GROSS MOTOR FUNCTION MEASURE (GMFM) SCORE SHEET
GROSS MOTOR FUNCTION MEASURE (GMFM)SCORE SHEET (GMFM-88 and GMFM-66 scoring)Version 1.0Child’s Name:ID #:GMFCS Level 1Assessment date:year / month /dayDate of birth:year / month /dayChronological age:years/monthsIIIIIIIVVTesting Conditions (eg, room, clothing, time,others present)Evaluator’s Name:The GMFM is a standardized observational instrument designed and validated to measure change ingross motor function over time in children with cerebral palsy. The scoring key is meant to be a generalguideline. However, most of the items have specific descriptors for each score. It is imperative that theguidelines contained in the manual be used for scoring each item.SCORING KEY0 does not initiate1 initiates2 partially completes3 completesNT Not tested [used for the GMAE scoring*]It is now important to differentiate a true score of “0” (child does not initiate)from an item which is Not Tested (NT) if you are interested in using theGMFM-66 Ability Estimator Software.*The GMFM-66 Gross Motor Ability Estimator (GMAE) software is available with the GMFM manual (2002). The advantage ofthe software is the conversion of the ordinal scale into an interval scale. This will allow for a more accurate estimate of the child’sability and provide a measure that is equally responsive to change across the spectrum of ability levels. Items that are used in thecalculation of the GMFM-66 score are shaded and identified with an asterisk (*). The GMFM-66 is only valid for use with childrenwho have cerebral palsy.Contact for Research Group:Dianne Russell, CanChild Centre for Childhood Disability Research, McMaster University, Institute forApplied Health Sciences, McMaster University, 1400 Main St. W., Rm. 408, Hamilton, L8S 1C7Tel: North America - 1 905 525-9140 Ext: 27850Tel: All other countries - 001 905 525-9140 Ext: 27850E-mail: canchild@mcmaster.ca Fax: 1 905 522-6095Website: www.fhs.mcmaster.ca/canchild1GMFCS level is a rating of severity of motor function. Definitions are found in Appendix I of the GMFM manual (2002). Mac Keith Press, 2002Page 1GMFM SCORE SHEET
Check (Þ ) the appropriate score: if an item is not tested (NT), circle the item number in the right columnItemA: LYING & ROLLINGSCORENT1.SUP, HEAD IN MIDLINE: TURNS HEAD WITH EXTREMITIES SYMMETRICAL.01231.2.I THE OTHER .SUP: BRINGS HANDS TO MIDLINE, FINGERS ONE WITH01232.3.SUP: LIFTS HEAD 45 .01233.4.SUP: FLEXES R HIP AND KNEE THROUGH FULL RANGE .01234.5.SUP: FLEXES L HIP AND KNEE THROUGH FULL RANGE .01235.*6.SUP: REACHES OUT WITH R ARM, HAND CROSSES MIDLINE TOWARD TOY .01236.*7.SUP: REACHES OUT WITH L ARM, HAND CROSSES MIDLINE TOWARD TOY.01237.8.SUP: ROLLS TO PR OVER R SIDE .01238.9.SUP: ROLLS TO PR OVER L SIDE .01239.10.PR: LIFTS HEAD UPRIGHT .012310.11.PR ON FOREARMS: LIFTS HEAD UPRIGHT, ELBOWS EXT., CHEST RAISED .012311.12.PR ON FOREARMS: WEIGHT ON R FOREARM, FULLY EXTENDS OPPOSITE ARM FORWARD .012312.13.PR ON FOREARMS: WEIGHT ON L FOREARM, FULLY EXTENDS OPPOSITE ARM FORWARD .012313.14.PR: ROLLS TO SUP OVER R SIDE .012314.15.PR: ROLLS TO SUP OVER L SIDE.012315.16.PR: PIVOTS TO R 90 USING EXTREMITIES.012316.17.PR: PIVOTS TO L 90 USING EXTREMITIES .012317.NT18.