GROSS MOTOR FUNCTION MEASURE (GMFM) SCORE SHEET - GMFM-88 and GMFM-66 scoring

Sep 25, 2026

Uploaded by Putri

Gross Motor Function Measure (GMFM) score sheet for scoring gross motor function in children, with fields for child identification, assessment date, birth date, and chronological age. Includes GMFCS level, evaluator name, and testing conditions. Provides scoring key definitions for items, guidance on distinguishing true “0” from Not Tested (NT), and notes on GMFM-66 validity criteria for children with cerebral palsy. Contains item-by-item check and scoring tables across functional dimensions.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages6

Reading Time15 min

AccessFree to download

GMFM score sheet fields

GMFCS level, evaluator, and testing conditions

Scoring key and interpretation guidance

GMFM-66 scoring software notes and validity criteria

Scoring tables by dimension and item

GROSS MOTOR FUNCTION MEASURE (GMFM) SCORE SHEET (GMFM-88 and GMFM-66 scoring) Child’s Name: Assessment Date: year / month / day Date of Birth: year / month / day Chronological Age: year / month / day ID\#: GMFCS Level1: 􀂅 􀂅 􀂅 􀂅 􀂅 I II III IV V Evaluator’s Name: Testing Condition (e.g. , room, clothing, time, others present): The GMFM is a standardized observational instrument designed and validated to measure change in gross motor function over time in children with cerebral palsy. The scoring key is meant to be a general guideline. However, most of the items have specific descriptors for each score. It is imperative that the guidelines contained in the manual be used for scoring each item. SCORING KEY 0 = does not initiate 1 = initiates 2 = partially completes 3 = completes 9 (or leave blank) = not tested (NT) [used for the GMAE-2 scoring*] It is important to differentiate a true score of “0”(child does not initiate) from an item which is Not Tested (NT) if you are interested in using the GMFM-66 Ability Estimator (GMAE) Software. The most accurate version of the GMFM-66 scoring program is the GMAE-3 . It is included in the GMFM App+ which is available from the CanChild shop ([https://www.canchild.ca/en/shop](https://www.canchild.ca/en/shop)) . The GMAE-2 is available at [www.canchild.ca](www.canchild.ca) but is incompatible with newer computer operating systems. The GMFM-66 is only valid for use with children who have cerebral palsy tested without shoes, orthoses, or aides. Contact for Research Group: CanChild Centre for Childhood Disability Research, Institute for Applied Health Sciences, McMaster University, 1400 Main St. W. , Room 408, Hamilton, ON Canada L8S 1C7 Email: canchild@mcmaster.ca Website: [www.canchild.ca](www.canchild.ca) 1GMFCS level is a rating of severity of motor function. Definitions for the GMFCS-E&R (expanded & revised) are found in Palisano et al. (2008) . Developmental Medicine & Child Neurology. 50:744-750 and in the GMAE-3 scoring software. [http://motorgrowth.canchild.ca/en/GMFCS/resources/GMFCS-ER.pd](http://motorgrowth.canchild.ca/en/GMFCS/resources/GMFCS-ER.pdf)[f](http://motorgrowth.canchild.ca/en/GMFCS/resources/GMFCS-ER.pdf) | Check (􀀖) the appropriate score: if an item is not tested (NT), circle the item number on the right column | | | | | | | --- | --- | --- | --- | --- | --- | | Item | A: LYING & ROLLING | | SCORE | | NT | 1. SUP, HEAD IN MIDLINE: TURNS HEAD WITH EXTREMITIES SYMMETRICAL ................................ ... 0 􀂅 1 􀂅 2 􀂅 3 􀂅 1. * 2. SUP: BRINGS HANDS TO MIDLINE, FINGERS ONE WITH THE OTHER ................................ ................... 0 􀂅 1 􀂅 2 􀂅 3 􀂅 2. 3. SUP: LIFTS HEAD 45􀁱 ................................ ................................ ................................ ......... 0 􀂅 1 􀂅 2 􀂅 3 􀂅 3. 4. SUP: FLEXES R HIP & KNEE THROUGH FULL RANGE ................................ ................................ .... 0 􀂅 1 􀂅 2 􀂅 3 􀂅 4. 5. SUP: FLEXES L HIP & KNEE THROUGH FULL RANGE ................................ ................................ 0 􀂅 1 􀂅 2 􀂅 3 􀂅 5. * 6. SUP: REACHES OUT WITH R ARM, HAND CROSSES MIDLINE TOWARD TOY................................ .......... 0 􀂅 1 􀂅 2 􀂅 3 􀂅 6. * 7. SUP: REACHES OUT WITH L ARM, HAND CROSSES MIDLINE TOWARD TOY ................................ .......... 0 􀂅 1 􀂅 2 􀂅 3 􀂅 7. 8. SUP: ROLLS TO PR OVER R SIDE ................................ ................................ ............................ 0 􀂅 1 􀂅 2 􀂅 3 􀂅 8. 9. SUP: ROLLS TO PR OVER L SIDE ................................ ................................ ............................. 0 􀂅 1 􀂅 2 􀂅 3 􀂅 9. * 10. PR: LIFTS HEAD UPRIGHT ................................ ................................ ................................ ....... 0 􀂅 1 􀂅 2 􀂅 3 􀂅 10. 11. PR ON FOREARMS: LIFTS HEAD UPRIGHT, ELBOWS EXT. , CHEST RAISED................................ 0 􀂅 1 􀂅 2

FAQs

What is the GMFM scoring key used for?

It defines what each score means for each GMFM item (e.g., 0 does not initiate, 1 initiates, 2 partially completes, 3 completes). It also provides a code for Not Tested (NT).

How should a true score of “0” be distinguished from Not Tested (NT)?

A true score of “0” means the child does not initiate the item, while NT means the item was not tested. The sheet advises keeping them separate, especially when using the GMFM-66 Ability Estimator software.

Under what conditions is the GMFM-66 valid?

GMFM-66 is only valid for children with cerebral palsy tested without shoes, orthoses, or aides, according to the guidance on the sheet.

Sep 25, 2026

Uploaded by Putri