Journal of Autism and Developmental Disorders

, Volume 41, Issue 12, pp 1706–1716

Handwriting Difficulties in Children with Autism Spectrum Disorders: A Scoping Review

Original Paper

DOI: 10.1007/s10803-011-1206-0

Cite this article as:
Kushki, A., Chau, T. & Anagnostou, E. J Autism Dev Disord (2011) 41: 1706. doi:10.1007/s10803-011-1206-0


Functional handwriting involves complex interactions among physical, cognitive and sensory systems. Impairments in many aspects of these systems are associated with Autism spectrum disorders (ASD), suggesting a heightened risk of handwriting difficulties in children with ASD. This scoping review aimed to: (1) survey the existing evidence about potential contributions to compromised handwriting function in children with ASD, and (2) map out the existing studies documenting handwriting difficulties in children with ASD. The current evidence implicates impairments in fine motor control and visual-motor integration as likely contributors to handwriting difficulties in children with ASD, though the role of the latter is not well-understood. Moreover, diminished overall legibility and compromised letter formation are emerging points of convergence among existing studies of handwriting quality in children with ASD.


Handwriting Autism Fine motor control Visual perception Visual-motor integration Kinesthesia 

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Bloorview Research InstituteHolland Bloorview Kids Rehabilitation HospitalTorontoCanada

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