School-aged children spend 31-60 % of their time at school performing handwriting, which is a complex perceptual-motor skill composed of a coordinated combination of fine graphomotor movements. As up to 30 % of them experience graphomotor difficulties (GD), timely diagnosis of these difficulties and therapeutic intervention are of great importance. At present, an objective, computerized decision support system for the identification and assessment of GD in school-aged children is still missing. In this study, we propose three novel advanced handwriting parametrization techniques based on modulation spectra, fractional order derivatives, and tunable Q-factor wavelet transform to improve the identification of GD using online handwriting. For this purpose, we analyzed signals acquired from 7 basic graphomotor tasks performed by 53 children attending 3rd and 4th grade at several primary schools around the Czech Republic. Combining the newly proposed features with the conventionally used ones, we were able to identify GD with 84 % accuracy. In this study, we showed that using advanced parametrization of basic graphomotor movements can be potentially used to improve our capabilities of quantifying problems with the development of legible, fast-paced handwriting, and help with the early diagnosis of handwriting difficulties frequently manifested in developmental dysgraphia.
Dysgraphia (D) is a complex specific learning disorder with a prevalence of up to 30%, which is linked with handwriting issues. The factors recognized for assessing these issues are legibility and performance time. Two questionnaires, the Handwriting Proficiency Screening Questionnaire (HPSQ) for teachers and its modification for children (HPSQ-C), were established as quick and valid screening tools along with a third factor-emotional and physical well-being. Until now, in the Czechia, there has been no validated screening tool for D diagnosis. A study was conducted on a set of 294 children from 3rd and 4th year of primary school (132 girls/162 boys; M age 8.96 ± 0.73) and 21 teachers who spent most of their time with them. Confirmatory factor analysis based on the theoretical background showed poor fit for HPSQ [χ 2 (32) = 115.07, p < 0.001; comparative fit index (CFI) = 0.95; Tucker-Lewis index (TLI) = 0.93; root mean square error of approximation (RMSEA) = 0.09; standard root mean square residual (SRMR) = 0.05] and excellent fit for HPSQ-C [χ 2 (32) = 31.12, p = 0.51; CFI = 1.0; TLI = 1.0; RMSEA = 0.0; SRMR = 0.04]. For the HPSQ-C models, there were no differences between boys and girls [ χ 2 (7) = 12.55, p = 0.08]. Values of McDonalds's ω indicate excellent (HPSQ, ω = 0.9) and acceptable (HPSQ-C, ω = 0.7) reliability. Boys were assessed as worse writers than girls based on the results of both questionnaires. The grades positively correlate with the total scores of both HPSQ (r = 0.54, p < 0.01) and HPSQ-C (r = 0.28, p < 0.01). Based on the results, for the assessment of handwriting difficulties experienced by Czech children, we recommend using the HPSQ-C questionnaire for research purposes.
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