Table 2 Five classification levels of the Gross Motor Functional Classification System (GMFCS), the Manual Ability Classification System (MACS), the Communication Function Classification System (CFCS), the Eating and Drinking Ability Classification System (EDACS) and Visual Function Classification System (VFCS)
Levels | GMFCS | MACS | CFCS | EDACS | VFCS |
|---|---|---|---|---|---|
I | Walk without limitation | Handles objects easily and successfully | Sends and receives efficiently with others | Eats and drinks efficiently | Use visual function with successfully |
II | Walk with limitations | Handles objects but with reduced quality and/or speed of achievement | Sends and receives with others but may need extra time | Eats and drinks safely but with some limitations to efficiency | Uses visual function successfully but needs compensatory strategies |
III | Walk using a hand-held mobility device | Handles objects with difficulty; needs help to prepare and/or modify activities | Sends and receives with familiar partners effectively, but not with unfamiliar partners | Eats and drinks but may be limitations to efficiency | Uses visual function but needs some adaptations |
IV | Self-mobility with limitations; may use powered mobility | Handles a limited selection of easily managed objects in adapted situations | Inconsistently sends and/or receives even with familiar partners | Eats and drinks with significant limitations to safety | Need very adapted environments but performs just part of vision-related activities |
V | Transported in manual wheelchair | Does not handle objects and has mostly limited ability to perform actions | Seldom effectively sends and receives, even with familiar partners | Unable to eat and drink safely – tube feeding may be considered | Does not use visual function even in very adapted environments |