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J Child Neurol. 2016 Mar;31(4):474-80. doi: 10.1177/0883073815599264. Epub 2015 Aug 19.

Can Clinical Assessment of Locomotive Body Function Explain Gross Motor Environmental Performance in Cerebral Palsy?

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Kiki's Children Clinic, London, United Kingdom
Faculty of Medicine, University of Murcia, Murcia, Spain.
Clinica Rehabilitacion Infantil, Madrid, Spain.


Gross Motor Function Classification System has discriminative purposes but does not assess short-term therapy goals. Locomotion Stages (LS) classify postural body functions and independent activity components. Assessing the relation between Gross Motor Function Classification System level and Locomotion Stages will make us understand if clinical assessment can explain and predict motor environmental performance in cerebral palsy. A total of 462 children were assessed with both scales. High reliability and strong negative correlation (-0.908) for Gross Motor Function Classification System and Locomotion Stages at any age was found. Sensitivity was 83%, and specificity and positive predictive value were 100% within the same age range. Regression analysis showed detailed probabilities for the realization of the Gross Motor Function Classification System depending on the Locomotion Stages and the age group. Postural body function measure with Locomotion Stages is reliable, sensitive, and specific for gross motor function and able to predict environmental performance.


Gross Motor Function Classification System; assessment; cerebral palsy; child development; development delays; disability; motor development

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