Expected Natural Evolution (ENE) and

Gross Motor Function Measure Evolution Ratio (GMFMER)

To calculate the ENE for a certain time interval, please enter:

The age of the child (in months) at the beginning of the evaluation period:

The starting GMFM score:

Time interval (in months):

The ENE for that time interval is:


To calculate the GMFMER, please enter the measured GMFM-66 score change:

The GMFMER (GMFM score/ENE) for that time interval is:

Ref: Gross Motor Function Measure Evolution Ratio: Use as a Control for Natural Progression in Cerebral Palsy