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This paper recounts the ideas and work behind the creation of the GMFCS, reports on the lessons learned, and identifies some philosophical challenges inherent in trying to develop an ordered, valid, and consistent system to describe function in children and adolescents with developmental differences. It is hoped that these ideas will be useful to others who choose to expand the field with additional systems in other areas of childhood neurodisability.<\/jats:p>","DOI":"10.1111\/j.1469-8749.2008.02045.x","type":"journal-article","created":{"date-parts":[[2009,4,1]],"date-time":"2009-04-01T08:07:43Z","timestamp":1238573263000},"page":"249-253","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":485,"title":["Development of the Gross Motor Function Classification System for cerebral palsy"],"prefix":"10.1111","volume":"50","author":[{"given":"Peter L","family":"Rosenbaum","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J","family":"Palisano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doreen J","family":"Bartlett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara E","family":"Galuppi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dianne J","family":"Russell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2008,3,3]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1071-9091(98)80015-6"},{"key":"e_1_2_2_3_2","doi-asserted-by":"crossref","first-page":"1341","DOI":"10.1016\/0895-4356(92)90196-T","article-title":"A methodologic framework for health status measures: clarity or oversimplification","volume":"45","author":"Guyatt GH","year":"1992","journal-title":"J Clin Epidemiol"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/70.2.125"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1997.tb07414.x"},{"key":"e_1_2_2_6_2","volume-title":"Gross Motor Function Classification System (GMFCS)","author":"Palisano R"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2006.tb01313.x"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1989.tb04003.x"},{"key":"e_1_2_2_9_2","first-page":"101","volume-title":"The neurophysiology and neuropsychology of motor development","author":"Scrutton D","year":"1997"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/80.10.974"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.11.1357"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2000.tb00093.x"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2006.tb01290.x"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2004.tb00505.x"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2005.090597"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.309.6952.431"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2006.tb01358.x"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2007.00265.x"},{"key":"e_1_2_2_19_2","unstructured":"PalisanoR RosenbaumP BartlettD LivingstonM.Content validity of the expanded Gross Motor Function Classification System.Dev Med Child Neurol(Forthcoming)."},{"key":"e_1_2_2_20_2","volume-title":"International Classification of Functioning, Disability and Health (ICF)","author":"World Health Organization.","year":"2001"},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2003.tb00914.x"},{"key":"e_1_2_2_22_2","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1093\/ptj\/84.5.419","article-title":"Gross motor capability and performance of mobility in children with cerebral palsy: a comparison across home, school, and outdoors\/community settings","volume":"84","author":"Tieman B","year":"2004","journal-title":"Phys Ther"},{"key":"e_1_2_2_23_2","volume-title":"Gross Motor Function Measure (GMFM\u201066 and GMFM\u201088) users' manual","author":"Russell DJ","year":"2002"},{"key":"e_1_2_2_24_2","volume-title":"Pediatric Evaluation of Disability Inventory: development, standardization, and administration manual","author":"Haley SM","year":"1992"},{"key":"e_1_2_2_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2006.tb01264.x"},{"key":"e_1_2_2_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2004.tb00436.x"},{"key":"e_1_2_2_27_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.00071"},{"key":"e_1_2_2_28_2","volume-title":"Children and young people with cerebral palsy in Northern Ireland \u2010 birth years 1977\u20101997","author":"Parkes J","year":"2005"},{"key":"e_1_2_2_29_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2004.tb00506.x"}],"container-title":["Developmental Medicine &amp; 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