1 |
Lifts head from supine position† |
Unable |
Head is lifted, but through side flexion or with no neck flexion. Held for a count of 3 |
In supine position, head must be lifted in midline. Chin moves towards chest. Held for a count of 3 |
2 |
Lying to sitting position† |
Unable |
Turns into prone position or towards floor |
Able to do by lying on side |
3 |
Sitting† |
2 hands for support |
1 hand for support, for a count of 3 |
No hand support, for a count of 3 |
4 |
Long sitting † |
2 hands for support |
1 hand for support, for a count of 3 |
No hand support, for a count of 3 |
5 |
Right hand to head in sitting position† Hand touches head above level of ears |
Unable |
Can only bring right hand to head by flexing head |
Able to bring right hand to head. Head and trunk remain stable |
6 |
Left hand to head in sitting position† Hand touches head above level of ears |
Unable |
Can only bring left hand to head by flexing head |
Able to bring right hand to head. Head and trunk remain stable |
7 |
Two hands to head in sitting position† Hands touch head above level of ears |
Unable |
Able to place hands on head but only using head flexion or side tilt |
Able to place both hands on head, arms free from side. Head and trunk remain stable |
8 |
Sitting to lying position† |
Unable or falls over |
Able to lie down by flopping forwards and rolling sideways |
Able to lie down in a controlled fashion through lying on side or using clothes |
9 |
Supine position to side-lying position† |
Unable |
Can ½ roll only one way: either right or left |
Able to ½ roll from supine position both ways |
10 |
Rolls from supine position to prone position over right † |
Unable |
Turns to prone position by pulling/pushing on arms |
Turns to prone position with free arms to the right |
11 |
Rolls from prone position to supine position over right † |
Unable |
Turns to supine position using arms to push/pull with |
Turns to supine position with free arms to the right |
12 |
Rolls from supine position to prone position over left† |
Unable |
Turns to prone position by pulling/pushing on arms |
Turns to prone position with free arms to the left |
13 |
Rolls from prone position to supine position over left† |
Unable |
Turns to supine position using arms to push/pull with |
Turns to supine position with free arms to the left |
14 |
Lifts head from prone position† |
Unable |
Lifts head with arms in a forward position for a count of 3 |
Able to lift head up in prone position, arms by side for a count of 3 |
15 |
Props on forearms† |
Unable |
Holds position when placed for a count of 3 |
Able to achieve prop on elbows with head up for a count of 3 |
16 |
Props on extended arms† |
Unable |
Holds position when placed |
Achieves hands support in prone position |
17 |
Four-point kneeling † |
Unable |
Holds position when placed for a count of 3 |
Achieves four-point kneeling – head up for a count of 3 |
18 |
Crawling† |
Unable |
Moves all four points only once |
Able to crawl forwards – moves all four points twice or more |
19 |
Gets to standing position from a supine position§ |
Unable |
Uses furniture |
Achieves standing without furniture |
20 |
Supported standing† |
Can stand with hand support but needs knee/hip support in addition for a count of 3, unable |
Able to stand with minimal trunk support (not hip) for a count of 3 |
Can stand using one hand support for a count of 3 |
21 |
Stands unsupported† |
Stands only momentarily, unable |
Stands independently for a count of 3 |
Can stand independently for more than a count of 3 |
22 |
Squats† |
Unable |
Initiates squat (>10%), uses arm support, or static <3 seconds |
Squats with arms free (at least 90° of hip and knee flexion), static > 3 seconds |
23 |
Gets off a chair without using arms§ |
Unable |
Uses arms |
Gets off independently without using arms |
24 |
Walks forward‡ |
Unable |
Walks <10 steps |
Walks >10 steps |
25 |
Stands on toes§ |
Unable |
Stands <5 seconds |
Stands >5 seconds |
26 |
Walks on toes§ |
Unable |
Walks with assistance, <3 m |
Walks independently, >3 m |
27 |
Walks on heels§ |
Unable |
Walks with assistance, <3 m |
Walks independently, >3 m |
28 |
Runs‡ |
Unable |
Runs <4.5 m |
Runs >4.5 m, stops and returns |
29 |
Hops on both legs§ |
Unable |
<5 consecutive hops |
>5 consecutive hops |
30 |
Hops on right foot§ |
Unable |
<5 consecutive hops |
>5 consecutive hops |
31 |
Hops on left foot§ |
Unable |
<5 consecutive hops |
>5 consecutive hops |
32 |
Hops on alternate legs§ |
Unable |
Does not hop on alternate legs and arms, <10 consecutive hops |
Hops on alternate legs and arms, >10 consecutive hops |
33 |
Ascends stairs without rail† |
Unable |
Ascends <4 stairs, arms free, any pattern or with arm support |
Ascends 4 stairs, arms free, alternating feet |
34 |
Descends stairs without rail† |
Unable |
Descends <4 stairs, arms free, any pattern or with arm support |
Descends 4 stairs, arms free, alternating feet |
35 |
Catches a ball with both hands, stands, ball 25 cm, 5 attempts§ |
Unable |
Catches a ball with both hands, throws to a distance >1.5 m |
Catches a ball with both hands >4 times |
36 |
Throws a tennis ball, stands, dominant hand, 5 attempts§ |
Unable |
Throws distance <1.5 m or throws to a distance >1.5 m < 4 times |
Throws to a distance > 1.5 m, 4 or 5 times |
37 |
Kicks ball – dominant leg, stands, ball 20 cm, 3 m, 5 attempts § |
Unable |
Kicks 3 m< 4 times |
Kicks 3 m> 4 times |
38 |
Stands on right leg with eyes open, hands crossed on chest § |
Timer |
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39 |
Stands on left leg with eyes open, hands crossed on chest § |
Timer |
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40 |
Stands on right leg with eyes closed, hands crossed on chest § |
Timer |
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41 |
Stands on left leg with eyes closed, hands crossed on chest § |
Timer |
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