“…2,3 In light of the diversity of CP two classification systems have been used; first is the Gross Motor Function Classification System expanded and revised (GMFCS E&R), which classifies voluntarily initiated movement with an emphasis on sitting, transfers, and mobility at five levels based on functional mobility or limitation in activity. 4,5 Then there is the Manual Ability Classification System (MACS), which classifies the performance during activities of daily living at home, at school, or in the community, without focusing on the affected side, or the type of manual dexterity, based on five levels, with Level I including the handling objects easily and level V for those who have severely limited ability to manipulate objects. 6,7 The motor difficulties present in CP limit the experiences of the affected child as to interacting with people, objects, and events, for manipulating objects, repeat actions, have body control, and develop their body scheme, and may lead to gaps in areas of perception, cognition, language, and socializing.…”