Arm ability

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Arm ability: Manual Ability Classification System (MACS) – classifies severity of upper limb impairment: how children with cerebral palsy use their hands to handle objects in daily activities in the home, school, and community settings. MACS Level I Handles objects easily and successfully. MACS Level II Handles most objects but with somewhat reduced quality and/or speed of achievement. MACS Level III Handles objects with difficulty; needs help to prepare and/or modify activities. MACS Level IV Handles a limited selection of easily managed objects in adapted situations. MACS Level V Does not handle objects and has severely limited ability to perform even simple actions.