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GMFCS Flashcards

1
Q

Before 2nd birthday:

Level I

A
  • move in and out of sitting and floor sit with both hands free to manipulate objects
  • crawl on hands and knees
  • pull to stand
  • take steps holding onto furniture
  • Walk between 18 mo - 2 years without AD
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2
Q

Before 2nd birthday:

Level II

A
  • maintain floor sitting but may need to use their hands to support to maintain balance
  • creep on stomach
  • crawl on hands and knees
  • pull to stand and take steps holding furniture
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3
Q

Before 2nd birthday:

Level III

A
  • maintain floor sitting when low back supported

- roll and creed on stomachs

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4
Q

Before 2nd birthday:

Level IV

A
  • have head control
  • trunk support required for floor sitting
  • roll to supine
  • may roll prone
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5
Q

Before 2nd birthday:

Level V

A
  • physical impairments limit voluntary control of movement
  • unable to maintain antigravity head/trunk postures in prone+sitting
  • Require adult assistance to roll
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6
Q

Between 2nd and 4th birthday:

Level I

A
  • sit w/both hands free to manipulate objects
  • movements in and out of floor sitting/standing w/o adult assistance
  • walk as preferred mobility w/o AD
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7
Q

Between 2nd and 4th birthday:

Level II

A
  • sit but may have difficulty balancing when hands are free/manipulating objects
  • movements in/out of sitting w/o adult assistance
  • pull to stand on stable surface
  • crawl on hands+knees w/reciprocal patter
  • cruise holding onto furniture
  • walk using AD for preferred mobility
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8
Q

Between 2nd and 4th birthday:

Level III

A
  • maintain sitting w/W sit.
  • may require adult assistance to assume sitting
  • creep on stomach or crawl on hands/knees
  • pull to stand on stable surface
  • cruise short distances
  • walk short distances indoors w/AD and adult assistance steering
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9
Q

Between 2nd and 4th birthday:

Level IV

A
  • sit on chair w/adaptive seating for trunk control and max hand function
  • move in/out of chair sitting w/assistance from adult or stable surface to push/pull
  • best walk short distances w/walker and adult supervision.
  • difficult turning/maintaining balance on uneven surfaces
  • transported in the community
  • may achieve self-mobility w/WC
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10
Q

Between 2nd and 4th birthday:

Level IV

A
  • sit on chair w/adaptive seating for trunk control and max hand function
  • move in/out of chair sitting w/assistance from adult or stable surface to push/pull
  • best walk short distances w/walker and adult supervision.
  • difficult turning/maintaining balance on uneven surfaces
  • transported in the community
  • may achieve self-mobility w/power WC
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11
Q

Between 2nd and 4th birthday:

Level V

A
  • restricted voluntary movement and ability to maintain antigravity head/trunk
  • all areas of motor function limited
  • functional limitations not fully compensated for w/ AD
  • have no means of independent mobility.
  • self mobility w/power WC with extensive adaptations
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12
Q

Between 4th and 6th birthday:

Level I

A
  • get into and out of a chair w/o hand support
  • move from floor and chair to standing without objects for support
  • walk indoors/outdoors
  • climbs stairs
  • emerging ability to run and jump
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13
Q

Between 4th and 6th birthday:

Level II

A
  • sit in chair with both hands free to manipulate objects
  • move from floor to standing and chair sitting to standing using stable surface to push/pull
  • walk w/o AD indoors or short distances outdoors.
  • stairs with railing
  • unable to run or jump
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14
Q

Between 4th and 6th birthday:

Level III

A
  • sit on regular chair but may require pelvic or trunk support to maximize hand function
  • move in and out of chair sitting using stable surface to push/pull
  • walk with AD on level surfaces
  • climb stairs w/adult assistance
  • frequently transported long distances or outdoors on uneven terrain
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15
Q

Between 4th and 6th birthday:

Level IV

A
  • sit on a chair but need adaptive seating for trunk control/hand function
  • move in and out of chair w/adult assistance or stable surface to push/pull
  • walk short distances w/walker and adult supervision
  • difficulty turning and maintaining balance on uneven surfaces
  • transported in community
  • self mobility w/ power WC
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16
Q

Between 4th and 6th birthday:

Level V

A
  • physical impairments restrict voluntary control of movement and ability to maintain antigravity head/trunk postures
  • all areas of motor function limited
  • functional limitations not fully compensated w/AD
  • no means of independent transport
  • self mobility using power WC w/extensive adaptations
17
Q

Between 6th and 12th birthday:

Level I

A
  • walk indoors and outdoors
  • climbs stairs
  • perform gross motor skills ( running, jumping)
  • speed, balance, and coordination reduced
18
Q

Between 6th and 12th birthday:

Level II

A
  • walk indoors/outdoors and clmib stairs w/railing
  • limitations on uneven surfaces, inclines, and crowds
  • minimal (at best) ability to perform gross motor skills (running, jumping)
19
Q

Between 6th and 12th birthday:

Level III

A
  • walk indoors or outdoors on level surface w/AD
  • may climb stairs holding onto a railing
  • manual WC depending on UE function. Transported after tired, uneven terrain, etc
20
Q

Between 6th and 12th birthday:

Level I

A
  • may maintain levels of function achieved before 8 y.o.
20
Q

Between 6th and 12th birthday:

Level I

A
  • may maintain levels of function achieved before 8 y.o.
  • may rely on more wheeled mobility and at home, school, and community
  • may achieve self mobility w/power wheelchair
21
Q

Between 6th and 12th birthday:

Level V

A
  • physical impairments restrict voluntary control of movement
  • impairments limit ability to maintain antigravity head/trunk postures
  • all areas of motor function limited
  • functional limitations not fully compensated w/AD
  • no means of independent transport
  • some self mobility using power WC w/extensive adaptations
22
Q

Distinctions between levels I and II

A

Compared to I’s, II’s have limitations in:

  • ease of performing movement transitions
  • walking outdoors and in community
  • need for AD when beginning to walk
  • quality of movement
  • ability to perform gross motor skills
23
Q

Distinctions between levels II and III

A
  • degree of achievement of functional mobility
  • III need AD and frequently orthosis to walk
  • II don’t require AD after 4 y.o
24
Q

Distinctions between level III and IV

A
  • differences in sitting ability and mobility
  • III: sit independently, have independent floor mobility, and walk w/AD
  • IV: function in sitting, but independent mobility limited. More likely to be transported or use PWC
25
Q

Differences between level IV and V

A

Level V:

  • lack independence in basic antigravity postural control
  • self mobility achieved only if child can learn how to operate electrically powered WC

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