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Chart Gizi Pasien Anak dengan

Cerebral Palsy

GMFCS (gross motor function classification


system)
With level 5 additionally divided into those
requiring a feeding tube (TF) and those not (NT).

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
2 to 20 years: Boys NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS I
Weightforage percentiles
Mother's Stature:___________ Father's Stature:___________

Date Age Weight Stature BMI 230 105

220 100
95
210 95

200
90
Notes: 90
190
85
180
80
170
75
75
160
Low weight (see text)
70
150 W
E
50 65
140 I
G
60
130 H
T
25 55
120

110 50
10
100 45
5
90
40

80 80
35 35
W 70 70
E 30 30
I 60 60
G 25 25
H 50 50
T 20 20
40 40
15 15
30 30

10 10
20 20

5 10 10 5
kg lbs AGE (YEARS) lbs kg
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services and California Bureau of Vital Statistics
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Boys NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS I
Statureforage percentiles

Mother's Stature:___________ Father's Stature:___________


200 200
78 78
Date Age Weight Stature BMI
195 195
76 76
190 190
74 95 74
185 185
72 90 72 S
180 180 T
70 75 70
Notes:
175 175 A
68 68
T
170 50 170
66 66 U
165 165 R
64 25 64
160 160 E
62 62
155 10 155
60 60
150 150
58 5 58
145 145
56 56
140 140
54 54
135 135
52 52
130 130
50 50
125 125
48 48
120 120
46 46
115 115
44 44
110 110
42 42
105 105
40 40
100 100
38 38
95 95
S 36 36
90 90
T
34 34
A 85 85
32 32
T 80 80
U 30 30
75 75
R
70 28 28 70
E
65 26 26 65

60 24 24 60
AGE (YEARS)
55 22 22 55
cm in in cm

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Boys NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS I
BMIforage percentiles
Mother's Stature:___________ Father's Stature:___________
36
Date Age Weight Stature BMI* BMI
36

35 35

34 34
95
33 33
Notes:
32 32

31 31
*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000 90
30 or Weight (lb) Stature (in) Stature (in) 703 30

BMI
29 29

28 28

27 27

26 75 26

25 25

24 24

23 23
50
22 22

21 21

20 25
20

19 19

18 18
10

17 17
5
16 16

15 15

14 14

13 13

12 12

kg/m2 AGE (YEARS) kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Boys NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS II
Weightforage percentiles
Mother's Stature:___________ Father's Stature:___________

Date Age Weight Stature BMI 230 105

220 100

210 95

200
95
90
Notes:
190
85
180
90
80
170
75
160
Low weight (see text)
70
75
150 W
E
65
140 I
G
60
50
130 H
T
120 55

25
110 50

100 45

10 90
40
5
80 80
35 35
W 70 70
E 30 30
I 60 60
G 25 25
H 50 50
T 20 20
40 40
15 15
30 30

10 10
20 20

5 10 10 5
kg lbs AGE (YEARS) lbs kg
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services and California Bureau of Vital Statistics
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Boys NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS II
Statureforage percentiles

Mother's Stature:___________ Father's Stature:___________


200 200
78 78
Date Age Weight Stature BMI
195 195
76 76
190 190
74 74
185 95 185
72 72 S
180 90 180 T
70 70
Notes:
175 175 A
68 75 68
T
170 170
66 66 U
165 50 165 R
64 64
160 160 E
62 25 62
155 155
60 60
150 150
58 10 58
145 145
56 56
140 5 140
54 54
135 135
52 52
130 130
50 50
125 125
48 48
120 120
46 46
115 115
44 44
110 110
42 42
105 105
40 40
100 100
38 38
95 95
S 36 36
90 90
T
34 34
A 85 85
32 32
T 80 80
U 30 30
75 75
R
70 28 28 70
E
65 26 26 65

60 24 24 60
AGE (YEARS)
55 22 22 55
cm in in cm

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Boys NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS II
BMIforage percentiles
Mother's Stature:___________ Father's Stature:___________
36
Date Age Weight Stature BMI* BMI
36

35 35

34 34

33 33
Notes:
32 32
95

31 31
*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000
30 or Weight (lb) Stature (in) Stature (in) 703 30

