Cerebral palsy classification
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Classification
Manual Ability Classification System=
The Manual Ability Classification System (MACS) describes how children with cerebral palsy (CP) use their hands to handle objects in daily activities. MACS describes five levels. The levels are based on the children’s self-initiated ability to handle objects and their need for assistance or adaptation to perform manual activities in everyday life.[1]
Does the child handle most kind of daily activities independently ( during play and leisure, eating and dressing) | |||||||||||||||||||||||||||||||||||||||||||
Yes | No | ||||||||||||||||||||||||||||||||||||||||||
Does the child handle even more difficult tasks with fair speed and accuracy and does not need alternative ways to perform | Does the child perform number of mannual tasks which commonly need to prepared or adapted and help is needed occasionally | ||||||||||||||||||||||||||||||||||||||||||
Yes | No | Yes | No | ||||||||||||||||||||||||||||||||||||||||
Level 1 Handles objects easily and successfully | Level 2 Handles most objects with reduced quality and speed of acheivement | Level 3 Handles objects with difficulty but needs preparation | Can the child perform easy activites with frequent support | ||||||||||||||||||||||||||||||||||||||||
Yes | No | ||||||||||||||||||||||||||||||||||||||||||
Level 4 Handles easy activites with limitations and support | Level 5 Cannot handle daily activites has severely limited abilities to perform even simple actions | ||||||||||||||||||||||||||||||||||||||||||
References
- ↑ Paulson A, Vargus-Adams J (2017). "Overview of Four Functional Classification Systems Commonly Used in Cerebral Palsy". Children (Basel). 4 (4). doi:10.3390/children4040030. PMC 5406689. PMID 28441773.