HANDWRITING..... THE BASICS
                                                                                                                     by Teri Allen, OTR

"Students in classrooms across the nation must express 90 percent of their day in written communication."(1)  It is no
wonder then, that parents and teachers are concerned for the child who struggles with handwriting.  The ability to write
legibly does not begin when a child enters kindergarten.  It begins in the preschool years with the development of several
underlying skills.  The integration of these skills is a complex task.  Before we can assist a child who is experiencing difficulty
with handwriting, we must look at the child's abilities in each of these skill areas.
VISION
Obviously a child needs to have good visual acuity so that he can see the details of his written work.  He must have the
visual motor control to track across the page and to coordinate his eyes.  He will also need to visualize what numbers and
letters look like.  If a child keeps his eyes close to his work, or consistently tips his head to one side he may be having visual
problems.  Also watch for excessive blinking, rubbing of his eyes or excessive watering.  
LANGUAGE
Children who have trouble expressing themselves verbally or understanding the subtleties of what they are hearing, can
also struggle with written expression.  They may be working so hard on the language portion of the task that they cannot
attend to the motor portion.  It may be helpful to compare the difference in handwriting between the child's copying and
composing.
FINE MOTOR CONTROL
The child must be able to direct a pencil in a smooth coordinated manner.  If a child has a slight hand tremor or a jerky
quality to his movement, his lines will seem shaky and he will have difficulty with accuracy.  He may use excessive force on
his pencil as he tries to gain more control.
MOTOR PLANNING
To correctly form a letter or copy what he see, the child must decide in what direction to push his pencil and where to
begin and end his pencil stroke.  If he is experiencing trouble with motor planning, his written work will be disorganized
and messy.  A child with this problem may also struggle when learning new skills such as tying shoes, dressing, and
skipping.  He may see a little clumsy.
SENSORY FEEDBACK
You may have experienced the frustration of trying to talk or chew after the dentist has numbed your mouth.  Imagine
trying to hold a pencil, and make precise movements with your fingers if your hand was numb.  When the child's brain does
not correctly understand the sensory feedback received from his hand and arm, he will experience similar frustration.  He
may keep his head close to his hand so he can watch how his hand is moving.  In addition, he is likely to experience
difficulty with manipulation of small objects or use of tools such as scissors.
POSTURE
To produce precise movements with the hand, the child needs to stabilize his arm at the shoulder and his body in his chair.  
If the child is constantly shifting position, leaning or lying on his desk, or using his non dominant hand to prop himself, he
may be having difficulty maintaining a stable posture.
SEQUENCING
Each letter we form is a sequence of pencil strokes and each word a sequence of letters.  If a child cannot easily do
sequencing tasks, handwriting will again require excessive effort and concentration.  This may result in reversals of
individual letters or in letter positions within a word.

HOW TO HELP
If you feel your child is having difficulty with handwriting, observe him in the above skill areas.  Review your concerns with
his teacher.  Together, you and the teacher may be able to design a program for your child.  Your child will need a program
designed specifically for him as you may find any combination of skill deficiencies.  If your child still is not making
satisfactory progress, seek additional help.  There are many professionals, both in the schools and the private sector, who
can assist in the evaluation and development of these underlying skill areas.  These include: occupational therapists, speech
and language pathologists, learning disability teachers, and optometrists.
1 Dryer, "A New Dimension in Handwriting", OT WEEK, vol. 5 No. 14,1991.
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