BMI
29 90 29

28 28

27 27

26 26

25 75 25

24 24

23 23

22 22
50
21 21

20 20

19 19
25

18 18

17 17
10

16 16
5
15 15

14 14

13 13

12 12

kg/m2 AGE (YEARS) kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Boys NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS III
Weightforage percentiles
Mother's Stature:___________ Father's Stature:___________

Date Age Weight Stature BMI 230 105

220 100

210 95

200
90
Notes:
190
85
180
80
95
170
75
160
Low weight (see text) 90
70
150 W
E
65
140 I
G
75 60
130 H
T
120 55

50 110 50

100 45
25
90
40

80 80
35 10 35
W 70 70
E 30 5 30
I 60 60
G 25 25
H 50 50
T 20 20
40 40
15 15
30 30

10 10
20 20

5 10 10 5
kg lbs AGE (YEARS) lbs kg
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services and California Bureau of Vital Statistics
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Boys NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS III
Statureforage percentiles

Mother's Stature:___________ Father's Stature:___________


200 200
78 78
Date Age Weight Stature BMI
195 195
76 76
190 190
74 74
185 185
72 72 S
180 180 T
70 95 70
Notes:
175 175 A
90
68 68
T
170 170
66 66 U
75
165 165 R
64 64
160 160 E
62 50 62
155 155
60 60
150 25 150
58 58
145 145
56 56
140 10 140
54 54
135 135
52 5 52
130 130
50 50
125 125
48 48
120 120
46 46
115 115
44 44
110 110
42 42
105 105
40 40
100 100
38 38
95 95
S 36 36
90 90
T
34 34
A 85 85
32 32
T 80 80
U 30 30
75 75
R
70 28 28 70
E
65 26 26 65

60 24 24 60
AGE (YEARS)
55 22 22 55
cm in in cm

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Boys NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS III
BMIforage percentiles
Mother's Stature:___________ Father's Stature:___________
36
Date Age Weight Stature BMI* BMI
36

35 35

34 34

33 33
Notes:
32 32

31 95 31
*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000
30 or Weight (lb) Stature (in) Stature (in) 703 30

BMI
29 29

28 90
28

27 27

26 26

25 25

24 24
75

23 23

22 22

21 21
50
20 20

19 19

18 18
25
17 17

16 16
10
15 15
5
14 14

13 13

12 12

kg/m2 AGE (YEARS) kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Boys NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS IV
Weightforage percentiles
Mother's Stature:___________ Father's Stature:___________

Date Age Weight Stature BMI 230 105

220 100

210 95

200
90
Notes:
190
85
180
80
170
95 75
160
Low weight (see text)
70
150 W
90
E
65
140 I
G
60
130 H
T
75 120 55

110 50

50 100 45

90
40

80 25 80
35 35
W 70 70
E 30 10 30
I 60 60
5
G 25 25
H 50 50
T 20 20
40 40
15 15
30 30

10 10
20 20

5 10 10 5
kg lbs AGE (YEARS) lbs kg
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services and California Bureau of Vital Statistics
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Boys NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS IV
Statureforage percentiles

Mother's Stature:___________ Father's Stature:___________


200 200
78 78
Date Age Weight Stature BMI
195 195
76 76
190 190
74 74
185 185
72 72 S
180 180 T
70 95 70
Notes:
175 175 A
68 90 68
T
170 170
66 66 U
165 75 165 R
64 64
160 160 E
62 62
155 50 155
60 60
150 150
58 58
145 25
145
56 56
140 140
54 54
135 135
52 10 52
130 130
50 50
125 5 125
48 48
120 120
46 46
115 115
44 44
110 110
42 42
105 105
40 40
100 100
38 38
95 95
S 36 36
90 90
T
34 34
A 85 85
32 32
T 80 80
U 30 30
75 75
R
70 28 28 70
E
65 26 26 65

60 24 24 60
AGE (YEARS)
55 22 22 55
cm in in cm

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Boys NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS IV
BMIforage percentiles
Mother's Stature:___________ Father's Stature:___________
36
Date Age Weight Stature BMI* BMI
36

35 35

34 34

33 33
Notes:
32 32

31 31
95
*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000
30 or Weight (lb) Stature (in) Stature (in) 703 30

BMI
29 29

28 28
90
27 27

26 26

25 25

24 24

23 23
75

22 22

21 21

20 20

19 50 19

18 18

17 17
25
16 16

15 15

14 10 14

13 5 13

12 12

kg/m2 AGE (YEARS) kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Boys NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS V, feeds orally
Weightforage percentiles
Mother's Stature:___________ Father's Stature:___________

Date Age Weight Stature BMI 230 105

220 100

210 95

200
90
Notes:
190
85
180
80
170
75
160
Low weight (see text)
70
150 W
E
65
140 I
G
60
130 H
95 T
120 55
90
110 50

100 45
75
90
40

80 80
35 50 35
W 70 70
E 30 30
25
I 60 60
G 25 25
10
H 50 50
T 20 5 20
40 40
15 15
30 30

10 10
20 20

5 10 10 5
kg lbs AGE (YEARS) lbs kg
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services and California Bureau of Vital Statistics
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Boys NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS V, feeds orally
Statureforage percentiles

Mother's Stature:___________ Father's Stature:___________


200 200
78 78
Date Age Weight Stature BMI
195 195
76 76
190 190
74 74
185 185
72 72 S
180 180 T
70 70
Notes:
175 175 A
68 95 68
T
170 170
66 90 66 U
165 165 R
64 64
160 160 E
62 75 62
155 155
60 60
150 150
58 50 58
145 145
56 56
140 140
54 54
135 25 135
52 52
130 130
50 50
125 125
10
48 48
120 120
46 46
115 5 115
44 44
110 110
42 42
105 105
40 40
100 100
38 38
95 95
S 36 36
90 90
T
34 34
A 85 85
32 32
T 80 80
U 30 30
75 75
R
70 28 28 70
E
65 26 26 65

60 24 24 60
AGE (YEARS)
55 22 22 55
cm in in cm

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Boys NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS V, feeds orally
BMIforage percentiles
Mother's Stature:___________ Father's Stature:___________
36
Date Age Weight Stature BMI* BMI
36

35 35

34 34

33 33
Notes:
32 32

31 31
*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000
30 or Weight (lb) Stature (in) Stature (in) 703 30

BMI
29 29

28 28

27 27

26 26
95
25 25

24 24

23 90 23

22 22

21 21

20 20
75
19 19

18 18

17 17
50
16 16

15 15
25
14 14

13 10 13

12 5 12

kg/m2 AGE (YEARS) kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Boys NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS V, tube fed
Weightforage percentiles
Mother's Stature:___________ Father's Stature:___________

Date Age Weight Stature BMI 230 105

220 100

210 95

200
90
Notes:
190
85
180
80
170
75
160
Low weight (see text)
70
150 W
E
65
140 I
G
60
130 H
95
T
120 55
90
110 50

100 45
75

90
40

80 50 80
35 35
W 70 70
30 25 30
E
I 60 60
G 25 10 25
H 50 5 50
T 20 20
40 40
15 15
30 30

10 10
20 20

5 10 10 5
kg lbs AGE (YEARS) lbs kg
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services and California Bureau of Vital Statistics
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Boys NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS V, tube fed
Statureforage percentiles

Mother's Stature:___________ Father's Stature:___________


200 200
78 78
Date Age Weight Stature BMI
195 195
76 76
190 190
74 74
185 185
72 72 S
180 180 T
70 70
Notes:
175 175 A
68 68
95 T
170 170
66 90
66 U
165 165 R
64 64
160 160 E
62 75 62
155 155
60 60
150 150
58 50 58
145 145
56 56
140 140
54 25
54
135 135
52 52
130 130
50 50
125 10 125
48 48
120 120
46 5 46
115 115
44 44
110 110
42 42
105 105
40 40
100 100
38 38
95 95
S 36 36
90 90
T
34 34
A 85 85
32 32
T 80 80
U 30 30
75 75
R
70 28 28 70
E
65 26 26 65

60 24 24 60
AGE (YEARS)
55 22 22 55
cm in in cm

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Boys NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS V, tube fed
BMIforage percentiles
Mother's Stature:___________ Father's Stature:___________
36
Date Age Weight Stature BMI* BMI
36

35 35

34 34

33 33
Notes:
32 32

31 31
*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000
30 or Weight (lb) Stature (in) Stature (in) 703 30

BMI
29 29

28 28

27 27

26 26
95
25 25

24 24
90
23 23

22 22

21 21
75
20 20

19 19

18 18
50
17 17

16 16

15 25 15

14 14
10
13 13
5
12 12

kg/m2 AGE (YEARS) kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Girls NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS I
Weightforage percentiles
Mother's Stature:___________ Father's Stature:___________

