Top image containing colorful hands


There are several reason for developing a classification of the ability to used the hands.

Niklas peeling an orange

First of all we think it is important to highlight the importance of hand use, which is crucial for children's independence in daily life, to be able to attend the school and occupy themselves during leisure.

Second, there is no valid and reliable functional hand classification avaliable. We want a system of classification that is more meaningful than "mild, moderate, severe" difficulties.

Finally we have understood the importance of the Gross Motor Function Classification System (GMFCS) and felt the need for something equivalent. We cannot take for granted that the development of hand function follows that for gross motor development. Thus MACS is designed to highlight the importance of hand function for independences in daily life.

Instructional video

Preview of the cover for the MACS Instructional video

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Download issues resolved!
MACS had some issues with downloading leaflets and identification charts that now have been resolved. The problems originated from the hosting company and a bad configuration.
Mini-MACS and MACS level identification chart in Dutch can now be downloaded
A new MACS level identification chart and Mini-MACS in Dutch is now available for download. Follow the link to the left.