Gross Motor Classification System

Question 1

GMFCS Level I

Answer 1

• Walk at home, school, outdoors and the community
• Able to climb curbs or stairs without physical assistance or use of a railing
• May perform gross motor skills such as running and jumping, but speed, balance and coordination are limited

Question 2

GMFCS Level II

Answer 2

• Walk in most settings but environmental factors and personal choice influence choices of mobility
• May require handheld mobility device for safety at school or work
• Climb stairs utilizing railing
• May utilize wheeled mobility when traveling long distances oputdoors or in the community

Question 3

GMFCS Level III

Answer 3

• Capable of walking using a handheld mobility device
• May climb stairs holding on to a railing with supervision or assistance
• May self propel a wheelchair or use powered mobility (at school)
• While outdoors or in communtiy, are transported in a wheelchair or use powered mobility

Question 4

GMFCS Level IV

Answer 4

• Youth use wheeled mobility in moth settings
• Physical assistance of 1-2 reqiored for transfers
• May walk indoors for short distances with physical assistance, use wheeled mobility or a body support walker when positioned
• May operate a powered chair, otherwise transported in a manual chair

Question 5

GMFCS Level V

Answer 5

• Youth are transported in a wheelchair in all settings
• Youth are limited in their ability to maintain antigravity head and trunk postures and control leg and arm movements
• Self mobility isseverely limited, even with the use of assistive technology