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Handwriting evaluation for developmental dysgraphia: Process versus product

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Abstract

The act of writing presents difficulties for10–30% of elementary school children. Thisstudy's objectives were to compare theabilities of digitizer-based evaluation of thehandwriting process and conventional evaluationof the handwriting product to discriminatebetween children with proficient and dysgraphichandwriting. Copied and dictated writingsamples were collected from 3rd grade students,50 with proficient and 50 with dysgraphichandwriting. Results indicated that bothdigitizer-based and conventional evaluationsdifferentiated between children with proficientand dysgraphic handwriting, and that togetherthey provided an improved understanding ofwriting difficulties. Moreover, copying anddictated writing task results differed significantly.The results demonstrate theadvantages of combining both handwritingprocess and product testing, and utilizing bothcopying and dictation tasks, in order toachieve a more comprehensive understanding andsuperior evaluation of developmentaldysgraphia.

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References

  • Alston, J. (1983). A legibility index: Can handwriting be measured? Educational Review, 35, 237–242.

    Google Scholar 

  • American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders, 4th edn. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Amundson, S.J. (1995). Evaluation tool of children's handwriting: ETCH, examiner's manual. Homer: O.T. Kids.

    Google Scholar 

  • Amundson, S.J. & M. Weil (1996). Prewriting and handwriting skills. In J. Case-Smith, A.S. Allen & P.N. Pratt (Eds.), Occupational therapy for children (pp. 524–541). St, Louis, Michigan; Mosby-Year Book.

    Google Scholar 

  • Ayres, L. (1912). A scale for measuring the quality of handwriting of school children. New York: Russel Sage Foundation.

    Google Scholar 

  • Berninger, V. & S. Graham (1998). Language by hand: a synthesis of a decade of research on handwriting. Handwriting Review, 12 , 11–25.

    Google Scholar 

  • Berninger, V., D. Mizokawa & R. Bragg (1991). Theory-based diagnosis and remediation of writing. Journal of School Psychology, 29, 57–59.

    Google Scholar 

  • Berninger, V.W., K.B. Vaughan, R.D. Abbott, S.P. Abbott, W. Rogan, A. Brooks, E. Reed & S. Graham (1997). Treatment of handwriting problems in beginning writers: Transfer from handwriting to composition. Journal of Educational Psychology, 89, 652–666.

    Google Scholar 

  • Bezzi, R. (1962). A standarized manuscript scale for grades 1, 2, and 3. Journal of Educational Research, 55, 339–340.

    Google Scholar 

  • Bonny, A.M. (1992). Understanding and assessing handwriting difficulties: Perspective from the literature. Australian Occupational Therapy Journal, 39, 7–15.

    Google Scholar 

  • Briggs, D. (1980). A study of the influence of handwriting upon grades using examination scripts. Educational Review, 32, 185–193.

    Google Scholar 

  • Brown, J.K. (1981). Learning disabilities: A pediatric neurologist's point of view. Transactions of the College of Medicine of South Africa, December, pp. 49–104.

  • Chase, C. (1986). Essay test scoring: Interaction of relevant variables. Journal of Educational Measurement, 23, 33–41.

    Google Scholar 

  • Cornhill, H. & J. Case-Smith (1996). Factors that relate to good and poor handwriting. American Journal of Occupational Therapy, 50, 732–739.

    Google Scholar 

  • Cratty, B.J. (1994). Clumsy child syndromes, descriptions, evaluation and remediation (pp. 143–144). USA: Harwood Academic.

    Google Scholar 

  • Damiano, D.L. & M.F. Abel (1996). Relation of gait analysis to gross motor function in cerebral palsy. Developmental Medicine and Child Neurology, 38, 389–396.

    Google Scholar 

  • Daniel, M.E. & E. Froude (1998). Reliability of occupational therapist and teacher evaluations of handwriting quality of grade 5 and 6 primary school children. Australian Occupational Therapy Journal, 45, 48–58.

    Google Scholar 

  • Dennis, J.L. & Y. Swinth (2001). Pencil grasp and children's handwriting legibility during different length writing tasks. The American Journal of Occupational Therapy, 55, 171–183.

    Google Scholar 

  • Dobbie, L. & E.N. Askov (1995). Progress of handwriting research in the 1980s and future prospects. The Journal of Educational Research, 88, 339–351.

    Google Scholar 

  • Dvash, L.E., M. Levi, R. Traub & M. Shapiro (1995). Reliability and validity of the Hebrew handwriting evaluation. Israel, Jerusalem: School of Occupational Therapy, Faculty of Medicine, Hebrew University (unpublished thesis).

