Table 1 Summary of the criteria for the Gross Motor Function Classification System (GMFCS) and the Manual Ability Classification System (MACS)
GMFCS | MACS |
|---|---|
Level I Walks without restrictions, limitations in more advanced gross motor skills | Level I Handles objects easily and successfully |
Level II Walks without restrictions, limitations walking outdoors and in the community | Level II Handles most objects but with somewhat reduced quality and/or speed of achievement |
Level III Walks with assistive mobility devices, limitations walking outdoors and in community | Level III Handles objects with difficulty; needs help to prepare and/or modify activities |
Level IV Self mobility with limitations, children are transported or use power mobility outdoors and in the community | Level IV Handles a limited selection of easily managed objects in adapted situations |
Level V Self mobility is severely limited, even with use of assistive technology | Level V Does not handle objects and has very limited ability to perform even simple actions |