Date Age Weight Stature BMI 230 105

220 100

210 95

200
90
Notes: 95
190
85
180
90
80
170
75
160
Low weight (see text)
70
75 150 W
E
65
140 I
G
60
130 H
50
T
120 55

25 110 50

100 45
10
90
5 40

80 80
35 35
W 70 70
E 30 30
I 60 60
G 25 25
H 50 50
T 20 20
40 40
15 15
30 30

10 10
20 20

5 10 10 5
kg lbs AGE (YEARS) lbs kg
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services and California Bureau of Vital Statistics
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Girls NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS I
Statureforage percentiles

Mother's Stature:___________ Father's Stature:___________


200 200
78 78
Date Age Weight Stature BMI
195 195
76 76
190 190
74 74
185 185
72 72 S
180 180 T
70 70
Notes:
175 175 A
68 95 68
T
170 90 170
66 66 U
165 165 R
75
64 64
160 160 E
62 50 62
155 155
60 25 60
150 150
58 58
145 10 145
56 56
140 140
54 5 54
135 135
52 52
130 130
50 50
125 125
48 48
120 120
46 46
115 115
44 44
110 110
42 42
105 105
40 40
100 100
38 38
95 95
S 36 36
90 90
T
34 34
A 85 85
32 32
T 80 80
U 30 30
75 75
R
70 28 28 70
E
65 26 26 65

60 24 24 60
AGE (YEARS)
55 22 22 55
cm in in cm

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Girls NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS I
BMIforage percentiles
Mother's Stature:___________ Father's Stature:___________
36
Date Age Weight Stature BMI* BMI
36

35 95 35

34 34

33 33
Notes:
32 32
90

31 31
*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000
30 or Weight (lb) Stature (in) Stature (in) 703 30

BMI
29 29

28 28
75
27 27

26 26

25 25

24 24
50
23 23

22 22

21 21
25
20 20

19 19
10
18 18

17 5 17

16 16

15 15

14 14

13 13

12 12

kg/m2 AGE (YEARS) kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Girls NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS II
Weightforage percentiles
Mother's Stature:___________ Father's Stature:___________

Date Age Weight Stature BMI 230 105

220 100

210 95

200
90
Notes:
190
85
95
180
80
170
90 75
160
Low weight (see text)
70
150 W
E
65
75 140 I
G
60
130 H
T
120 55
50

110 50

25 100 45

90
40
10
80 80
35 5 35
W 70 70
E 30 30
I 60 60
G 25 25
H 50 50
T 20 20
40 40
15 15
30 30

10 10
20 20

5 10 10 5
kg lbs AGE (YEARS) lbs kg
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services and California Bureau of Vital Statistics
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Girls NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS II
Statureforage percentiles

Mother's Stature:___________ Father's Stature:___________


200 200
78 78
Date Age Weight Stature BMI
195 195
76 76
190 190
74 74
185 185
72 72 S
180 180 T
70 70
Notes:
175 175 A
68 68
95 T
170 170
66 90 66 U
165 165 R
64 64
75
160 160 E
62 62
155 50 155
60 60
150 150
25
58 58
145 145
56 56
140 10 140
54 54
135 5 135
52 52
130 130
50 50
125 125
48 48
120 120
46 46
115 115
44 44
110 110
42 42
105 105
40 40
100 100
38 38
95 95
S 36 36
90 90
T
34 34
A 85 85
32 32
T 80 80
U 30 30
75 75
R
70 28 28 70
E
65 26 26 65

60 24 24 60
AGE (YEARS)
55 22 22 55
cm in in cm

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Girls NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS II
BMIforage percentiles
Mother's Stature:___________ Father's Stature:___________
36
Date Age Weight Stature BMI* BMI
36

35 35

34 95 34

33 33
Notes:
32 32

31 31
90
*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000
30 or Weight (lb) Stature (in) Stature (in) 703 30

BMI
29 29

28 28

27 27
75
26 26

25 25

24 24

23 23
50
22 22

21 21

20 20
25
19 19

18 18
10
17 17

16 5 16

15 15

14 14

13 13

12 12

kg/m2 AGE (YEARS) kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Girls NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS III
Weightforage percentiles
Mother's Stature:___________ Father's Stature:___________

