Growth Charts

We strongly advise use of the new and revised growth charts:

Brooks J, Day SM, Shavelle RM, Strauss DJ (2011). Low weight, morbidity, and mortality in children with cerebral palsy: New clinical growth charts. Pediatrics, 128; e299; originally published online July 18, 2011 (DOI 10.1542/peds.2010-2801).

Below are the charts for height, weight, and BMI for boys and girls with cerebral palsy, stratified by GMFCS, with level 5 additionally divided into those requiring a feeding tube (TF) and those not (NT).



All Charts



Boys:    GMFCS 1    GMFCS 2    GMFCS 3    GMFCS 4    GMFCS 5 NT    GMFCS 5 TF



Girls:    GMFCS 1    GMFCS 2    GMFCS 3    GMFCS 4    GMFCS 5 NT    GMFCS 5 TF



The broad definitions of GMFCS (gross motor function classification system) levels 1 to 5 are:
  1. Walks without limitations
  2. Walks with limitations
  3. Walks using a hand-held mobility device
  4. Self-mobility with limitations, may use powered mobility
  5. Transported in a manual wheelchair
The study was based on the Expanded and Revised definitions for GMFCS, which contain age-specific criteria for each group.



The old charts were from a prior study:

Day SM, Strauss DJ, Vachon PJ, Rosenbloom L, Shavelle RM, Wu YW (2007). Growth patterns in a population of children and adolescents with cerebral palsy. Developmental Medicine & Child Neurology, 49:167-171.

Below are the older charts for height, weight, and BMI for boys and girls with cerebral palsy, stratified by 5 severity groups.



All Charts



Boys:    Group 1    Group 2    Group 3    Group 4    Group 5



Girls:    Group 1    Group 2    Group 3    Group 4    Group 5



Definitions of the 5 groups:

Group 1: Walks well alone at least 20 feet and balances well
Group 2: Walks with support or unsteadily alone at least 10 feet, but does not walk well alone at least 20 feet and balance well
Group 3: Crawls, creeps, or scoots; but does not walk
Group 4: Does not walk; does not crawl, creep, or scoot; does not feed self; is not fed by gastrostomy tube
Group 5: Does not walk; does not crawl, creep or scoot; does not feed self; is fed by gastrostomy tube