Cerebral Palsy

Functional Classification Systems

Children 6-12 years

Classification Systems Level I Level II Level III Level IV Level V

GMFCS Walks and performs

activities without
Walks and performs
activities with
Walks with a
hand-held mobility
Self-mobility
with limitations;
Transported
in a manual
Gross Motor Function
limitations limitations device may use powered wheelchair
mobility

MACS Handles objects

easily and with
Reduced speed/
accuracy in object
Experiences
difficulty, needs
Needs continuous
support, handles a
Does not handle
objects, needs
Manual Ability
success handling, may look assistance for limited selection total assistance
for alternatives activities of objects

CFCS Effective sender/

receiver with
Slower but
effective sender/
Effective sender
and receiver with
Inconsistent
sender/receiver
Seldom effective
sender/receiver
Communication Function
unfamiliar/familiar receiver with familiar partners with familiar even with familiar
partners unfamiliar/familiar partners partners
partners

EDACS Eats and drinks

safely and
Eats and drinks
safely but with
Eats and drinks
with some
Eats and drinks
with significant
Unable to eat and
drink safely – tube
Eating & Drinking Ability
efficiently some limitations limitations to limitations to feeding considered
to efficiency safety safety

VFCS Uses visual

function easily and
Uses visual function
successfully
Uses visual function
but needs some
Uses visual function
in very adapted
Does not use visual
function even
Visual Function
successfully but needs adaptations environments in very adapted
compensatory environments
strategies
Cerebral Palsy
Functional Classification Systems
Children 6-12 years

Classification Systems Level I Level II Level III Level IV Level V

GMFCS Walks and performs

activities without
Walks and performs
activities with
Walks with a
hand-held mobility
Self-mobility
with limitations;
Transported
in a manual
Gross Motor Function
limitations limitations device may use powered wheelchair
mobility

MACS Handles objects

easily and with
Reduced speed/
accuracy in object
Experiences
difficulty, needs
Needs continuous
support, handles a
Does not handle
objects, needs
Manual Ability
success handling, may look assistance for limited selection total assistance
for alternatives activities of objects

CFCS Effective sender/

receiver with
Slower but
effective sender/
Effective sender
and receiver with
Inconsistent
sender/receiver
Seldom effective
sender/receiver
Communication Function
unfamiliar/familiar receiver with familiar partners with familiar even with familiar
partners unfamiliar/familiar partners partners
partners

EDACS Eats and drinks

safely and
Eats and drinks
safely but with
Eats and drinks
with some
Eats and drinks
with significant
Unable to eat and
drink safely – tube
Eating & Drinking Ability
efficiently some limitations limitations to limitations to feeding considered
to efficiency safety safety

VFCS Uses visual

function easily and
Uses visual function
successfully
Uses visual function
but needs some
Uses visual function
in very adapted
Does not use visual
function even
Visual Function
successfully but needs adaptations environments in very adapted
compensatory environments
strategies