Date Age Weight Stature BMI 230 105

220 100

210 95

200
90
Notes:
190
85
180
80
170
95
75
160
Low weight (see text)
70
150 W
90
E
65
140 I
G
60
130 H
75 T
120 55

110 50
50
100 45

25 90
40

80 80
35 10
35
W 70 70
5
E 30 30
I 60 60
G 25 25
H 50 50
T 20 20
40 40
15 15
30 30

10 10
20 20

5 10 10 5
kg lbs AGE (YEARS) lbs kg
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services and California Bureau of Vital Statistics
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Girls NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS III
Statureforage percentiles

Mother's Stature:___________ Father's Stature:___________


200 200
78 78
Date Age Weight Stature BMI
195 195
76 76
190 190
74 74
185 185
72 72 S
180 180 T
70 70
Notes:
175 175 A
68 68
T
170 170
95
66 66 U
165 90 165 R
64 64
160 160 E
62 75 62
155 155
60 50
60
150 150
58 58
145 25 145
56 56
140 140
54 54
135 10 135
52 52
130 130
5
50 50
125 125
48 48
120 120
46 46
115 115
44 44
110 110
42 42
105 105
40 40
100 100
38 38
95 95
S 36 36
90 90
T
34 34
A 85 85
32 32
T 80 80
U 30 30
75 75
R
70 28 28 70
E
65 26 26 65

60 24 24 60
AGE (YEARS)
55 22 22 55
cm in in cm

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Girls NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS III
BMIforage percentiles
Mother's Stature:___________ Father's Stature:___________
36
Date Age Weight Stature BMI* BMI
36

35 35

34 34

33 33
Notes:
32
95
32

31 31
*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000
30 or Weight (lb) Stature (in) Stature (in) 703 30

BMI
29 90 29

28 28

27 27

26 26

25 25
75

24 24

23 23

22 22

21 50 21

20 20

19 19

18 25 18

17 17

16 10 16

15 15
5

14 14

13 13

12 12

kg/m2 AGE (YEARS) kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Girls NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS IV
Weightforage percentiles
Mother's Stature:___________ Father's Stature:___________

Date Age Weight Stature BMI 230 105

220 100

210 95

200
90
Notes:
190
85
180
80
170
75
160
Low weight (see text)
70
150 W
95 E
65
140 I
G
90 60
130 H
T
120 55

75
110 50

100 45
50
90
40

80 80
35 35
25
W 70 70
E 30 30
I 60 10 60
G 25 5 25
H 50 50
T 20 20
40 40
15 15
30 30

10 10
20 20

5 10 10 5
kg lbs AGE (YEARS) lbs kg
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services and California Bureau of Vital Statistics
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Girls NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS IV
Statureforage percentiles

Mother's Stature:___________ Father's Stature:___________


200 200
78 78
Date Age Weight Stature BMI
195 195
76 76
190 190
74 74
185 185
72 72 S
180 180 T
70 70
Notes:
175 175 A
68 68
T
170 170
66 95 66 U
165 90
165 R
64 64
160 160 E
62 62
75
155 155
60 60
150 150
58 50 58
145 145
56 56
140 25
140
54 54
135 135
52 52
130 130
10
50 50
125 125
48 5
48
120 120
46 46
115 115
44 44
110 110
42 42
105 105
40 40
100 100
38 38
95 95
S 36 36
90 90
T
34 34
A 85 85
32 32
T 80 80
U 30 30
75 75
R
70 28 28 70
E
65 26 26 65

60 24 24 60
AGE (YEARS)
55 22 22 55
cm in in cm

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Girls NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS IV
BMIforage percentiles
Mother's Stature:___________ Father's Stature:___________
36
Date Age Weight Stature BMI* BMI
36

35 35

34 34

33 33
Notes:
32 32

31 95 31
*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000
30 or Weight (lb) Stature (in) Stature (in) 703 30

BMI
29 29

28 28
90
27 27

26 26

25 25

24 24

23 75 23

22 22

21 21

20 20
50
19 19

18 18

17 17
25
16 16

15 15
10
14 14

13 5 13

12 12

kg/m2 AGE (YEARS) kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Girls NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS V, feeds orally
Weightforage percentiles
Mother's Stature:___________ Father's Stature:___________

Date Age Weight Stature BMI 230 105

220 100

210 95

200
90
Notes:
190
85
180
80
170
75
160
Low weight (see text)
70
150 W
E
65
140 I
G
60
130 H
T
95 120 55

