Hammersmith Functional Motor Scale for Spinal Muscular Atrophy (HFMS)

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General Information
Background
Author/s or Creator/s
Main, M
Kairon, H
Mercuri, E
Muntoni F
Objectives
A functional motor scale for use in children with spinal muscular atrophy type 2 and 3, in particular those with limited mobility, to give objective information on motor ability and clinical progression.
Category of Outcome Measure
Functional
 
Disease Type
  Used Validated
Anterior Horn Cell Disease   X
Chronology of Development
The HFMS is based loosely on a functional scale developed for boys with Duchenne Muscular Dystrophy (Scott & Hyde 1982) which, as a scale, was not a reliable indicator of change in weaker children. For this reason this particular scale was developed. Activities included in the scale were: rolling, sitting, lifting head from prone and supine, getting up from lying, propping on arms, 4 point kneeling, crawling, standing and stepping. An initial study determined that these items were achieved in normal infants more than 29 months of age and a second phase of the study performed the test 120 times on 58 patients with SMA. This resulted in the test items being ordered in terms of difficulty to gain a measure of grading for SMA.
Time Information
Time to Recall
At Assessment
Recall Period
Not Applicable
Time to Complete
10 to 15 minutes with a co-operative child
Application
Mode of Assessment
Administered by trained evaluator
 
Age Group
Children (2 to 11 Years)
Adolescents (12 to 15 Years)
 
Age Related Limitations
Applies to children greater than 29 months old.
Languages
  Original Definitive Validated Translation Informal Translation
English UK X    
Italian     X
Conditions of Use and Contact Information
Conditions of Use
Free Access
 
Copyright Owner
Unknown
Contact Name
Marion Main
Organisation Name
Not applicable
Postal Address
Great Ormond Steet Hospital for Children NHS Trust Great Ormond Street, London, WC1N 3TH
URL (Web Address)
Unknown
Email Address
MainM@gosh.nhs.uk
Phone
00 44 (0) 2074059200 ext 0099
Questionnaire/Scale
Domain Details
Number of Domains
Not applicable
Domain Name / Number of Items
Not applicable
Total Number of Items
20
Additional Format Information
20 items
Equipment
Equipment Required
Preferably plinth
Floor mat is useful
Equipment Description
Unknown
Response Details
Question Types and Usage
Each item scores 0 - 2 with 0 usually meaning unable, 1 meaning some adaptation and 2 meaning fully able. Details for each item are on the score sheet
Unknown
Scoring
Total Score
Yes - total score is calculated.
Total Score - Range/Direction
0 - 40, 40 being the highest score
Sub-Score
No - sub-score is not calculated.
Sub-Score Range/Direction
Not Applicable
Reference 1
Type of Reference
Key Reference
Reference Details
Main M.; Kairon H.; Mercuri E.; et al (2003) The Hammersmith Functional Motor Scale for Children with Spinal Muscular Atrophy: A Scale to Test ability and monitor progress in children with limited ambulation, European Journal of Paediatric Neurology, Vol 7, pp 155-159, Elsevier
Web Address (URL)
Unknown
Reference File ID
Not Applicable
Other Information
Article gives details of the scoring items.
Reference 2
Type of Reference
Validation Reference
Reference Details
Mercuri E.; Messina S.; Battini R.; et al (2006) Reliability of the Hammersmith functional motor scale for spinal muscular atrophy in a multicentric study, Neuromuscular Disorders, Vol 16, 93-98, Pergamon
Web Address (URL)
Unknown
Reference File ID
Not Applicable
Other Information
Article examines inter-observer reliability of the scale and stabiliy of the scale over time in a cohort of 90 non-ambulant children with type 2 or 3 SMA.
Reference 3
Type of Reference
Validation Reference
Reference Details
Kroschell K.; Maczulski J.; Crawford T.; et al (2006) A modified Hammersmith functional motor scale for use in mult-center resrach on spinal muscular atrophy, Neuromuscular Disorders, Vol 16, pp 417-426, Pergamon
Web Address (URL)
Unknown
Reference File ID
Not Applicable
Other Information
This modified version of the original scale reordered the items to make administration easier and defined items on the scale.
Reference 4
Type of Reference
OM Materials
Reference Details
Hammersmith Functional Motor Scale for SMA (HFMS)
Web Address (URL)
http://www.treat-nmd.eu/downloads/file/oms/ominfo/ROM7.1.OMP.0001.pdf
Reference File ID
ROM7.1.OMP.0001.pdf
Other Information
Unknown
Reference 5
Type of Reference
Manual
Reference Details
2009 Hammersmith Functional Motor Scale for SMA Manual (HFMS Manual)
Web Address (URL)
http://www.treat-nmd.eu/downloads/file/oms/ominfo/ROM7.2.OMP.0002.pdf
Reference File ID
ROM7.2.OMP.0002.pdf
Other Information
Unknown