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GMFCS E & R between 6th and 12th birthday: Descriptors and illustrations. GMFCS Level V. Children are transported in a manual wheelchair in all settings. The Gross Motor Function Classification System (GMFCS) for cerebral palsy is based on self-initiated movement, with emphasis on sitting, transfers, GMFCS looks at movements such as sitting and walking. It is helpful because it provides families and clinicians with: a clear description of a child'sGMFCS E & R between 12th and 18th birthday: Descriptors and illustrations. GMFCS Level V. Youth are transported in a manual wheelchair in all settings. Children use wheeled mobility when traveling long distances and may self-propel for shorter distances. GMFCS Level IV. Children use methods of mobility that