FMS_brochure.pdf

Examples

a) A child who walks independently

at home on all surfaces but uses

crutches in the school playground and

a wheelchair for long family walks or

school outings would be scored as:

References

1) Graham H.K., Harvey A., Rodda J.,

Nattrass G.R., Pirpiris M. (2004).

The Functional Mobility Scale (FMS).

JPO 24(5): 514–520.

FMS

2) Palisano R.J., Tieman B.L., Walter S.D.,

Bartlett D.J., Rosenbaum P.L., Russell D.,

Hanna S.E. (2003). Effect of environ-

mental setting on mobility methods

of children with cerebral palsy.

Dev. Med. Child Neurol. 45: 113–120.

6 3 1

b) A child who uses crutches indoors

at home, a walker in the playground

at school and a wheelchair to go

to the shopping centre would be

scored as:

The Functional Mobility Scale

(version 2)

3 2 1

For further information or more

copies please contact:

Hugh Williamson Gait Laboratory

The Royal Children’s Hospital

Flemington Road

Parkville, 3052

Melbourne, Australia

For children with cerebral palsy

aged 4–18 years

c) A child who walks independently on

all surfaces at home including steps

without a rail but at school and for

longer distances tend to lose balance

on uneven ground or in crowds would

be scored as:

email: gait.lab@rch.org.au

6 5 5

phone: +61 3 9345 5354

d) A child who uses a walker at home

and in physiotherapy but in all other

settings uses a wheelchair would be

scored as:

www.rch.org.au/gait

2 1 1

e) A child who walks independently

without assistive devices at home on

level ground only and uses two single

point sticks at school in the classroom

and the playground and a walker for

longer distances would be scored as:

ERC: 061076

Developed by the

Hugh Williamson Gait Laboratory

The Royal Children’s Hospital

Melbourne, Australia

Part of the Gait CCRE

www.rch.org.au/gait

5 4 2

Introduction

The Functional Mobility Scale (FMS) has

been constructed to classify functional

mobility in children, taking into account

the range of assistive devices a child

might use.

The scale can be used to classify children’s

functional mobility, document change

over time in the same child and to

document change seen following

interventions, for example orthopaedic

surgery or selective dorsal rhizotomy.

The FMS rates walking ability at

three specific distances, 5, 50 and 500

metres, (or 5, 50, 500 yards). This repre-

sents the child’s mobility in the home,

at school and in the community setting.

It therefore accounts for different

assistive devices used by the same child

in different environments.

Assessment is by the clinician on the basis

of questions asked of the child/parent

(not direct observation). The walking

ability of the child is rated at each of the

three distances according to the need

for assistive devices such as crutches,

walkers or wheelchair. Orthotics which

are regularly used should be included

for the rating.

The FMS is a performance measure.

It is important to rate what the child

actually does at this point in time,

not what they can do or used to

be able to do .

Rating

Questions

To obtain answers that reflect perform-

ance, the manner in which the questions

are asked of the child/parent is impor-

tant. The questions we use to obtain

the appropriate responses are:

1. How does your child move around

for short distances in the house? (5m)

Independent on all surfaces:

Does not use any walking aids

or need any help from another

person when walking over all

surfaces including uneven ground,

curbs etc. and in a crowded

environment.

Uses crutches:

Without help from another person.

2. How does your child move around

in and between classes at school? (50m)

Rating

3. How does your child move around

for long distances such as at the

shopping centre? (500m)

The distances are a guide. It is the

environment that is most relevant.

Independent on level surfaces:

Does not use walking aids or need help from

another person.* Requires a rail for stairs.

*If uses furniture, walls, fences, shop fronts for support,

please use 4 as the appropriate description.

Uses a walker or frame:

Without help from another person.

Qualifiers

The difference between 1–4 is self-

explanatory, however the difference

between 5 and 6 is less clear.

5 metres: children who require a rail for

stairs would be rated as 5 and children

who do not require a rail or help would

be rated as 6.

50 metres: children who can walk on all

surfaces including uneven surfaces and

steps, particularly at school are rated as

6 and children that require help on these

surfaces but can walk on level surfaces

without help are rated as 5.

500 metres: children who can walk

on all surfaces including rough ground,

curbs, steps and in crowded environ-

ments in the community without help

are rated as 6 and children who walk

long distances only on level surfaces

and have difficulty walking in crowds

are rated as 5.

Rating

Uses sticks (one or two):

Without help from another person.

Uses wheelchair:

May stand for transfers, may

do some stepping supported by

another person or using a

walker/frame.

Rating: select the number

(from 1–6) which best

describes current function

Rating

C Crawling:

Walking distance

Child crawls for mobility at home (5m).

5 metres (yards)

Rating

N N = does not apply:

Developed by the Hugh Williamson Gait Laboratory,

The Royal Children’s Hospital, Melbourne, Australia.

Part of the Gait CCRE.

www.rch.org.au/gait

50 metres (yards)

For example child does not complete

the distance (500 m).

500 metres (yards)

Plik z chomika:

Inne pliki z tego folderu:

Inne foldery tego chomika: