Objective To investigate the relationship between the damages of hand functions and the type of cerebral palsy (CP) in children with CP. Methods A total of 280 children aged 4-12 years old with CP in the 20 districts of Chengdu were included. The damages of hand functions were assessed with the Chinese Version of Manual Ability Classification System (MACS) and its relationship with the type of CP were analyzed. Results Among the 280 investigated children, there were 195 chidren with spastic CP, which accounted for the largest proportion (69.64%), wherein the spastic diplegia was most common (56.41%). The classification of MACS was level Ⅰ-Ⅱ in 65.13% children with spastic CP, whereas the classification of MACS was level Ⅲ-Ⅴ in 84.44% and 80.95% children with mixed and dyskinetic CP, respectively. With the increase of the degree of cognitive dysfunction in children with CP, the level of MACS was also increased. There was a difference between the classification of MACS and the different type of CP ( Pr=0.541, P
