scholarly journals Improved Scaling of the Gross Motor Function Measure for Children With Cerebral Palsy: Evidence of Reliability and Validity

2000 ◽  
Vol 80 (9) ◽  
pp. 873-885 ◽  
Author(s):  
Dianne J Russell ◽  
Lisa M Avery ◽  
Peter L Rosenbaum ◽  
Parminder S Raina ◽  
Stephen D Walter ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Intraclass Correlation ◽  
Gross Motor ◽  
Retest Reliability ◽  
Gross Motor Function ◽  
Gross Motor Function Measure ◽  
Children With Cerebral Palsy ◽  
Test Retest Reliability ◽  
Function Measure

Abstract Background and Purpose. This study examined the reliability, validity, and responsiveness to change of measurements obtained with a 66-item version of the Gross Motor Function Measure (GMFM-66) developed using Rasch analysis. Subjects and Methods. The validity of measurements obtained with the GMFM-66 was assessed by examining the hierarchy of items and the GMFM-66 scores for different groups of children from a stratified random community-based sample of 537 children with cerebral palsy (CP). A subset of 228 children who had been reassessed at 12 months was used to test the hypothesis that children who are young (<5 years of age) and have “mild” CP will demonstrate greater change in GMFM-66 scores than children who are older (≥5 years of age) and whose CP is more severe. Data from an additional 19 children with CP who were assessed twice, one week apart, were used to examine test-retest reliability. Results. The overall changes in GMFM-66 scores over 12 months and a time × severity × age interaction supported our hypotheses. Test-retest reliability was high (intraclass correlation coefficient=.99). Conclusion and Discussion. This study demonstrated that the GMFM-66 has good psychometric properties. By providing a hierarchical structure and interval scaling, the GMFM-66 can provide a better understanding of motor development for children with CP than the 88 item GMFM and can improve the scoring and interpretation of data obtained with the GMFM.

Test-Retest Reliability of the Gross Motor Function Measure in Children with Cerebral Palsy

1998 ◽  
Vol 18 (2) ◽  
pp. 51-61 ◽  
Author(s):  
Kristie F. Bjornson ◽  
Catherine S. Graubert ◽  
John F. McLaughlin ◽  
Cheryl I. Kerfeld ◽  
Elaine M. Clark
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Gross Motor ◽  
Retest Reliability ◽  
Gross Motor Function ◽  
Gross Motor Function Measure ◽  
Children With Cerebral Palsy ◽  
Test Retest Reliability ◽  
Function Measure

scholarly journals Reliability and Responsiveness of the Gross Motor Function Measure-88 in Children With Cerebral Palsy

2013 ◽  
Vol 93 (3) ◽  
pp. 393-400 ◽  
Author(s):  
Jooyeon Ko ◽  
MinYoung Kim
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Intraclass Correlation ◽  
Gross Motor ◽  
Relative Reliability ◽  
Gross Motor Function ◽  
Gross Motor Function Measure ◽  
Children With Cerebral Palsy ◽  
The Absolute ◽  
Function Measure

BackgroundThe Gross Motor Function Measure (GMFM-88) is commonly used in the evaluation of gross motor function in children with cerebral palsy (CP). The relative reliability of GMFM-88 has been assessed in children with CP. However, little information is available regarding the absolute reliability or responsiveness of GMFM-88.ObjectiveThe purpose of this study was to determine the absolute and relative reliability and the responsiveness of the GMFM-88 in evaluating gross motor function in children with CP.DesignA clinical measurement design was used.MethodsTen raters scored the GMFM-88 in 84 children (mean age=3.7 years, SD=1.9, range=10 months to 9 years 9 months) from video records across all Gross Motor Function Classification System (GMFCS) levels to establish interrater reliability. Two raters participated to assess intrarater reliability. Responsiveness was determined from 3 additional assessments after the baseline assessment. The interrater and intrarater intraclass correlation coefficients (ICCs) with 95% confidence intervals, standard error of measurement (SEM), smallest real difference (SRD), effect size (ES), and standardized response mean (SRM) were calculated.ResultsThe relative reliability of the GMFM was excellent (ICCs=.952–1.000). The SEM and SRD for total score of the GMFM were acceptable (1.60 and 3.14, respectively). Additionally, the ES and SRM of the dimension goal scores increased gradually in the 3 follow-up assessments (GMFCS levels I and II: ES=0.5, 0.6, and 0.8 and SRM=1.3, 1.8, and 2.0; GMFCS levels III–V: ES=0.4, 0.7, and 0.9 and SRM=1.5, 1.7, and 2.0).LimitationsChildren over 10 years of age with CP were not included in this study, so the results should not be generalized to all children with CP.ConclusionsBoth the reliability and the responsiveness of the GMFM-88 are reasonable for measuring gross motor function in children with CP.

scholarly journals Efeitos da prática do suporte de peso corporal em crianças com paralisia cerebral: uma série de casos

2018 ◽  
Vol 8 (3) ◽  
pp. 397-403 ◽  
Author(s):  
Geison Sebastião Reitz ◽  
Milena Julia Chirolli ◽  
Letícia Carolina Gantzel ◽  
Beatriz Schmidt Lunardelli ◽  
Suzana Matheus Pereira ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Motor Performance ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Gross Motor Function Measure ◽  
Children With Cerebral Palsy ◽  
Function Measure

INTRODUÇÃO: A paralisia cerebral (PC) é a causa mais comum de incapacidade motora na infância. Essa lesão cerebral pode resultar em comprometimentos neuromotores variados que, geralmente, estão associados à gravidade da sequela e a idade da criança. OBJETIVO: Avaliar a influência do Suporte de Peso Corporal (SPC) sobre a função motora e flexibilidade de crianças com paralisia cerebral. MÉTODO: Participaram do estudo sete crianças que não apresentavam o padrão de marcha, GMFCS nível IV e V, onde foi realizada a identificação do desempenho da função motora grossa por meio da Gross Motor Function Measure (GMFM), da flexibilidade por meio do teste Flexiteste,e do número de passos e distância percorrida antes e após um ano de tratamento com SPC em esteira ergométrica. Tendo assistência de dois terapeutas que auxiliavam em pontos chaves de joelho e tornozelo simulando o padrão de marcha da criança. As sessões foram realizadas uma vez por semana, durante 30 minutos. RESULTADO: O GMFM apresentou aumento das pontuações obtidas antes e após o tratamento, onde os itens deitar e rolar teve aumento de 14,09%, sentar teve aumento de 10,43%, engatinhar e ajoelhar teve, aumento de 7,27%, e por fim, o item em pé teve aumento de 8,10%. A variável flexibilidade apresentou diferença antes e após o tratamento, obtendo como flexibilidade inicial pequena e final médio negativa, com aumento de 7,85 pontos. Já o número de passos teve aumento de 175 passos e a distância percorrida de 132 metros CONCLUSÃO: The proposed SPC therapy in children with cerebral palsy proved to be efficient and could enhance motor performance, flexibility, number of steps and distance traveled.

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