Table 2.

The Gross Motor Function Classification System

SCORE- Level of spasticity	DESCRIPTION
Level I	Walks well in all settings. Balance and speed may be limited compared with children developing normally.
Level II	Walks in most settings but may have difficulty walking long distances or with balance. May utilise personal or environmental mobility aids to climb stairs.
Level III	Walks with the use of hand-held mobility aids such as K-walkers in most indoor settings. Uses wheeled mobility for longer distance travel.
Level IV	Utilises wheeled mobility aids in most settings (either attendant-propelled or powered) and requires assistance to transfer.
Level V	Transported in wheelchairs in all settings and has limited to no antigravity head, trunk and limb control.