Development of the Social Motor Function Classification System for Children with Autism Spectrum Disorders: A Psychometric Study.
The SMFCS-ASD is a reliable five-level tool that links social and motor skills in preschoolers with autism.
01Research in Context
What this study did
The team built a new rating scale called the SMFCS-ASD. It sorts preschoolers with autism into five social-motor levels.
Two raters watched the same kids play and move. They scored each child to see if the scale gave the same result twice.
The researchers also compared the new scale to the PDMS-2 gross-motor test. They wanted to know if the scores moved together.
What they found
Raters agreed on the level almost every time. The scale proved reliable.
Scores on the new tool lined up well with the PDMS-2. Higher social-motor level meant stronger gross-motor skills.
How this fits with other research
Sun et al. (2010) built the PGMQ for typical preschoolers years earlier. Both studies used PDMS checks, but the new scale adds the social piece for kids with autism.
De Francesco et al. (2023) blended tests to tell ASD from ADHD. Their mix of tools lines up with the SMFCS-ASD idea that motor data can sort neurotypes.
Carollo et al. (2021) found girls with autism move differently from boys. The new scale does not yet split by sex, so you may want to watch for that gap when you use it.
Why it matters
You now have a quick, five-level snapshot of how a child moves and interacts. Use it to pick goals, split groups, or show parents clear progress. Add it to your intake packet and re-rate every three months.
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02At a glance
03Original abstract
To examine reliability and validity of the new Social Motor Function Classification System for Children with Autism Spectrum Disorders (SMFCS-ASD). The SMFCS-ASD reliability was examined on 25 children (62.4 months SD 7.8) with ASD among six physical therapists. The validity study involved 1001 children (57.0 months, SD 9.9) with ASD using the gross motor scale (GMS) of the Peabody Developmental Motor Scales (PDMS-2). The indices of agreement and reliability across six examiners were moderate to substantial (Cohen's κ ≤ 0.65 and ICC > 0.90, all p < 0.001). The SMFCS-ASD was significantly correlated with the GMS of PDMS-2 (all rho from 0.61 to 0.76, p < 0.001). The SMFCS-ASD was reliable and significantly correlated with the GMS of the PDMS-2.
Journal of autism and developmental disorders, 2021 · doi:10.1097/WCO.0000000000000541