90
110 50

100 45

75 90
40

80 80
35 35
50
W 70 70
E 30 30
I 60 25 60
G 25 25
H 50 10 50
T 20 5 20
40 40
15 15
30 30

10 10
20 20

5 10 10 5
kg lbs AGE (YEARS) lbs kg
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services and California Bureau of Vital Statistics
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Girls NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS V, feeds orally
Statureforage percentiles

Mother's Stature:___________ Father's Stature:___________


200 200
78 78
Date Age Weight Stature BMI
195 195
76 76
190 190
74 74
185 185
72 72 S
180 180 T
70 70
Notes:
175 175 A
68 68
T
170 170
66 66 U
165 165 R
64 95 64
160 160 E
62 90 62
155 155
60 60
75
150 150
58 58
145 145
56 50 56
140 140
54 54
135 135
52 25
52
130 130
50 50
125 125
48 10
48
120 120
46 46
115 5 115
44 44
110 110
42 42
105 105
40 40
100 100
38 38
95 95
S 36 36
90 90
T
34 34
A 85 85
32 32
T 80 80
U 30 30
75 75
R
70 28 28 70
E
65 26 26 65

60 24 24 60
AGE (YEARS)
55 22 22 55
cm in in cm

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Girls NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS V, feeds orally
BMIforage percentiles
Mother's Stature:___________ Father's Stature:___________
36
Date Age Weight Stature BMI* BMI
36

35 35

34 34

33 33
Notes:
32 32

31 31
*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000
30 or Weight (lb) Stature (in) Stature (in) 703 30

BMI
29 29

28 28

27 95 27

26 26

25 25
90
24 24

23 23

22 22

21 21
75
20 20

19 19

18 18

17 50 17

16 16

15 15
25
14 14

13 10 13

12 5 12

kg/m2 AGE (YEARS) kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Girls NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS V, tube fed
Weightforage percentiles
Mother's Stature:___________ Father's Stature:___________

Date Age Weight Stature BMI 230 105

220 100

210 95

200
90
Notes:
190
85
180
80
170
75
160
Low weight (see text)
70
150 W
E
65
140 I
G
60
130 H
T
120 55
95
110 50
90
100 45

75 90
40

80 80
35 50 35
W 70 70
E 30 25 30
I 60 60
G 25 10 25
H 50 5 50
T 20 20
40 40
15 15
30 30

10 10
20 20

5 10 10 5
kg lbs AGE (YEARS) lbs kg
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services and California Bureau of Vital Statistics
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Girls NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS V, tube fed
Statureforage percentiles

Mother's Stature:___________ Father's Stature:___________


200 200
78 78
Date Age Weight Stature BMI
195 195
76 76
190 190
74 74
185 185
72 72 S
180 180 T
70 70
Notes:
175 175 A
68 68
T
170 170
66 66 U
165 165 R
64 95 64
160 160 E
90
62 62
155 155
60 75 60
150 150
58 58
145 145
56 50 56
140 140
54 54
135 135
52 25 52
130 130
50 50
125 125
48 10 48
120 120
46 46
115 5 115
44 44
110 110
42 42
105 105
40 40
100 100
38 38
95 95
S 36 36
90 90
T
34 34
A 85 85
32 32
T 80 80
U 30 30
75 75
R
70 28 28 70
E
65 26 26 65

60 24 24 60
AGE (YEARS)
55 22 22 55
cm in in cm

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml
2 to 20 years: Girls NAME _____________________________
Cerebral palsy RECORD # ____________
GMFCS V, tube fed
BMIforage percentiles
Mother's Stature:___________ Father's Stature:___________
36
Date Age Weight Stature BMI* BMI
36

35 35

34 34

33 33
Notes:
32 32

31 31
*To Calculate BMI: Weight (kg) Stature (cm) Stature (cm) 10,000
30 or Weight (lb) Stature (in) Stature (in) 703 30

BMI
29 29

28 28

27 27

26 95 26

25 25

24 24
90

23 23

22 22

21 21
75
20 20

19 19

18 18
50
17 17

16 16
25
15 15

14 14
10
13 13
5
12 12

kg/m2 AGE (YEARS) kg/m2

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
SOURCE: Life Expectancy Project (2011)
Based on data from the California Department of Developmental Services
http://www.LifeExpectancy.org/Articles/NewGrowthCharts.shtml