MANUAL ABILITY CLASSIFICATION SYSTEM(MACS)

Understand the term to know the manual stability use this terms MACS.
Manual ability =UL performance(in daily activities) measure by.
1.Complex tasks.
2.daily living activities(eating,dressing,toileting etc)
3.writing.
4.Play-cognition.
5.Manupulating objects.
6.Gesturing.
7.Play.

Levels are for age between 4-18yrs and are based on children’s self-initiated ability to
handle objects, with participation of both hands in activities.

USE OF MACS:
Look for the most usual performances rather than best ability.
LEVEL-1:Handle objects easily & successfully.
LEVEL-2: Handle most objects easily but somewhat reduce quality and speed of
achievement.
LEVEL-3: Handle with objects with difficulty,needs help to prepare and modify services.
LEVEL4:Handle limited section of easily managed objects in adapted situation.
LEVEL-5: Dose not handel objects and has severely limited ability to perform even simple
actions.
 DOSE THE CHILD HANDLE MOST OBJECTS INDEPENDENTLY

Dose the child perform Dose the child perform a number of manual
Manual tasks with tasks where modification of environment is
Their speed & accuracy. Needed & help is need.

Level-1 Level-2 No YES

Handel objects easily Handles most objects does the child perform Handel
Easily successfully but with reduce quality some simple manual task objects
&speed achievement if fully supported. with
difficulty needs
help to prepare
modify activities

YES NO
Level-4 Level-5
Handle a limited selection of dose not handle objects &
Easily managed objects has severety limited ability to
In adapted situations perform even simple action.
In session-3 EDDEA i, e, Eating drinking classification system was represent by Dr. Gayathri
Devi ,assistant professor ,Depertment of pediatric by lecture and vedio. She discussed about
functional classification of EDACS and impact of feeding problem. The classification is done
because-----

 To classify how individuals with cerebal palsy eat and drink in every day life.
 Focus on sucking, biting, chewing, swallowing and keeping food or fluid in the
mouth.
 Levels are not age dependent
 It is not an assessment tool.
 There are 5 levels of severity
The 5 levels are----
Level—1 Eats and drinks safety and efficiently.
Level---2 Eats and drinks safely but with some limitation to efficiency.
Levels---3 Eats and drinks with some limitation to safely, there may be limitation to
efficiency.
Levels---4 Eats and drinks with significant limitation to safety.
Level---5 Unable to eat and drink safely, tube feeding may be concider to provide nutrition.
And in intervention she discussed about assistive device including tube feeding gastrostomy
feeding etc.
Then in small group activity EDACSis discussed in four station in 15 minute time period
which fecilitate for better understanding.