**TOTAL DIMENSION AItem* 18.B: SITTINGSUP, HANDS GRASPED BY EXAMINER: PULLS SELF TO SITTING WITH HEAD CONTROL .012319.SUP: ROLLS TO R SIDE, ATTAINS SITTING .012320.SUP: ROLLS TO L SIDE, ATTAINS SITTING .012319.20.*21.SIT ON MAT, SUPPORTED AT THORAX BY THERAPIST: LIFTS HEAD UPRIGHT, MAINTAINS3 SECONDS .012321.*22.SIT ON MAT, SUPPORTED AT THORAX BY THERAPIST: LIFTS HEAD MIDLINE, MAINTAINS10 SECONDS .012322.*23.SIT ON MAT, ARM(S) PROPPING: MAINTAINS, 5 SECONDS.012323.*24.SIT ON MAT: MAINTAINS, ARMS FREE, 3 SECONDS .012324.*25.SIT ON MAT WITH SMALL TOY IN FRONT: LEANS FORWARD, TOUCHES TOY, RE-ERECTSWITHOUT ARM PROPPING.012325.*26.SIT ON MAT: TOUCHES TOY PLACED 45 BEHIND CHILD’S R SIDE, RETURNS TO START.012326.*SCORE27.SIT ON MAT: TOUCHES TOY PLACED 45 BEHIND CHILD’S L SIDE, RETURNS TO START .012327.28.R SIDE SIT: MAINTAINS, ARMS FREE, 5 SECONDS .012328.29.L SIDE SIT: MAINTAINS, ARMS FREE, 5 SECONDS .012329.*30.SIT ON MAT: LOWERS TO PR WITH CONTROL .012330.*31.SIT ON MAT WITH FEET IN FRONT: ATTAINS 4 POINT OVER R SIDE .012331.*32.SIT ON MAT WITH FEET IN FRONT: ATTAINS 4 POINT OVER L SIDE .012332.33.SIT ON MAT: PIVOTS 90 , WITHOUT ARMS ASSISTING .012333.*34.SIT ON BENCH: MAINTAINS, ARMS AND FEET FREE, 10 SECONDS .012334.*35.STD: ATTAINS SIT ON SMALL BENCH .012335.*36.ON THE FLOOR: ATTAINS SIT ON SMALL BENCH .012336.*37.ON THE FLOOR: ATTAINS SIT ON LARGE BENCH .012337.TOTAL DIMENSION B Mac Keith Press, 2002Page 2GMFM SCORE SHEET
Item38.C: CRAWLING & KNEELINGPR: CREEPS FORWARD 1.8m (6') .0123NT38.*39.4 POINT: MAINTAINS, WEIGHT ON HANDS AND KNEES, 10 SECONDS .012339.*40.4 POINT: ATTAINS SIT ARMS FREE .012340.*41.PR: ATTAINS 4 POINT, WEIGHT ON HANDS AND KNEES .012341.*42.4 POINT: REACHES FORWARD WITH R ARM, HAND ABOVE SHOULDER LEVEL .012342.*43.4 POINT: REACHES FORWARD WITH L ARM, HAND ABOVE SHOULDER LEVEL .012343.*44.4 POINT: CRAWLS OR HITCHES FORWARD 1.8m (6') .012344.*45.4 POINT: CRAWLS RECIPROCALLY FORWARD 1.8m (6') .012345.*46.4 POINT: CRAWLS UP 4 STEPS ON HANDS AND KNEES/FEET .012346.47.4 POINT: CRAWLS BACKWARDS DOWN 4 STEPS ON HANDS AND KNEES/FEET .012347.48.SIT ON MAT: ATTAINS HIGH KN USING ARMS, MAINTAINS, ARMS FREE, 10 SECONDS .012348.49.HIGH KN: ATTAINS HALF KN ON R KNEE USING ARMS, MAINTAINS, ARMS FREE, 10 SECONDS .012349.50.HIGH KN: ATTAINS HALF KN ON L KNEE USING ARMS, MAINTAINS, ARMS FREE, 10 SECONDS .012350.51.HIGH KN: KN WALKS FORWARD 10 STEPS, ARMS FREE .012351.**SCORETOTAL DIMENSION CItem* 52.D: STANDINGON THE FLOOR: PULLS TO STD AT LARGE BENCH .SCORE0123NT52.*53.STD: MAINTAINS, ARMS FREE, 3 SECONDS .012353.*54.STD: HOLDING ON TO LARGE BENCH WITH ONE HAND, LIFTS R FOOT, 3 SECONDS .012354.*55.STD: HOLDING ON TO LARGE BENCH WITH ONE HAND, LIFTS L FOOT, 3 SECONDS .012355.*56.STD: MAINTAINS, ARMS FREE, 20 SECONDS .012356.*57.STD: LIFTS L FOOT, ARMS FREE, 10 SECONDS.012357.*58.STD: LIFTS R FOOT, ARMS FREE, 10 SECONDS .012358.*59.SIT ON SMALL BENCH: ATTAINS STD WITHOUT USING ARMS .012359.*60.HIGH KN: ATTAINS STD THROUGH HALF KN ON R KNEE, WITHOUT USING ARMS .012360.*61.HIGH KN: ATTAINS STD THROUGH HALF KN ON L KNEE, WITHOUT USING ARMS .012361.*62.STD: LOWERS TO SIT ON FLOOR WITH CONTROL, ARMS FREE .012362.*63.STD: ATTAINS SQUAT, ARMS FREE .012363.*64.STD: PICKS UP OBJECT FROM FLOOR, ARMS FREE, RETURNS TO STAND .012364.TOTAL DIMENSION D Mac Keith Press, 2002Page 3GMFM SCORE SHEET
