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Handwriting speed in juvenile idiopathic arthritis using the detailed assessment of speed of handwriting
C A Marchak1, S James2, I Davidson3
1Pediatric Resident Doctor, University of British Columbia, Vancouver, Canada.
Insights
Children with juvenile idiopathic arthritis (JIA) often experience handwriting difficulties. This study evaluated their handwriting, finding it commonly impaired and linked to grip strength, suggesting a need for targeted interventions.
Area of Science:
- Pediatric Rheumatology
- Occupational Therapy
- Child Development
Background:
- Handwriting is a frequent functional challenge reported by children diagnosed with juvenile idiopathic arthritis (JIA).
- Understanding the extent and impact of handwriting limitations is crucial for this population.
Purpose of the Study:
- To evaluate the handwriting performance in children diagnosed with juvenile idiopathic arthritis (JIA).
- To explore the relationship between handwriting, physical function, and quality of life in children with JIA.
Main Methods:
- The study involved twelve children with JIA (mean age 13.0 years).
- Handwriting was assessed using the Detailed Assessment of Speed of Handwriting (DASH).
- Grip strength, arthritis presence, disability, pain, and quality of life (QOL) were also evaluated.
Main Results:
- The mean DASH score was at the 34.5th percentile, with 75% of participants scoring below the 50th percentile.
- A negative association was observed between DASH scores and grip strength (r = -0.31).
- Handwriting difficulties were prevalent among the studied children with JIA.
Conclusions:
- Handwriting impairments are common in children with juvenile idiopathic arthritis (JIA).
- Handwriting assessments can inform treatment strategies.
- Results support advocating for school-based support and accommodations for affected children.
Background:
Handwriting is a commonly reported functional limitation for children with juvenile idiopathic arthritis (JIA). The aim of this study was to evaluate handwriting in children with JIA.
Findings:
Twelve children (mean age 13.0 years, SD = 1.9; range 9.1 to 15.6 years) with JIA completed the Detailed Assessment of Speed of Handwriting (DASH). The presence of hand and wrist arthritis, grip strength, disability, pain, and quality of life (QOL) was also assessed. The mean DASH score was 34.5th percentile (SD = 22.5). Eight (75%) scored below the 50th centile. DASH scores were negatively associated with grip strength (r = -0.31).
Conclusions:
Handwriting difficulties are common in children with JIA. Handwriting assessment may be helpful to direct treatments, and advocate for support and accommodations in school.
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