Manual Ability Classification System (MACS)

  • The Manual Ability Classification System (MACS) is a functional classification tool specifically developed to assess hand use in children with cerebral palsy (CP).
  • MACS categorizes children's ability to handle objects in everyday activities across five distinct levels.
  • It helps clinicians, therapists, and caregivers understand the extent of manual function impairment and plan interventions.

Purpose and Clinical Utility

  • Facilitates communication among healthcare professionals regarding a child's manual capabilities.
  • Helps in setting realistic rehabilitation goals and monitoring progress.
  • Used to guide the selection of appropriate interventions and assistive technologies.
  • Enhances parental understanding of their child’s functional hand use abilities.

MACS Classification Levels

  • Level I: Handles objects easily and successfully.
    • Minor limitations in handling very small or delicate objects.
    • Manual abilities do not restrict independence in daily activities.

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