    Google Scholar 

  • Eidlitz, M.R. & M. Simner (1999). The nature of dysgraphic handwriting in grade-1 children. In G.L. Leedham, V. Sagar & X. Xuhong (Eds.), Proceedings of the ninth biennial conference of the International Graphonomics Society (pp. 171–175). The Netherlands: Manigary Technological University.

    Google Scholar 

  • Erez, N. & S. Parush (1999). The Hebrew handwriting evaluation, 2nd edn. Israel, Jerusalem: School of Occupational Therapy. Faculty of Medicine. Hebrew University of Jerusalem.

    Google Scholar 

  • Feldt, L.S. (1962). The reliability of measures of handwriting quality. Journal of Educational Psychology, 53, 288–299.

    Google Scholar 

  • Freeman, F.N. (1959). A new handwriting scale. Elementary School Journal, 59, 218–221.

    Google Scholar 

  • Fryburg, E.L. (1997). Reading and learning disability. Springfield, Illiniois: Charles Thomas.

    Google Scholar 

  • Graham, S. (1982). Measurement of handwriting skills: A critical review. Diagnostique, 8, 32–42.

    Google Scholar 

  • Graham, S. (1986a). A review of handwriting scales and factors that contribute to variability in handwriting scores. Journal of School Psychology, 24, 63–72.

    Google Scholar 

  • Graham, S. (1986b). The reliability, validity, and utility of three handwriting measurement procedures. Journal of Educational Research, 79, 373–380

    Google Scholar 

  • Graham, S. (1990). The role of production factors in learning disabled students' compositions. Journal of Educational Psychology, 82, 781–791.

    Google Scholar 

  • Graham, S., V.W. Berninger & N. Weintraub (1998). The relationship between handwriting style and speed and legibility. The Journal of Educational Research, 5, 290–296.

    Google Scholar 

  • Graham, S., K. Boyer-Schick & E. Tippets (1989). The validity of handwriting scale from the Test of Written Language. Journal of Educational Research, 82, 166–171.

    Google Scholar 

  • Graham, S., K.R. Harris & B. Fink (2000). Is handwriting causally related to learning to write? Treatment of handwriting problems in beginning writers. Journal of Educational Psychology, 92, 620–633.

    Google Scholar 

  • Graham, S. & N. Weintraub (1996). A review of handwriting research: Progress and prospects from 1980-1994. Educational Psychology Review, 8, 7–86.

    Google Scholar 

  • Graham, S., N. Weintraub & V. Berninger (2001). Which manuscript letters do primary grade children write legibly. Journal of Educational Psychology, 3, 488–497.

    Google Scholar 

  • Gross-Tsur, V., R.S. Shalev, O. Manor & N. Amir (1995). Developmental right-hemisphere syndrom: Clinical spectrum of the nonverbal learning disability. Journal of Learning Disability, 28, 80–86.

    Google Scholar 

  • Halligan, P.W. & D.T. Wade (1998). Visual gait analysis: The development of a clinical assessment and scale. Clinical Rehabilitation, 12, 107–119.

    Google Scholar 

  • Hamstra-Bletz, L., J. DeBie & B. Den Brinker (1987). Concise evaluation scale for children's handwriting. Lisse, Swets & Zeitlinger.

    Google Scholar 

  • Hamstra-Bletz, L. & A. Blote (1993). A longitudinal study on dysgraphic handwriting in primary school. Journal of Learning Disability, 26, 689–699.

    Google Scholar 

  • Hua, M.S., S.T. Chen & Y.C. Chu (2001). Chinese writing function in patients with left versus right putaminal hemorrhage. Journal of Clinical and Experimental Neuropsychology, 23, 372–385.

    Google Scholar 

  • Hughes, D.C., B. Keeling & B.F. Tuck (1983). Effects of achievement expectations and handwriting quality on scoring essays. Journal of Educational Measurement 20, 65–70.

    Google Scholar 

  • Johnson, D.J. (1995). An overview of learning disabilities: Psychoeducational perspectives. Journal of Child Neurology, 10, S2–S8.

    Google Scholar 

  • Jones, D. & C.A. Christensen (1999). Relationship between automaticity in handwriting and student's ability to generate written text. Journal of Educational Psychology, 91, 44–49.

    Google Scholar 

  • Kaminsky, S. & R. Powers (1981). Remediation of handwriting difficulties, a practical approach. Academic Therapy, 17, 19–25.

    Google Scholar 

  • Larsen, S.C. & D.P. Hammill (1989). Test of legible handwriting, Pro-Ed. Austin, Texas.