ItemE: WALKING, RUNNING & JUMPINGNTSCORE*65.STD, 2 HANDS ON LARGE BENCH: CRUISES 5 STEPS TO R.012365.*66.STD, 2 HANDS ON LARGE BENCH: CRUISES 5 STEPS TO L .012366.*67.STD, 2 HANDS HELD: WALKS FORWARD 10 STEPS.012367.*68.STD, 1 HAND HELD: WALKS FORWARD 10 STEPS .012368.*69.STD: WALKS FORWARD 10 STEPS .012369.*70.STD: WALKS FORWARD 10 STEPS, STOPS, TURNS 180 , RETURNS .012370.*71.STD: WALKS BACKWARD 10 STEPS .012371.*72.STD: WALKS FORWARD 10 STEPS, CARRYING A LARGE OBJECT WITH 2 HANDS .012372.*73.STD: WALKS FORWARD 10 CONSECUTIVE STEPS BETWEEN PARALLEL LINES 20cm (8") APART012373.*74.STD: WALKS FORWARD 10 CONSECUTIVE STEPS ON A STRAIGHT LINE 2cm (3/4") WIDE.012374.*75.STD: STEPS OVER STICK AT KNEE LEVEL, R FOOT LEADING.012375.*76.STD: STEPS OVER STICK AT KNEE LEVEL, L FOOT LEADING .012376.*77.STD: RUNS 4.5m (15’), STOPS & RETURNS .012377.*78.STD: KICKS BALL WITH R FOOT .012378.*79.STD: KICKS BALL WITH L FOOT .012379.*80.STD: JUMPS 30cm (12") HIGH, BOTH FEET SIMULTANEOUSLY.012380.*81.STD: JUMPS FORWARD 30 cm (12"), BOTH FEET SIMULTANEOUSLY .012381.*82.STD ON R FOOT: HOPS ON R FOOT 10 TIMES WITHIN A 60cm (24") CIRCLE .012382.*83.STD ON L FOOT: HOPS ON L FOOT 10 TIMES WITHIN A 60cm (24") CIRCLE .012383.*84.STD, HOLDING 1 RAIL: WALKS UP 4 STEPS, HOLDING 1 RAIL, ALTERNATING FEET.012384.*85.STD, HOLDING 1 RAIL: WALKS DOWN 4 STEPS, HOLDING 1 RAIL, ALTERNATING FEET .012385.*86.STD: WALKS UP 4 STEPS, ALTERNATING FEET .012386.*87.STD: WALKS DOWN 4 STEPS, ALTERNATING FEET .012387.*88.STD ON 15cm (6") STEP: JUMPS OFF, BOTH FEET SIMULTANEOUSLY .012388.TOTAL DIMENSION EWas this assessment indicative of this child’s “regular” performance?YESNOCOMMENTS: Mac Keith Press, 2002Page 4GMFM SCORE SHEET
GMFM RAW SUMMARY SCOREDIMENSIONCALCULATION OF DIMENSION % SCORESGOAL AREA(indicated withTotal Dimension A51Total Dimension B60Total Dimension C42Total Dimension D39Total Dimension E72A. Lying & RollingB. SittingC. Crawling & KneelingD. StandingE. Walking, Running &Jumping %A. 100 %B. 100 %C. 100 %D. 100 %E.60 42 39 72 5GOAL TOTAL SCORE 100 51%A %B %C %D %ETotal # of DimensionsTOTAL SCORE check)5 %Sum of % scores for each dimension identified as a goal area# of Goal areas %GMFM-66 Gross Motor Ability Estimator Score 1to95% Confidence Intervalsto95% Confidence IntervalsGMFM-66 Score previous GMFM-66 Score change in GMFM-66 1 from Mac Keith Press, 2002the Gross Motor Ability Estimator (GMAE) SoftwarePage 5GMFM SCORE SHEET
