COSMIN database

Functional motor abilities of children with cerebral palsy: a systematic literature review of assessment measures

Ketelaar, M., Vermeer, A., and Helders, P. J.
OBJECTIVE: To provide an overview of functional assessment measures for children with cerebral palsy, supporting the selection of measures and the interpretation of results from measures.

METHODS: Instruments were selected on the basis of a literature search of the Medline, Sportdisk and PsychLIT databases.

ISSUES REVIEWED: Instruments were reviewed with respect to target group, purpose, nature, type and psychometric properties.

RESULTS: In the literature 17 instruments that are used in paediatric rehabilitation and paediatric physical therapy to assess the functional motor abilities of children with cerebral palsy were found. While there is an urgent need for measures that can evaluate change in functional abilities, it was found that most measures are developed and validated for discriminative purposes.

CONCLUSIONS: Although instruments developed within the last decade meet psychometric criteria more adequately than those developed previously, it is concluded that only two evaluative assessment measures, the Gross Motor Function Measure (GMFM) and the Pediatric Evaluation of Disability Inventory (PEDI), fulfil the criteria of reliability and validity with respect to responsiveness to change.
Clin Rehabil
0269-2155 (Print)
Publication year:
Functional status:
Physical functioning
Children (0-18)
Congenital malformations, deformations and chromosomal abnormalities and related symptoms
Diseases of and symptoms related to the nervous system
PRO / non-PRO:
Non-patient Reported Outcome
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
4 - Performance-based tests
6 - Clinical rating scales
7 - Observations
AIMS - Alberta Infant Motor Scale     | 
BI - Barthel Index   
BOTMP - Bruininks-Oseretsky Test of Motor Proficiency
BSID-II - Bayley Scales of Infant Development II
FMAS - Functional Motor Assessment Scale
GMFM - Gross Motor Function Measure (Also: GMFM-88 - 88-item version and GMFM-66 - 66-item version)   
GMPM - Gross Motor Performance Measure
Kenny Self-Care Evaluation
MABC - Movement Assessment Battery for Children   
MAP - Miller Assessment of Preschoolers
MDC - Motor Development Checklist
PDMS - Peabody Developmental Motor Scales
PEDI - Pediatric Evaluation of Disability Inventory   
the Browder Checklist
TOMI-H - Test of Motor Impairment-Henderson Revision
WeeFIM - Functional Independence Measure for Children [alias: PFIM - Pediatric Functional Independence Measure]