    Google Scholar 

  • Laszlo, J.I. (1990). Child perceptuo-motor development: Normal and abnormal development of skilled behaviour. In C.A. Hauert (Ed.), Developmental psychology: Cognitive, perceptuo-motor and neurophysiological perspective (pp. 273–308). Amsterdam: North Holland.

    Google Scholar 

  • Laszlo, J.I., P.J. Bairstow & J. Bartip (1988). A new approach to treatment of perceptuo-motor dysfunction: previously called clumsiness. Support for Learning, 3, 35–40.

    Google Scholar 

  • Levine, M. (1987). Developmental variation and learning disorders. Cambridge, Massachusetts: Educators Publishing.

    Google Scholar 

  • Lifshietz, N. & S. Parush (1996). Screening assessment for children with handwriting deficits. Jerusalem: The Hebrew University (unpublished thesis).

    Google Scholar 

  • Longstaff, M.G. & R.A. Heath (1997). Space-time invariance in adult handwriting. Acta Psychologica, 97, 201–214.

    Google Scholar 

  • Martlew, M. (1992). Handwriting and spelling: Dyslexic children's abilities compared children of the same chronological age and younger children of the same spelling level. British Journal of Educational Psychology, 62, 375–390

    Google Scholar 

  • McHale, K. & S.A. Cermak (1992). Fine motor activities in elementary school: Preliminary findings and provisional implications for children with fine motor problems. American Journal of Occupational Therapy, 46, 898–892.

    Google Scholar 

  • Melvin, D. & M.D. Levine (1993). Developmental variation and learning disorders (pp. 308–345). Cambridge, Massachusetts: Educators Publishers.

    Google Scholar 

  • Modlinger, I. (1983). Disorders of written language: Diagnosis and remedial teaching. Tel Aviv: Sifriyat Hapoalim.

    Google Scholar 

  • Mojet, J.W. (1991). Characteristics of the developing handwriting skill in elementary education. In J. Wann, A.M. Wing & N. Sovik (Eds.), Development of graphic skills (pp. 53–74). London: Academic Press.

    Google Scholar 

  • Mulder, T., B. Nienhuis & J. Pauwels (1998). Clinical gait analysis in a rehabilitation context: Some controversial issues. Clinical Rehabilitation, 12, 99–106.

    Google Scholar 

  • O'Hare, A. (1999). Dysgraphia and dyscalculia. In K. Whitmore, H. Hart & G. Willems (Eds.), A neurodevelopmental approach to specific learning disabilities (pp. 96–119). Cambridge: MacKeith Press.

    Google Scholar 

  • O'Sullivan, J.D., C.M. Said, L.C. Dillon, M. Hoffman & A.J. Hughes (1998). Gait analysis in patients with Parkinson's disease and motor fluctuations: Influence of levodopa and comparison with other measures of motor function. Movement Disorders, 13, 900–906.

    Google Scholar 

  • Phelps, J., L. Stempel & G. Speck (1985). The children's handwriting scale: A new diagnostic tool. Journal of Educational Research, 79, 46–50.

    Google Scholar 

  • Phelps, J. & L. Stempel (1988). The children's handwriting evaluation scale for manuscript writing. Reading Improvement, 25, 247–255.

    Google Scholar 

  • Pindak, V. & S. Parush (1996). The connection between motor programming and the ability of finger identify-to handwriting quality of third grade children. Israel, Jerusalem: Faculty of Medicine, Hebrew University (unpublished thesis).

    Google Scholar 

  • Reisman, J.E. (1991). Poor handwriting, who is refered? American Journal of Occupational Therapy, 45, 849–852.

    Google Scholar 

  • Reisman, J.E. (1993). Development and reliability of the research version of the Minessota handwriting test. Physical and Occupational Therapy in Pediatrics, 13, 41–55.

    Google Scholar 

  • Rosenblum, S., A. Jessel, E. Adi-Japha, S. Parush & P.L. Weiss (1997). Quantitative characteristics of normal and dysgraphic children in Hebrew script. Proceedings of the Ninth biennial conference of the International Graphonomics Society (pp. 71–72). Italy: Genova.

    Google Scholar 

  • Rosenblum, S., S. Parush & P. Weiss (2001). Temporal measures of poor and proficient handwriters. In R.G.J. Meulenbroek & B. Steenbergen (Eds.), Proceedings of the Tenth biennial conference of the International Graphonomics Society (pp. 119–125). The Netherlands: University of Nijmegen; IGS Publishers.

