal across the 5 levels.

<p>False</p> Signup and view all the answers

When assessing children under the age of 2, their age should be adjusted according to their ____.

<p>prematurity</p> Signup and view all the answers

What groups reflect the potential impact of environmental factors and personal factors on methods of mobility?

<p>6-12 years and 12-18 years</p> Signup and view all the answers

Gross motor function of children and youth who are able to perform functions described in any particular level will be classified AT or ___ that level of function.

<p>Above</p> Signup and view all the answers

Gross motor function of children and youth who cannot perform the functions of a particular level should be classified ___ that level of function.

<p>below</p> Signup and view all the answers

What is a mobility device that supports the pelvis and trunk?

<p>Body support walker</p> Signup and view all the answers

What are canes, crutches, and anterior and posterior walkers that do not support the trunk during walking?

<p>Hand-held mobility device</p> Signup and view all the answers

What does it mean when another person manually assists the child/youth to move?

<p>Physical Assistance</p> Signup and view all the answers

What involves the child/youth actively controlling the joystick or electrical switch that enables independent mobility?

<p>Powered mobility</p> Signup and view all the answers

What term refers to the child/youth actively using arms and hands or feet to propel the wheels?

<p>Self-propels manual wheelchair</p> Signup and view all the answers

What does it mean when a person manually pushes a mobility device to move the child/youth?

<p>Transported</p> Signup and view all the answers

What indicates no physical assistance from another person or any use of a hand-held mobility device?

<p>Walks</p> Signup and view all the answers

What refers to any type of device with wheels that enables movement?

<p>Wheeled mobility</p> Signup and view all the answers

What is the general heading for Level I?

<p>Walks without Limitations</p> Signup and view all the answers

What is the general heading for Level II?

<p>Walks with limitations</p> Signup and view all the answers

What is the general heading for Level III?

<p>Walks using a hand-held mobility device</p> Signup and view all the answers

What is the general heading for Level IV?

<p>Self-Mobility with Limitations; May use Powered Mobility</p> Signup and view all the answers

What is the general heading for Level V?

<p>Transported in a manual wheelchair</p> Signup and view all the answers

What describes the distinction between Level I and II?

<p>Those in Level II have limitations walking long distances and balancing and may need a hand-held mobility device.</p> Signup and view all the answers

Study Notes

Gross Motor Function Classification System (GMFCS)

  • Designed for children with Cerebral Palsy to classify gross motor function.
  • Emphasizes self-initiated movement, particularly in sitting, transferring, and mobility activities.

Classification Levels

  • GMFCS consists of 5 distinct levels, differentiating meaningful functional limitations in daily life.
  • Levels I and II exhibit minimal differences, especially in infants under 2 years.

Assessment Criteria

  • Distinctions in GMFCS rely on functional limitations, the need for mobility devices, and, to a lesser extent, movement quality.
  • Functional abilities for children are broad representations and do not fully encapsulate all aspects of function.

Age Bands

  • Expanded GMFCS includes an age band for children aged 12-18 years, reflecting changing functional abilities through development.
  • Children under 2 years should have their age adjusted for prematurity during assessment.

Focus of the GMFCS

  • Aims to identify the level that accurately represents a child's abilities rather than potential capabilities.
  • Focuses on usual performance across home, school, and community settings, avoiding judgments on quality or prognosis of movement.

Mobility Devices

  • Defines specific mobility devices including:
    • Body support walker: Facilitates positioning through external support.
    • Hand-held mobility device: Assists walking without trunk support.
    • Powered mobility: Allows independent movement using a joystick or switch.
    • Manual wheelchair: Child/youth propels themselves using arms or feet.
    • Transported: Mobility device pushed manually by another person.
    • Walks: Indicates no physical assistance and may include orthosis use.
    • Wheeled mobility: Refers to any wheeled device aiding movement.

General Level Descriptions

  • Level I: Walks without limitations.
  • Level II: Walks with limitations, often requires assistance for long distances.
  • Level III: Walks using a hand-held mobility device.
  • Level IV: Self-mobility with limitations; may use powered mobility.
  • Level V: Dependent on a manual wheelchair for transport.

Distinction Between Levels

  • The distinction between Levels I and II involves limitations in walking distance and balance; those in Level II may need mobility assistance during early walking stages and potentially utilize wheeled mobility for longer outdoor travels.

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Test your knowledge on the Gross Motor Function Classification System (GMFCS) with these flashcards focused on cerebral palsy. Learn about movement levels, key definitions, and important concepts related to mobility and self-initiated actions. Ideal for students and professionals in health and rehabilitation fields.

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