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MAS 0
Full ROM, no resistance
MAS 1
Catch and release
MAS 1+
Catch and resistance throughout remainder of ROM
MAS 2
Marked increase in tone throughout most of ROM
MAS 3
Considerable increase in tone, PROM difficult
MAS 4
Rigid in flexion or extension
GMFCS 1
Independent walking, running, stairs, jumping
GMFCS 2
Difficulty walking long distances or on uneven terrain. Stairs with bannisters. Minimal ability to run and jump.
GMFCS 3
Walks with aid indoors. Stairs with SO1 or AO1. Wheelchair for longer distance, may self propel short distances
GMFCS 4
Walks with aid and assistance indoors short distances. Outdoors is pushed or powered wheelchair.
GMFCS 5
Transported in a wheelchair always. Minimal ability to maintain antigravity head and trunk positions
GMFCS
Gross motor function classification scale. Used to classify CP patients.
Generally children over 5 will not improve their score.
GMFM
Gross motor function measure, observational outcome measure evaluating gross motor function in patients with CP, aged 5/12 - 16 years. Two versions, GMFM-88 (original) and GMFM-66.
GMFM scoring
The scoring system is divided into five categories. 1 - Lying and rolling 2 - Sitting 3 - Crawling and kneeling 4 - Standing 5 - Walking and running
Spasticity treatment options
Orthopaedic surgery e.g. VDRO (varus derotation osteotomy),
Baclofen
Intrathecal baclofen pumps
Splints/orthotics
Botox
Physio (focusing on function, strengthening, postural Mx)
SDR