    Google Scholar 

  • Rosenblum, S., S. Parush & P.L. Weiss (2003a). Computerized temporal handwriting characteristics of proficient and poor handwriters. The American Journal of Occupational Therapy, 57, 129–138.

    Google Scholar 

  • Rosenblum, S., S. Parush & P.L. Weiss (2003b). The In Air phenomenon: Temporal and spatial correlates of the handwriting process. Perceptual and Motor Skills, 96, 933–954.

    Google Scholar 

  • Rosenblum, S., P.L. Weiss & S. Parush (2003). Product and process evaluation of handwriting difficulties: A review. Educational Psychology Review, 15, 41–81.

    Google Scholar 

  • Rubin, N. & S.E. Henderson (1982). Two sides of the same coin: Variation in teaching methods and failure to learn to write. Special Education: Forward Trends, 9, 17–24.

    Google Scholar 

  • Sary, T., S. Parush & T. Jarus (1996). Handwriting quality and kinesthetic function of children with and without handwriting difficulty. Jerusalem, Israel: School of Occupational Therapy, Faculty of Medicine, Hebrew University (unpublished thesis

    Google Scholar 

  • Scardamailia, M., C. Bereiter & H. Goleman (1982). The role of production factors in writing ability. In M. Nystrand (Ed.), What writers know: The language process and structure of written discourse (pp. 173–210). New York: Academic Press.

    Google Scholar 

  • Schoemaker, M.M., J.M.H. Shellekens, A.F. Kalverboer & L. Kooistra (1994). Pattern drawing by clumsy children: A problem of movement control. In M.L. Simner, W. Hulstujin & P. Girouard (Eds.), Contemporary issues in the forensic, developmental, and neurological aspects of handwriting (pp. 45–64) (Monograph of the Association of Forensic Document Examiners, Vol. 1). Toronto, Canada: Association Forensic Document Examiners.

    Google Scholar 

  • Shoemaker, M.M. & B.C.M. Smits-Engelsman (1997). Dysgraphic children with and without a generalized motor problem: Evidence for subtypes?. In F. Colla, Masulli & P. Morasso (Eds.), IGS 1997 proceedings: Eight biennial conference. The International Grapho-nomics Society (pp. 11–12). The Netherlands: Nijmegen; IGS.

  • Schwartz, M.H., T.F. Novacheck & J. Trost (2000). A tool for quantifying hip flexor function during gate. Gait Posture, 12, 122–127.

    Google Scholar 

  • Smits-Engelsman, B.C.M. (1995). Theory-based diagnosis of fine-motor coordination development and deficiencies using handwriting tasks. PhD Thesis, The Netherlands: Univer-sity of Nijmegen.

    Google Scholar 

  • Smits-Engelsman, B.C.M., M.M. Schomaker, G.P. Van Galen & C.J.M. Michels (1996). Physiotherapy for children's writing problems: Evaluation study. In M.L. Simner, C.G. Leedham & A.J.W.M. Thomassen (Eds.), Handwriting and drawing research: Basic and applied issues (pp. 227–240). Amsterdam: IOS Press.

    Google Scholar 

  • Smits-Engelsman, B.C.M. & G.P. Van Galen (1997). Dysgraphia in children: Lasting psycho-motor deficiency or transient developmental delay? Journal of Experimental Child Psychology, 67, 164–184.

    Google Scholar 

  • Smits-Engelsman, B.C.M., G.P. Van Galen & C.G.J. Michels (1995). De leekracht beoordeeld: Inschatting van schrijfvaardigheidsproblemen en motorische achterstand bij basisschool leerlingen. [Prevalence of poor handwriting and the validity of estimation of motor proficiency and handwriting performance by teachers].Tijdschrift voor Onderwijsresearch, 20, 1–15.

    Google Scholar 

  • Smits-Engelsman, B.C.M., G.P. Van Galen & C.G.J. Michels (1995). Teachers assessment of the motor proficiency level and motor writing skills of elementary school pupils. In B.C.M. Smits-Engelsman (Ed.), Theory based diagnosis of fine-motor coordination devel-opment and deficiencies using handwriting tasks (pp. 33–49). Unpublished PhD thesis, The Netherlands: Nijmegen.

    Google Scholar 

  • Smits-Engelsman, B.C.M., G.P. Van Galen & S.J. Portier (1994a). Psychomotor aspects of poor handwriting in children. In M.L. Simner, W. Hulstijn & P.L. Girouard (Eds.), Contemporary issues in the forensic, developmental and neurological aspects of handwriting. Monograph of the association of forensic document examination, vol. 1 (pp. 17–43). Toronto, Canada: Association Forensic Document Examiners.

