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Aim  To examine the responsiveness and minimal important change ( MIC ) of two gait performance measures, the Functional Mobility Scale ( FMS ) and the Gillette Functional Assessment Questionnaire walking scale ( FAQ ), in a paediatric inpatient setting.    Method  Sixty‐four children and adolescents with a motor disorder, including cerebral palsy, traumatic brain injury, or stroke (25 females, 39 males; mean age [ SD ] 12y 6mo [3y 2mo], range 6–18y 6mo), were recruited. Physiotherapists scored the  FMS  and  FAQ  at the start and end of active gait rehabilitation. Change scores were compared with changes in gait capacity tests, the walking item of the Functional Independence Measure for Children, and a global rating scale ( GRS ) on the physiotherapists’ perceived change of the child's functional mobility. The  GRS  was also used to define the  MIC .    Results  Change scores of the  FMS  and  FAQ  correlated between 0.35 and 0.49 with those of the capacity tests, 0.54 to 0.76 with the Functional Independence Measure for Children walking item change scores, and 0.57 to 0.76 with the  GRS . The  MIC  values for the  FMS  and  FAQ  were 0.5 and 1.5 respectively.    Interpretation   FMS  and  FAQ  can illustrate change in inpatient gait performance of children and adolescents with motor disorders. An improvement of one level in the  FMS  and two levels in the  FAQ  is considered as a clinically meaningful change.    What this paper adds    The Functional Mobility Scale (FMS) can detect change in children's inpatient gait performance.  The Gillette Functional Assessment Questionnaire walking scale (FAQ) can also detect change in children's inpatient gait performance.  A one‐level improvement in the FMS is clinically relevant.  A two‐level improvement in the FAQ is clinically relevant.

developmental medicine and child neurology

Measuring change in gait performance of children with motor disorders: assessing the Functional Mobility Scale and the Gillette Functional Assessment Questionnaire walking scale