Which level of the GMFCS indicates the most functional abilities in a child with CP?

The level of the Gross Motor Function Classification System (GMFCS) that indicates the most functional abilities in a child with cerebral palsy (CP) is indeed Level 1. Children classified as Level 1 are able to walk without restrictions and can perform gross motor activities such as running and jumping in a similar manner to their peers. They may have limitations in more advanced motor skills, but essentially, they have the least amount of impairment and are capable of independent mobility.

In contrast, as the levels increase, the functional abilities decrease. Level 2 includes children who can walk but may have limitations when it comes to walking long distances and may need some assistance in some situations. Level 3 describes those who can walk using a hand-held mobility device and usually require more assistance. Level 4 children are capable of limited self-mobility with assistive devices and may rely on a wheelchair for most mobility. Finally, Level 5 indicates severe impairment, where children have significant limitations in all areas of gross motor skills and typically require equipment for mobility, showing that their functional abilities are the most restricted. Therefore, Level 1 clearly represents the highest level of motor function within the GMFCS.