The Hammersmith Functional Motor Scale (HFMS) was originally developed to assess the physical abilities of children with non-ambulant Spinal Muscular Atrophy, it was developed by Marion Main and colleagues at the Hammersmith Hospital in 2003. It consists of 20 items which they felt were important to to measure the physical functioning of those with SMA type 2 and those who are SMA type 3 who are no longer independently mobile, and was ordered in level of item difficulty. The physiotherapist asks the person with SMA to do a specific activity such as rolling and they then grade the quality and execution of that movement on a scale of 0 being unable, 1 performed with some compensation, and 2 unaided. The total score achievable on the orginal HFMS is 40 (Main et al, 2003).
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