Writing on the Wall

Handwriting Issues Persist in Autistic Teens

New research finds that handwriting issues persist into adolescence in autistic teens.

A recent study has found that handwriting issues affecting autistic children tend to persist into adolescence. The results of this research were published in the November 16, 2010 issue of Neurology, a publication put out by the American Academy of Neurology.

Study subjects included 2 dozen boys and girls aged 12-16 years. Half of them had been diagnosed with an autism spectrum disorder, and all of them scored within normal range for perceptual reasoning on IQ tests.

Scrambled Sentence

The researchers had the teens take the Minnesota Handwriting Assessment Test, which makes use of a scrambled sentence to remove the possibility that fluent readers will gain an advantage in terms of speed. The teens were asked to copy the sentence, "the brown jumped lazy fox quick dogs over,” and were instructed to make the letters all the same sizes and shapes as those used in the sample. They were asked to use their best handwriting for this purpose.

The teens’ handwriting received scores in five different categories: spacing, size, alignment, form, and legibility. The teenagers were also examined to assess their motor skills and assigned ratings in categories such as timed movement and balance.

Out of a possible 204 points total for the handwriting assessment, the teens with autism scored an average of 167 points, while the teens without autism scored an average of 183 points. There is a statistical significance in the difference between these two averages. The teens with autism were also discovered to have impaired motor skills.

Possible Strategy

The researchers found that handwriting issues in autistic teens could be predicted by perceptual reasoning scores. Perceptual reasoning is the ability to use reason to solve problems in nonverbal material. "That reasoning skills can predict handwriting performance suggests a possible strategy by which adolescents with autism could learn and utilize compensatory strategies to overcome motor impairments," said study author Amy Bastian, PhD.

According to Bastion, while it’s true that autistic teens tend to have handwriting issues, there are a variety of techniques that can be used to improve the quality of their handwriting, for instance making adjustments to pencil grip, stabilizing a writing hand by holding it with the opposite hand, or taking more time to write the letters. “These therapies could help teens with autism to progress academically and develop socially," Bastion said.

Bastion is affiliated with the Johns Hopkins School of Medicine and the Kennedy Krieger Institute in Baltimore, MD. The Autism Speaks Pre-Doctoral Fellowship and the National Institutes of Health (NIH) underwrote the study.

Related articles

• Handwriting Problems Hard to Outgrow With Autism (webmd.com)
• For Teens with Autism, Handwriting Problems May Persist (nlm.nih.gov)
• Autism and Handwriting: Part 2 (psychologytoday.com)