Module 2: Movement
Level of Motor Function
The Gross Motor Function Classification System (GMFCS) was developed by CanChild in Ontario and is now internationally recognized as a standardized way of describing the level of gross motor function in cerebral palsy. This has replaced the older descriptive terms like mild, moderate, and severe.
This five-level scale is based on gross motor abilities of children ages 2 to 18 with particular emphasis on sitting, walking, and wheeled mobility. This terminology is now common in medical and therapy reports.| GMFCS Level | Description |
|---|---|
| Level I | Children walk without restrictions but can be limited in more advanced motor skills like running and jumping |
| Level II | Children walk on level ground for shorter distances without assistance and may use hand-held walking aids or railings |
| Level II | Children use hand-held mobility devices and may use a wheelchair for longer distances |
| Level IV | Children use a wheelchair most of the time |
| Level V | Children have limited movement even with the use of assistive technology |
Opportunity for Practice: The Challenge of Everyday Tasks
Try this exercise so you can develop an understanding of how challenging and tiring it can be to do everyday tasks.
- Slouch in your chair with your bottom at the edge of your seat and keep your hips and knees straight
- Stiffen and cross your legs
- Now bend your elbows up, curl your wrists down, and tuck your thumbs inside your fists
- Now lean a bit to one side
- Hold this position, and try to reach for something on the table in front of you
Reflect on the experience and think about how challenging and tiring it can be to do everyday tasks. How might this impact your body in the long term?
