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Manual Ability Classification System for children with cerebral palsy 4-18 years

The Manual Ability Classification System (MACS) describes how children with cerebral palsy 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.

  • Find further information about MACS in the panel to the left.
  • Download the brochure in 24 different language.

    The MACS brochure describes the five levels and differences between adjacent levels, it also gives information about how to use the classification.

  • Download a flow chart.

    Use the flow chart together with the brochure to further clarify the process to determine which MACS level best corresponds with the child's manual ability.

  • Buy the instructional video.

    This 30 minute film explains the concept and construct of MACS, it show examples of children and the rationale for selecting different MACS levels.
    The video is available for purchase at our webshop

  • Recent publications

    Find references for recent articles in the panel to the left.

Instructional video

Preview of the cover for the MACS Instructional video

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News on

Mini-MACS in Italian can now be downloaded
Mini-MACS in Italian is now available for download. Follow the link to the left.
Thai version of MACS
The Thai version of MACS is now available for download, both the leaflet and the level identification chart. Follow the links to the left.
Mini-MACS can now be downloaded
Mini-MACS for children up to 1 year is now available for download. Follow the link to the left.