Manual ability classification system (MACS)

Manual Ability Classification System (MACS)

The ability of children from 4 - 18 years old with cerebral palsy to handle objects in everyday activities can be categorised into 5 levels using the Manual Ability Classification System (MACS).

Knowing a child’s MACS level can help parents, teachers and others to understand situations in which a child is independent and the extent to which they need support or adaptations.

MACS level is determined based on knowledge about the child’s actual performance in daily life. It is not done by conducting a specific assessment, but by asking someone who knows the child and how that child typically performs.

MACS levels


  1. Visit the MACS Manual Ability Classification System website for more information.