The Functional Mobility Scale (FMS)

Graham, H Kerr; Harvey, Adrienne; Rodda, Jill; Nattrass, Gary; Pirpiris, Marinis

doi:10.1097/00004694-200409000-00011

Cited by 199 publications

(223 citation statements)

References 20 publications

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“…The Functional Mobility Scale (FMS) was initially described in 2004 as a useful tool to describe functional mobility in children with cerebral palsy [19]. Recently, it has also been applied to children with spina bifida [20].…”

Section: Functional Mobility Scalementioning

confidence: 99%

“…The FMS is unique because it allows quick, practical scoring of mobility over three distinct distances representing mobility in the home (5 m), at school (50 m), and in the community (500 m). In this way, it is effective for distinguishing between groups of children with varying levels of disabilities and provides a means for standardized communication between health professionals [19].…”

Section: Functional Mobility Scalementioning

confidence: 99%

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Orthopedic management of spina bifida. Part I: Hip, knee, and rotational deformities

Swaroop

Dias

2009

Journal of Children's Orthopaedics

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Children with spina bifida develop a wide variety of congenital and acquired orthopedic deformities. Among these are hip deformities such as contracture, subluxation, or dislocation. Patients may also have problems with the knee joint, such as knee flexion or extension contracture, knee valgus deformity, or late knee instability and pain. In addition, rotational deformities of the lower extremities, either internal or external torsion, are common as well. This paper will review both the overall orthopedic care of a patient with spina bifida and provide a focused review of the diagnosis and management of the above deformities. In addition, this paper will review the incidence, etiology, classification, and prognosis of spina bifida. The use of gait analysis and orthoses will be covered as well. The forthcoming Part II will cover foot and ankle deformities in spina bifida.

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Section: Functional Mobility Scalementioning

confidence: 99%

Section: Functional Mobility Scalementioning

confidence: 99%

Orthopedic management of spina bifida. Part I: Hip, knee, and rotational deformities

Swaroop

Dias

2009

Journal of Children's Orthopaedics

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“…The FMS reports the level of assistance required to ambulate over distances of 5m, 50m, and 500m. 22 It is complementary to the GMFCS, is sensitive to change after SEMLS, and can be used as an outcome measure.8 At 12 months after SEMLS, a full assessment was performed, including three-dimensional gait analysis and recording of GMFCS level and FMS. Children were then reviewed in the gait laboratory every 6 to 12 months according to clinical indications.…”

mentioning

confidence: 99%

mentioning

confidence: 99%

Stability of the Gross Motor Function Classification System after single‐event multilevel surgery in children with cerebral palsy

Rutz

Tirosh

Thomason

et al. 2012

Develop Med Child Neuro

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ABBREVIATIONS FMSFunctional Mobility Scale GPS Gait Profile Score SEMLS Single-event multilevel surgery AIM There are conflicting reports about the stability of the Gross Motor Function Classification System (GMFCS) in children with cerebral palsy (CP) after orthopaedic surgery. We studied the stability of the GMFCS in children with bilateral spastic CP after single-event multilevel surgery, using the Gait Profile Score (GPS) as the primary outcome measure.METHOD This was a retrospective cohort study of 107 children (46 females, 61 males) with bilateral spastic CP, classified as GMFCS level II or III, who underwent surgery at a single tertiary institution between 1997 and 2008. The mean age at surgery was 10 years 7 months (SD 2y 8mo). The primary outcome measure was the GPS. Changes in GMFCS level were studied at multiple time points before and after intervention.RESULTS Gait dysfunction was partially corrected, with a mean improvement of 28% in the GPS.The GMFCS remained stable and unchanged in 95% of children and improved by one level in 5% of children. The improvement in GPS was three times the minimal clinically important difference. The mean age at final postoperative GPS assessment was 11 years 10 months (SD 2y 10mo) and at final GMFCS assessment was 15 years 7 months (SD 3y 9mo).INTERPRETATION Stability of the GMFCS was confirmed in the majority of children with bilateral spastic CP after single-event multilevel surgery, despite statistically and clinically significant improvements in gait dysfunction and functional mobility. This information is important in realistic goal-setting and in counselling families.The Gross Motor Function Classification System (GMFCS) is a standardized method to classify gross motor function in children with cerebral palsy (CP) from 1 to 18 years of age. 1,2It is a five-level categorical grading system which classifies differences in gross motor function that are meaningful and significant to children with CP and their families.3 Distinctions between GMFCS levels are based on functional limitations with an emphasis on sitting and walking and the need for assistive devices and wheeled mobility. Children may be quickly and easily classified at any given time, such as during a clinic appointment or gait laboratory assessment, by determining which level best corresponds to the child's current gross motor function. A set of age-appropriate descriptive criteria are used and good correlations have been demonstrated between classifications assigned by parents and by health professionals. 1,2,4 Since the original description by Palisano et al. 1 in 1997, the GMFCS has become widely accepted, widely used, and is considered by many to be an essential tool to communicate about gross motor function in CP. 5,6The GMFCS is a valid and reliable classification tool which is expected to be relatively stable over time, with or without intervention. Palisano et al. 3 reported that 73% of 610 children with CP remained at the same GMFCS level at multiple ratings over time , and McCormick et ...

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“…O GDI foi correlacionado com faixa etária, índice de Sutherland (10) , questionário de avaliação funcional (functional assessment questionnaire) (11) e escala de mobilidade funcional (functional mobility scale) (12) , utilizando o coeficiente de correlação rho (ρ) de Spearman-Rank. …”

Section: Methodsunclassified

Avaliação de pacientes com distrofia muscular de Duchenne em laboratório computadorizado de marcha através do índice de alteração da marcha

Melanda¹,

Pauleto²,

Knaut³

et al. 2011

Rev. bras. ortop.

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The Functional Mobility Scale (FMS)

Cited by 199 publications

References 20 publications

Orthopedic management of spina bifida. Part I: Hip, knee, and rotational deformities

Orthopedic management of spina bifida. Part I: Hip, knee, and rotational deformities

Stability of the Gross Motor Function Classification System after single‐event multilevel surgery in children with cerebral palsy

Avaliação de pacientes com distrofia muscular de Duchenne em laboratório computadorizado de marcha através do índice de alteração da marcha

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