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) classifies children with cerebral palsy into 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 | ||||||||||||||||||||||||||||||||||||||||||
Gross Motor Function Classification System
The Gross Motor Function Classification System or GMFCS also classifies children with cerebral palsy into five levels. The levels are based on self-initiated movement abilities, in particular sitting and walking.[2]
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.
- ↑ Carnahan KD, Arner M, Hägglund G (2007). "Association between gross motor function (GMFCS) and manual ability (MACS) in children with cerebral palsy. A population-based study of 359 children". BMC Musculoskelet Disord. 8: 50. doi:10.1186/1471-2474-8-50. PMC 1919364. PMID 17584944.