Upper Limb Kinematics of Handwriting among Children with and without Developmental Coordination Disorder

Abu-Ata, AmaniDepartment of Occupational Therapy, School of Health Professions, Tel Aviv University, Tel Aviv, Israel (author)

Background: Children with developmental coordination disorder (DCD) often experience difficulties with handwriting legibility and speed. This study investigates the relationship between handwriting and upper limb kinematics to characterize movement patterns of children with DCD and typically developing (TD) children.Methods: 30 children with and without DCD matched for age, gender, and parent education were compared across handwriting abilities using a standardized handwriting assessment of both copied and dictated tasks (A-A Handwriting). The 3D motion capture system (Qualysis) was used to analyze upper limb kinematics and characterize movement patterns during handwriting and contrasted with written output.Results: Children with DCD wrote fewer legible letters in both copying and dictation. Children with DCD also showed poor automatization of key writing concepts. Atypical wrist postures were associated with reduced legibility for children with DCD (F (1,27) 4.71, p = 0.04, p = 0.04, p-η2 0.15); whereas for TD children, better legibility was associated with greater variations in movement speed, particularly of the wrist (rho = −0.578, p < 0.05).Conclusion: Results reflect different movement parameters influencing handwriting in children with DCD. An improved understanding of the movement characteristics during handwriting of these children may assist intervention design.

Green, DidoJönköping University,HHJ, Avdelningen för rehabilitering,HHJ. CHILD(Swepub:hj)gredid (author)
Sopher, RanDepartment of Occupational Therapy, School of Health Professions, Tel Aviv University, Tel Aviv, Israel; Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel (author)
Portnoy, SigalDepartment of Occupational Therapy, School of Health Professions, Tel Aviv University, Tel Aviv, Israel (author)
Ratzon, Navah Z.Department of Occupational Therapy, School of Health Professions, Tel Aviv University, Tel Aviv, Israel (author)
Department of Occupational Therapy, School of Health Professions, Tel Aviv University, Tel Aviv, IsraelHHJ, Avdelningen för rehabilitering (creator_code:org_t)

By the author/editor: Abu-Ata, Amani; Green, Dido; Sopher, Ran; Portnoy, Sigal; Ratzon, Navah Z.

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Neurology

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Pediatrics

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