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Updated: Jul 15, 2026

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Event-related Potentials During Target-response Tasks to Study Cognitive Processes of Upper Limb Use in Children with Unilateral Cerebral Palsy
Published on: January 11, 2016
[Manual ability classification system for children with cerebral palsy].
Ewa Gajewska1, Magdalena Sobieska, Włodzimierz Samborski
1Klinika Fizjoterapii, Reumatologii Rehabilitacji, Akademia Medyczna im. Karola Marcinkowskiego w Poznaniu.
Summary
The Manual Ability Classification System (MACS) classifies hand use in children with cerebral palsy during daily activities. It assesses self-initiated object handling within personal space for ages 4-18.
Area of Science:
- Pediatric Rehabilitation
- Neurodevelopmental Disorders
- Occupational Therapy
Context:
- Cerebral palsy (CP) significantly impacts motor function, particularly hand use in children.
- Standardized assessment tools are crucial for understanding functional limitations in children with CP.
- Evaluating manual abilities is essential for targeted therapeutic interventions.
Purpose:
- To introduce and describe the Manual Ability Classification System (MACS).
- To provide a systematic method for classifying manual abilities in children with cerebral palsy.
- To standardize the assessment of hand function related to object handling in daily activities.
Summary:
- The Manual Ability Classification System (MACS) is a subjective tool assessing self-initiated hand use.
- It focuses on how children with cerebral palsy handle objects within their personal space.
- MACS is applicable to children with cerebral palsy aged 4 to 18 years.
Impact:
- Facilitates consistent communication among clinicians regarding children's manual abilities.
- Supports the development of individualized occupational therapy treatment plans for children with CP.
- Enhances the understanding of functional hand use in pediatric cerebral palsy research.
