Objective
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Manual Ability Classification System (MACS) and Mini MACS
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Purpose
Classify children’s ability to handle objects in daily activities. Useful for assessment, outcomes & goal setting
Children with cerebral palsy aged 4-18 years and 1-4 yrs (mini MACS)
Assesment Type
Patient Group
Cerebral Palsy
Age Group
Infants (0-2 years) | Children (3-12 years) | Adolescents (13-17 years)
ICF domain
Activity & Participation
Area of assessment
Activities of Daily Living | Fine Motor
Key description
Description
Ordinal 5 point scale based on report or observation of usual activities
Reliability / validity
Good reliability and validity
Inter-rater reliability 0.97
Between parent and therapist 0.96
Strengths / weaknesses
Instructional video on website. https://www.macs.nu/youtube.php
Considers ability and independence.
Cost
Free
Equipment required
None
Training required
None
Considerations & references
https://pubmed.ncbi.nlm.nih.gov/16780622/
Time to complete
5-15mins
Comments
Easy to use
Other languages
MACS -available in Arabic, Chinese, Croat, Danish, Dutch, , Farsi, Finnish, French, German, Greek, Hebrew, Italian, Japanese, Korean, Norwegian, Persian, Polish, Portuguese, Romanian, Serbian, Slovenian, Spanish, Swedish, Thai, Turkish, Ukrainian
Mini MACS available in Arabic, Chinese, Dutch,Farsi, Greek Korean, Italian, Norwegian, Persian, Spanish, Swedish, Turkish
If you spot any errors or wish to suggest any amendments to this summary, please contact paediatricmeasures@apcp.org.uk