Mini-MACS (Mini Manual Ability Classification System)

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Mini-MACS (Mini Manual Ability Classification System) is a five-level classification system for children with cerebral palsy aged 1–4 years. Adapted from MACS, it describes how young children typically use their hands to handle objects during everyday activities, providing families and professionals with a common language to understand and discuss manual ability during early childhood.

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Description

What is it?

Adapted from the MACS, Mini-MACS provides the same structural approach to describing hand function but for children ages 1-4 years old with cerebral palsy. The descriptions following each level are designed to reflect hand function in situations that are uniquely distinct to children in this age group.

Mini-MACS contains five levels as well as guidance for distinguishing between the levels. The levels include:

  • I – Handles objects easily and successfully.
  • II – Handles most objects, but with somewhat reduced quality and/or speed of achievement.
  • III – Handles objects with difficulty.
  • IV – Handles a limited selection of easily managed objects simple actions.
  • V – Does not handle objects and has severely limited ability to perform even simple actions.

Mini-MACS should also be completed by someone who engages with the child on a daily basis including a parent, childcare providers, or therapist. Children in this age group will not be able to complete the classification tool themselves.

Mini-MACS is provided as a downloadable PDF that includes the complete tool and instructions for use.

Preview

A sample page of the Mini-MACS can be found below.

A color-coded chart explaining the Mini-MACS, classifying children’s hand use into three levels and detailing each level's characteristics and examples.

For more information, please visit the MACS resource page.

Authors: Eliasson AC, Krumlinde Sundholm L, Rösblad B, Beckung E, Arner M, Öhrvall AM, Rosenbaum P.

Additional information

Language

Arabic, Brazilian Portuguese, Danish, Dutch, English, Greek, Italian, Korean, Norwegian, Persian, Spanish, Swedish, Traditional Chinese, Turkish, Vietnamese

Format

PDF