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.
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Which 2 levels have the least pronounced differences, especially in infants less than 2 years of age?
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What is the added age band for the expanded GMFCS?
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What model does the GMFCS emphasize?
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What is the focus of GMFCS?
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GMFCS focuses on their _____ performance in their home, school, and community settings.
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The functional abilities and limitations for each age are ____ and not independent to describe everything about function.
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The distances between levels are considered equal, and kids with cerebral palsy are equal across the 5 levels.
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When assessing children under the age of 2, their age should be adjusted according to their ____.
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What groups reflect the potential impact of environmental factors and personal factors on methods of mobility?
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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.
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Gross motor function of children and youth who cannot perform the functions of a particular level should be classified ___ that level of function.
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What is a mobility device that supports the pelvis and trunk?
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What are canes, crutches, and anterior and posterior walkers that do not support the trunk during walking?
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What does it mean when another person manually assists the child/youth to move?
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What involves the child/youth actively controlling the joystick or electrical switch that enables independent mobility?
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What term refers to the child/youth actively using arms and hands or feet to propel the wheels?
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What does it mean when a person manually pushes a mobility device to move the child/youth?
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What indicates no physical assistance from another person or any use of a hand-held mobility device?
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What refers to any type of device with wheels that enables movement?
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What is the general heading for Level I?
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What is the general heading for Level II?
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What is the general heading for Level III?
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What is the general heading for Level IV?
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What is the general heading for Level V?
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What describes the distinction between Level I and II?
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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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Description
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.
