GMFMGross Motor Function Measure
GMFMGauss-Markov Fading Model
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Embora a escala do GMFM ja apresente seus resultados em forma de percentual, para este estudo foi utilizado a variacao percentual em relacao a condicao inicial (avaliacao final- avaliacao inicial), uma vez que os grupos partiam de valores medios distintos no momento pre-tratamento.
Pattern of GMFM of children with cerebral palsy according to level of severity as determined by GMFCS GMFCS, n (%) Variables Level I Level II Level III Level IV GMFM 0-20.9 49 0 (0) 0 (0) 0 (0) 2 (4.1) 21-40.9 51 0 (0) 0 (0) 0 (0) 17 (33.3) 41-60.9 31 0 (0) 8 (25.8) 10 (32.3) 10 (32.3) 61-80.9 21 1 (4.8) 18 (85.7) 1 (4.8) 1 (4.8) 81-100 35 21 (60) 14 (40) 0 (0) 0 (0) Total 187 22 40 11 30 GMFCS, n (%) Variables Level V [chi square] p-value GMFM 0-20.9 49 47 (95.9) 291.82 0.002 21-40.9 51 34 (66.7) 41-60.9 31 3 (9.7) 61-80.9 21 0 (0) 81-100 35 0 (0) Total 187 84 GMFM = gross motor function measure; GMFCS = gross motor function classification system.
The GMFM measures the child's overall functional abilities and consists of 88 items, divided into the following sections: (1) lying and rolling, (2) sitting, (3) crawling and kneeling, (4) standing, and (5) walking, running, and jumping.
During the second examination of GMFM test, our case got a full score from lying and rolling and sitting sections, all the activities of which she was able to perform independently.
Notably, one study [42] had mixed findings, observing remarkable enhancements on several variables (i.e., single leg stance test, right grip strength, and left grip strength), with no significant effects found for other outcomes after a Nintendo Wii Sports-based treatments (twice a week x 30 minutes per session for 10 weeks), including gait speed, timed up and go test, five-times-sit-to-stand test, timed up and down stairs test, 2-minute walk test, and gross motor skills assessed by the Gross Motor Function Measure (GMFM).
Ability Outcome Reference assessed * measure ([dagger]) AT * Cerebral Palsy Ahlborg et Gait 6-min walk (min) 8 weeks al.(2006) (3d/w) Bal & Mob TUG (s) Mot Imp GMFM (%) Strength CPT 30[degrees] (Nm) EPT 30[degrees] (Nm) Spasticity MAS Knee Fx (score) MAS Knee Xt (score) Multiple Sclerosis Broekmans Bal & Mob 2-min walk (min) 20 weeks et al.(2010) (5d/2w) TUG (s) T-25-fWT (s) Strength IMPT (Nm) IKPT 60[degrees] (Nm) Endurance IKPT 180[degrees]/ s (J) Schyns et Gait 10m walk (m/s) 8 weeks al.
Brien and her colleagues used the CB&M, the 6MWT, the Timed Up and Down Stairs (TUDS) test, and the Gross Motor Function Measure (GMFM)--Dimension E.
It was an article that reviewed the development of [hyperbarics] in cerebral palsy, but secondly, it gathered all the studies that have been published thus far [on hyperbaric oxygen therapy in CP] and looked at those studies that reported an improvement in gross motor functional measures (GMFM), which is a standard test for children with cerebral palsy.
Gross motor function was assessed using the GMFM (Gross Motor Functional Measure), (25) a standardized tool that is considered the most reliable and objective way to measure gross motor function in children.
Results following treatment were an average of 5.3% improvement in GMFM and a notable absence of complications or clinical deterioration in any of the children.
Methods: Forty-one adolescent students with physical disabilities who attended a unit attached to a large secondary school were assessed at the beginning and end of a school year, using the Gross Motor Function Measure (GMFM).