The Bimanual Fine Motor Function (BFMF) classification system is a five-level scale used to assess how children with cerebral palsy use both hands together in daily activities. It evaluates the coordination and effectiveness of bimanual (two-handed) tasks rather than isolated hand movements.
- Level I: Uses both hands effectively without limitations.
- Level II: Uses both hands with some difficulty but generally manages most tasks.
- Level III: Uses both hands with clear difficulty and needs adaptations for some activities.
- Level IV: Uses one hand significantly more than the other; limited ability for bimanual tasks.
- Level V: Has minimal or no functional use of hands and requires significant assistance.
BFMF provides a practical framework for understanding hand function limitations and guiding therapy and intervention planning.
Accessing the BFMF:
You can access the BFMF Version 2.0 through the following link:
Bimanual Fine Motor Function 2.0 PDF
Pros of the BFMF:
- Comprehensive Assessment: The BFMF provides a detailed evaluation of both hands, recognizing that children with CP may have asymmetrical hand function.
- Standardized Classification: By offering a five-level system, the BFMF facilitates consistent communication among healthcare professionals regarding a child’s fine motor abilities.
- Clinical Utility: The tool is beneficial for setting therapeutic goals, planning interventions, and monitoring progress over time.
Cons of the BFMF:
- Age Limitations: The BFMF is primarily designed for children aged 3 to 18 years. Its applicability to younger children or adults with CP may be limited.
- Training Requirements: Accurate administration and interpretation of the BFMF necessitate proper training to ensure consistency and reliability.
- Validation Status: While the BFMF is widely used, some studies have indicated a need for further validation to confirm its reliability and validity across diverse populations.