Gmfm Manual Pdf

2021年2月11日
Download here: http://gg.gg/o9pgg
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*Gmfm Manual Pdf
*Instruction Manual
*Gmfm 88 Scoring
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This book is the updated, revised, and extended version of the User’s Manual of the GMFM (GMFM‐66 and GMFM‐88) published in 2002. The GMFM is a widely used and well established instrument to measure changes in gross motor function of children with cerebral palsy (CP). This book is the updated, revised, and extended version of the User’s Manual of the GMFM (GMFM‐66 and GMFM‐88) published in 2002. The GMFM is a widely used and well established instrument to measure changes in gross motor function of children with cerebral palsy (CP). Most recent edition of the Gross Motor Function Measure (GMFM). This second edition has been long awaited. It is very welcome and does not disappoint. This book is the updated, revised, and extended version of the User’s Manual of the GMFM (GMFM-66 and GMFM-88) published in 2002. The GMFM is a widely used and well established instrument to.
{{url:https://canchild.ca/en/resources/322-gmfm-other; title:GMFM Other}}Gmfm Manual Pdf
The Gross Motor Function Measure (GMFM) is an assessment tool designed and evaluated to measure changes in gross motor function over time or with intervention in children with cerebral palsy. It was first developed in the late 1980s for use in both clinical and research settings and has evolved through advanced analytic techniques and in response to requests for more efficient testing. The GMFM user’s manual is available for purchase at the Mac Keith Press website. The GMFM-88 and GMFM-66
There are two versions of the GMFM. The GMFM-88 is the original 88-item measure. Items span the spectrum of gross motor activities in five dimensions.
A: Lying and Rolling,
B: Sitting,
C: Crawling and Kneeling,
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D: Standing, and
E: Walking, Running and Jumping.
The GMFM-66 is a 66 item subset of the original 88 items identified through Rasch analysis to best describe the gross motor function of children with cerebral palsy of varying abilities. It has a unidimensional scale providing interval scaling rather than the ordinal scaling of the GMFM-88. Items are ordered in terms of difficulty and a unit of change has the same meaning throughout the scale ranging from 0 to 100. The GMFM-66 provides information on the level of difficulty of each item thereby providing information to assist with realistic goal setting.Abbreviated Versions of the GMFM-66Instruction Manual
Two abbreviated versions of the GMFM-66 have been developed to facilitate the best choice of test items.
The Item Set version uses an algorithm with three decision items to determine which one of the four items sets is most appropriate for a child’s level of functioning.
The Basal & Ceiling version uses guidelines based on Gross Motor Function Classification System levels and age to determine suggested points at which to begin testing. A basal level is established when three consecutive items based on difficulty order are scored as 3. Testing continues in order of difficulty until three consecutive items are scored as 0, establishing the ceiling. A minimum of 15 items must be scored.
Both versions are reliable and valid, however, the item set version is preferable for children with unilateral cerebral palsy.Gmfm 88 ScoringChoosing between the GMFM-88 and GMFM-66
The choice of which GMFM version to use depends on the purpose of the assessment. The GMFM-88 provides more descriptive information about motor function for very young children or children with more complex motor disability such as those functioning in GMFCS level V as it has more items that describe early motor skills.
The GMFM-88 should be used if the evaluation of children using ambulatory aids and/or orthoses or shoes is of interest as the GMFM-66 scores are based on barefoot testing. The GMFM-88 also allows testing of one or more specific dimensions.
The GMFM-66 takes less time to administer compared to the GMFM-88 and it does not require all items to be assessed to get an accurate estimate of a child’s score. To document within-child change over time or to compare patterns of change among children, the GMFM-66 provides a more meaningful assessment of change because the items are ordered by level of difficulty. Furthermore, change over and above measurement error is easily determined by examining the extent of overlap of the 95% confidence intervals produced by the GMAE.Use of the GMFM in other populations
The validation sample for the original GMFM included children 5 months to 16 years of age. The items are appropriate for those with motor skills at or below those of a 5-year-old child without any motor disability. Currently, there are no published references of use of the GMFM in adult populations however research is currently underway.
The GMFM-88 samples motor skills that are typical of normal developmental milestones and therefore may be useful for other diagnostic populations. Reliability and validity should be established prior to using it in other groups. There is some evidence for its use in children with Down syndrome, traumatic brain injury, spinal muscular atrophy, osteogenesis imperfecta, hereditary spastic paresis, and acute lymphoblastic leukemia.Testing Children with Down syndrome
The GMFM-88 is valid for use in children with Down syndrome. Specific guidelines are available in the GMFM manual. For example, some items can be scored automatically.Time to administer
Administering the GMFM-88 takes approximately 45 t0 60 minutes for someone familiar with the measure. Time will vary depending on the ability level of the child and the child’s level of cooperation and understanding. The GMFM-66 should take less time to administer as there are fewer items and allows for not-tested items. The abbreviated versions, the Item Set and Basal & Ceiling methods, take approximately 20 to 30 minutes to administer.
It is possible to obtain a GMFM-66 score without testing all the items. This reduces the testing burden on children, families, and therapists. Research has shown that a score can be obtained with as few as 13 items. Although it is tempting to assess the minimum number of items, the agreement between the true score and estimated score increases with the number of items tested. Children should be encouraged to attempt as many items as possible to ensure the most accurate score is achieved. If a subset of items is administered, it is important to test items around the child’s current ability level where there is variation in scores of 0, 1, 2, and 3. For example, if a child is scoring all ‘0’s or all ‘3’s on the items tested, there will not be enough information about the child’s abilities and limitations to determine a good estimate of their ability.Qualifications to administer and score the GMFM
The GMFM was designed for use by pediatric therapists who are familiar with assessing motor skills in children and children with cerebral palsy. Users should familiarize themselves with the GMFM administration and scoring guidelines and the score sheets prior to assessing children. A GMFM Training Video is available from the CanChild store (link to store coming soon).
It may be helpful to practice on several children with and without motor disabilities prior to using it for clinical or research assessments. It is recommended that users assess their reliability with other therapists familiar with the measure to point out inconsistencies requiring clarification prior to using it.Equipment and Space
The required equipment is available in most physiotherapy facilities e.g. mats, benches, toys. Details are included in the GMFM Manual. Access to stairs with at least five steps is required if testing stair items.
The GMFM should be administered in an environment that is comfortable for the child and large enough to allow children to move freely. Space for a 4.5 meter run is necessary for the running item. The floor should have a smooth, firm surface.
There are no specific guidelines for use in home or community settings. Any modification to testing in these environments should be as close as possible to the recommended equipment and space. Any differences should be documented to ensure consistency for measuring change over time.Frequency of Administration
There are no specific guidelines about frequency of administration. Considerations include, but are not limited to the following:
*Age (consider more frequent evaluations for younger children).
*Type and intensity of intervention over a specified period of time (pre- and post- evaluations around interventions that are expected to make a difference).

* Estimated amount of time that the child will required to learn a gross motor skill(s).
*Concurrent health status (evaluation around the time the child experiences other health concerns to establish to establish the impact on gross motor function).
*A facility’s administrative requirement for regular evaluation or lack of resources to provide regular evaluation.
6. Responsiveness of the GMFM-66 (Overall, the responsiveness of the GMFM-66 has been shown to be similar to that of the GMFM-88 over 6 and 12 months, however the GMFM-66 is more sensitive to change at the extremes of the scale (i.e. for those children scoring very low and those scoring very high) and probably less than the GMFM-88 for those children functioning in the middle of the scale.
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