FRCS Paediatric Ortho — improved notes
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102. GMFCS (Gross Motor Function classification score)

visual-inline rebuild1 extracted figuresspeaker notes XML20 study lines3 Q&A

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Clean FRCS notes with inline figures

GMFCS (Gross Motor Function classification score)

Classification / diagram
Fig 1. Classification / diagramtop left
•Level 1: No restriction in walking, limited in advanced motor skills
•Level 2: No aids, some limitation in outdoors or community
•Level 3: Needs assistive aids, limitation outdoors or community
•Level 4: self mobility with limitation, need transport or powered mobility outdoors or community
•Level 5: Self mobility severely limited even with use of assistive technology
•Most predictive factor of being a walker is independent sitting at 2 y.o
•Non-ambulator
•Goal: good sitting balance, forward gaze, use UL for feeding
•Spine: straight, shoulder and pelvis level
•Hip: located stable pain free good ROM
•Knee: mobile, flexed for sitting, extend in brace for transfer
•Foot: plantigrade for standing
•Ambulator (Gage principle)
•1. Stability in stance
•2. Good clearance in swing
•3. Preposition of foot (end of swing)
•4. Adequate step length
•5. Energy conservation

Direct Q&A

Q1 What diagnostic or radiographic findings support GMFCS (Gross Motor Function classification score)?

GMFCS (Gross Motor Function classification score)

•Level 1: No restriction in walking, limited in advanced motor skills
•Level 2: No aids, some limitation in outdoors or community
•Level 3: Needs assistive aids, limitation outdoors or community
•Level 4: self mobility with limitation, need transport or powered mobility outdoors or community
•Level 5: Self mobility severely limited even with use of assistive technology
•Most predictive factor of being a walker is independent sitting at 2 y.o
•Non-ambulator
•Goal: good sitting balance, forward gaze, use UL for feeding
Q2 How is GMFCS (Gross Motor Function classification score) classified here?
•Level 1: No restriction in walking, limited in advanced motor skills
•Level 2: No aids, some limitation in outdoors or community
•Level 3: Needs assistive aids, limitation outdoors or community
•Level 4: self mobility with limitation, need transport or powered mobility outdoors or community
•Level 5: Self mobility severely limited even with use of assistive technology
•Most predictive factor of being a walker is independent sitting at 2 y.o
Q3 How is GMFCS (Gross Motor Function classification score) managed?

GMFCS (Gross Motor Function classification score)

•Level 1: No restriction in walking, limited in advanced motor skills
•Level 2: No aids, some limitation in outdoors or community
•Level 3: Needs assistive aids, limitation outdoors or community
•Level 4: self mobility with limitation, need transport or powered mobility outdoors or community
•Level 5: Self mobility severely limited even with use of assistive technology
•Most predictive factor of being a walker is independent sitting at 2 y.o
•Non-ambulator
•Goal: good sitting balance, forward gaze, use UL for feeding
•Spine: straight, shoulder and pelvis level
•Hip: located stable pain free good ROM
•Knee: mobile, flexed for sitting, extend in brace for transfer
•Foot: plantigrade for standing
•Ambulator (Gage principle)
•1. Stability in stance

Raw speaker-note hierarchy audit

#lvlmarLindentlogicaloriginal note line
10NoneNone0GMFCS (Gross Motor Function classification score)
20609600-6096002Level 1: No restriction in walking, limited in advanced motor skills
30609600-6096002Level 2: No aids, some limitation in outdoors or community
40609600-6096002Level 3: Needs assistive aids, limitation outdoors or community
50609600-6096002Level 4: self mobility with limitation, need transport or powered mobility outdoors or community
60609600-6096002Level 5: Self mobility severely limited even with use of assistive technology
70NoneNone0Most predictive factor of being a walker is independent sitting at 2 y.o
80NoneNone0————————————————-
90NoneNone0Non-ambulator
100NoneNone0Goal: good sitting balance, forward gaze, use UL for feeding
110171450-1714501Spine: straight, shoulder and pelvis level
120171450-1714501Hip: located stable pain free good ROM
130171450-1714501Knee: mobile, flexed for sitting, extend in brace for transfer
140171450-1714501Foot: plantigrade for standing
150NoneNone0Ambulator (Gage principle)
160NoneNone01. Stability in stance
170NoneNone02. Good clearance in swing
180NoneNone03. Preposition of foot (end of swing)
190NoneNone04. Adequate step length
200NoneNone05. Energy conservation

Improved semantic hierarchy used for the study notes

#semantic levelsection?rewritten line
10yesGMFCS (Gross Motor Function classification score)
22Level 1: No restriction in walking, limited in advanced motor skills
32Level 2: No aids, some limitation in outdoors or community
42Level 3: Needs assistive aids, limitation outdoors or community
52Level 4: self mobility with limitation, need transport or powered mobility outdoors or community
62Level 5: Self mobility severely limited even with use of assistive technology
71Most predictive factor of being a walker is independent sitting at 2 y.o
80——
91Non-ambulator
101Goal: good sitting balance, forward gaze, use UL for feeding
111Spine: straight, shoulder and pelvis level
121Hip: located stable pain free good ROM
131Knee: mobile, flexed for sitting, extend in brace for transfer
141Foot: plantigrade for standing
151Ambulator (Gage principle)
1611. Stability in stance
1712. Good clearance in swing
1813. Preposition of foot (end of swing)
1914. Adequate step length
2015. Energy conservation
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