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Distinctions between Levels 1 and 2:
Children in Level 1 may have slightly more difficulty handling items that require good fine motor skills compared to children without disabilities of the same age. Children in Level 2 handle essentially the same objects as children in Level 1, but they may encounter problems performing tasks and/or take longer to perform them, so they often ask for help. Functional differences between hands may cause performance to be less effective. They may need more guidance and practice to learn how to handle objects compared with children in Level

Distinctions between Levels 2 and 3:
Children in Level 2 can handle most objects, though they may take longer and do so with somewhat less quality, and they may need a lot of guidance and practice to learn how to handle objects. Level 3 children manage to use easily handled objects but often need help placing objects in an easy position in front of them. They perform actions with few subcomponents. Performance is slow.

Distinctions between Levels 3 and 4:
Children in Level 3 : manage to use easily handled objects independently for short periods. They perform actions with few subcomponents, and the actions take a long time to perform. At best, children in Level 4 can perform simple actions such as grasping and releasing easily handled objects that are offered in an adapted position. They need constant help.

Distinctions between Levels 4 and 5:
Children in Level 4 perform individual actions with a very limited selection of objects and need constant help. At best, children in Level 5 perform simple movements in special situations. For example, they can press a simple button or hold single, simple objects