Indicate below with a check (AIDTESTING WITH AIDS/ORTHOSES) which aid/orthosis was used and what dimension it was first applied. (There may be more than one).DIMENSIONORTHOSISDIMENSIONRollator/Pusher.Hip Control.Walker.Knee Control.H Frame Crutches.Ankle-Foot Control.Crutches .Foot Control .Quad Cane .Shoes.Cane .None .None .OtherOther(please specify)(please specify)RAW SUMMARY SCORE USING AIDS/ORTHOSESDIMENSIONCALCULATION OF DIMENSION % SCORESGOAL AREA(indicated withTotal Dimension A51Total Dimension B60Total Dimension C42Total Dimension D39Total Dimension E72F. Lying & RollingG. SittingH. Crawling & KneelingI.StandingJ. Walking, Running &Jumping 100 %A. 100 %B. 100 %C. 100 %D. 100 %E.51 60 42 39 72%A %B %C %D %ETotal # of DimensionsTOTAL SCORE 5GOAL TOTAL SCORE check) 5%Sum of % scores for each dimension identified as a goal area# of Goal areas %GMFM-66 Gross Motor Ability Estimator Score 1GMFM-66 Score previous GMFM-66 Score change in GMFM-66 1 from Mac Keith Press, 2002to95% Confidence Intervalsto95% Confidence Intervalsthe Gross Motor Ability Estimator (GMAE) SoftwarePage 6GMFM SCORE SHEET
The scoring key is meant to be a general guideline. However, most of the items have specific descriptors for each score. It is imperative that the guidelines contained in the manual be used for scoring each item. SCORING KEY 0 does not initiate 1 initiates 2 partially completes 3 completes NT Not tested [used for the GMAE scoring*]
24. Russell DJ, Rosenbaum PL, Avery LM, et al. Gross Motor Function Measure (GMFM-66 and GMFM-88) Users Manual. London, England: MacKeith Press; 2002. 25. Rosenbaum PL, Walter SD, Hanna SE, et al. Prog-nosis for gross motor function in cerebral palsy: creation o
The scoring key is meant to be a general guideline. However, most of the items have specific descriptors for each score. It is imperative that the guidelines contained in the manual be used for scoring each item. SCORING KEY 0 does not initiate . GMFM-88 and 66 Score Sheet .
Gross motor skills are those that enable us to move efficiently, to negotiate our environment, to balance, to run, jump, play games and with balls and more. Gross motor skill development goes hand in hand with development of speech and fine motor skills. Good gross motor skills stem
Assessment Means Form: Gross Motor Physical/Motor Development SRI International, September 2017 Observation Prompts to Avoid: On the day of data collection, practice opportunities, modeling, instruction, and reminders of gross motor skills should only be provided after documenting a child’s level on the construct progression.
SERIES 6.25 gross torque * (190cc) 675-700 SERIES 6.75, 7.00 ft-lbs gross torque* (190cc) PROFESSIONAL SERIES 8.75 ft-lbs gross torque * (190cc) 7.75 ft-lbs gross torque * (175cc) * All power levels are stated gross torque per SAE J1940 as rated by Briggs & Stratto STARTING EASE Aft
Gas consumption is calculated using a calorific value of 38.7 MJ/m 3 (1038 Btu/ft) gross or 34.9 MJ/m3 (935 Btu/ft3) nett To obtain the gas consumption at a different calorific value: a. For l/s- divide the gross heat input (kW) by the gross C.V. of the gas (MJ/m3) b. For ft3/h - divide the gross heat input (Btu/ h) by the gross C.V. of the gas .
0 DC24V 0 No cable 2 2m (standard) 3 3m 5 5m 20 20S 20W motor 20W motor (*) 30 30W motor 10 10W motor 5 5W motor 2 2W motor (Specs for 1st axis) (Specs for 2nd axis) * When connecting an RCA-RA3 / RGS3 /RGD3 and RCA2-SA4 /TA5 , the motor type is 20S. * When connecting an RCA-RA3 / RGS3 /RGD3 and RCA2-SA4 /TA5 , the motor type is 20S .
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