Welcome to Our Neurology Module
Lindsey Reynolds
Jalesa Hood
Manual Ability Classification
Severity of Cerebral Palsy
The impact that Cerebral Palsy can have on the individual differs greatly from one person to the next based on the type of movement disorder and the parts of the body that are impacted. For example, one child may be able to participate in Tae-Kwon-Do while another may need constant support to eat, drink, or bathe.
To assess the severity of Cerebral Palsy, there are three different charts that are typically used.
Communication Function System Classification
Rates the effectiveness of communication based on 5 levels
Level 1 (High Functioning)
Can independently and effectively communicate with a majority of people in most environments
Level 2
Can independently and effectively communicate with most people, but may engage in slower conversation
Level 3
Can independently communicate with
people who are familiar, in most
environments
Level 4
Cannot always communicate consistently
with familiar partners
Level 5
Cannot usually communicate effectively
even with familiar people
Gross Motor Function Classification System
Rates the effectiveness of motor capabilities from 1 to 5. If taken after age 5, it is an indicator of how the child will most likely function in the future.
Level 1 (High Functioning)
Can walk in varying environments, Can use stairs without a railing, and may be able to run and jump (although coordination may be limited)
Level 2
Can walk in most settings, can use the stairs with railing assistance, and may have difficulty with walking long distances
Level 3
Can walk using a mobility device (walker) indoors. They will need wheeled assistance for long distances
Level 4
Likely need physical assistance or the help of a wheelchair or supportive device in settings other than home. Require supervision.
Level 5
Must be transported in a wheel chair in all settings and may need supportive braces for torso and head.
Rates ability to handle everyday objects through a rating system of 1 to 5. This helps gauge where a child may need adaptations.
Level 1 (High Functioning)
Can handle objects easily.
Level 2
Can handle most objects with less speed and precision
Level 3
Child may need help preparing or modifying activities.
Level 4
Handles easily managed items but requires physical assistance .
Level 5
Needs complete support to handle tasks
(Cerebral Palsy Alliance, 2016)