Protocol - Gross Motor Function - 6-12 Years Old
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 sitting on their own and controlling their head and body posture in most positions
and has difficulty achieving any voluntary control of movement
and needs a specially supportive chair to sit comfortably
and has to be lifted or hoisted by another person to move
[ ] Can sit on their own but does not stand or walk without significant support
and therefore relies mostly on wheelchair at home, school, and in the community
and often needs extra body/trunk support to improve arm and hand function
and may achieve self-mobility using a powered wheelchair
[ ] Can stand on their own and only walks using a walking aid (such as a walker, rollator, crutches, canes, etc.)
and finds it difficult to climb stairs, or walk on uneven surfaces
and may use a wheelchair when travelling for long distances or in crowds
[ ] Can walk on their own without using walking aids, but needs to hold the handrail when going up or down stairs
and often finds it difficult to walk on uneven surfaces, slopes, or in crowds
[ ] Can walk on their own without using walking aids, and can go up or down stairs without needing to hold the handrail
and walks wherever they want to go (including uneven surfaces, slopes, or in crowds)
and can run and jump although their speed, balance, and coordination may be slightly limited
© Chris Morris, 2007
Personnel and Training Required
|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
Child, aged 6-12 years old.
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, Portuguese, Romanian, Slovenian, Spanish, Swedish, Ukrainian
|caDSR 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 6-12Y proto||62782-8||LOINC|
|Human Phenotype Ontology||Abnormality of central motor function||HP:0011442||HPO|
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
Protocol Name from Source
Gross Motor Function Classification System (GMFCS), Family Report Questionnaire
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||dbGaP Mapping|
Gross Motor Function
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.
Neurology, cerebral palsy, muscular dystrophy, developmental disorders, congenital disorders, movement, rare genetic conditions
|Protocol ID||Protocol Name|
|131201||Gross Motor Function - 2-4 Years Old|
|131202||Gross Motor Function - 4-6 Years Old|
|131203||Gross Motor Function - 6-12 Years Old|
There are no publications listed for this protocol.