    Google Scholar 

  • Smits-Engelsman, B.C.M., G.P. Van Galen & J. Portier (1994b). Psychomotor development of handwriting proficiency: A cross-sectional and longitudinal study on developmental features of handwriting. In C. Faure, P. Keuss, G. Lorette & A. Vinter (Eds.), Advances in handwriting and drawing, A multidisiciplinary approach (pp. 187–205). Paris: Europia Press.

    Google Scholar 

  • Smits-Engelsman, B.C.M., G.P. Van Galen & M.M. Shoemaker (1998). Theory-based diagnosis and subclassification in the developmental coordination disorder. In J. Rispens, T.A. Van Yperen & W.Yule (Eds.), Perspective on the classification of specific develop-mental disorders (pp. 245–264). London: Academic Publishers.

    Google Scholar 

  • Sovik, N., O. Arnzen, M. Samuelstuen & M. Heggberget (1994). Relations between linguistic wordgroups and writing. In C. Faure, P. Keuss, G. Lorette & A. Vinter (Eds.), Advances in handwriting and drawing, a multidisciplinary approach (pp. 231–246). Paris: Europia Press.

    Google Scholar 

  • Sovik, N., O. Arntzen & R. Thygesen (1987a). Relation of spelling and writing in learning disabilities. Perceptual and Motor Skills, 64, 219–236.

    Google Scholar 

  • Sovik, N., O. Arntzen & R. Thygesen (1987b). Writing characteristics of "normal", dyslexic and dysgraphic children. Journal of Human Movement Studies, 31, 171–187.

    Google Scholar 

  • Stott, D.H., S.E. Henderson, & F.A. Moyes (1987). Diagnosis and remediation of handwriting problems. Adapted Physical Activity Quarterly, 4, 137–147.

    Google Scholar 

  • Stott, D.H., F.A. Moyes & S.E. Henderson (1984). Diagnosis and remediation of handwriting problems. Burlington, Ontario: Hayes Publishers; Cradiff: Drake Educational.

    Google Scholar 

  • Thorndike, E.L. (1910). Handwriting. Teacher College Record, 11, 83–175.

    Google Scholar 

  • Trap-Porter, J., M.A. Gladden, D.S. Hill & J.O. Cooper (1983). Space size and accuracy of second and third grade students cursive handwriting. Journal of Educational Research, 76, 231–233.

    Google Scholar 

  • Tseng, M.H. & S.H. Cermak (1993). The influence of ergonomic factors and perceptual-motor abilities on handwriting performance. American Journal of Occupational Therapy, 47, 919–926.

    Google Scholar 

  • Tseng, M.H. & S.M.K. Chow (2000). Perceptual-motor function of school-age children with slow handwriting speed. American Journal of Occupational Therapy, 54, 83–88.

    Google Scholar 

  • Tseng, M.H. & I.P. Hsueh (1997). Performance of school-age children on a Chinese handwriting speed test. Occupational Therapy International, 4, 294–303.

    Google Scholar 

  • Van Galen, G.P., S.J. Portier, B.C.M. Smits-Engelsman & L.R.B. Shoemaker (1993). Neuro-motor noise and poor handwriting in children. Acta Psychologica, 82, 161–178.

    Google Scholar 

  • Waber, D.P. & J.H. Bernstein (1994). Repetative graphomotor output in L.D. and nonlearning-disabled children. The Repeated Patterns Test. Developmental Neuropsychology, 10, 51–65.

    Google Scholar 

  • Wann, J.P. (1987). Trends in the refinement and optimization of fine-motor trajectories: Observations from an analysis of the handwriting of primary school children. Journal of Motor Behavior, 19, 13–37.

    Google Scholar 

  • Wann, J.P. & J.G. Jones (1986). Space-time invariance in handwriting. Human Movement Science, 5, 275–296.

    Google Scholar 

  • Wann, J.P. & M. Kardirkmanathan (1991). Variability in childrens handwriting computer diagnosis of writing difficulties. In J. Wann, A.M. Wing & N. Sovik (Eds.), Development of graphic skills (pp. 223–236). London: Academic Press.

  • Ziviani, J. & J. Elkins (1984). An evaluation of handwriting performance. Educational Review, 36, 249–261.

    Google Scholar 

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  1. Sara Rosenblum
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  2. Patrice L. Weiss
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  3. Shula Parush
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Rosenblum, S., Weiss, P.L. & Parush, S. Handwriting evaluation for developmental dysgraphia: Process versus product. Reading and Writing 17, 433–458 (2004). https://doi.org/10.1023/B:READ.0000044596.91833.55

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