Enhancing Handwriting Performance of Children with Developmental Coordination Disorder (DCD) Using Computerized Visual Feedback

Recent studies have analyzed the writing metrics of children with developmental coordination disorder (DCD) using computerized systems. To date, the use of computerized visual feedback to improve handwriting has not been investigated. This study aimed to examine the effects of computerized visual fe...

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Main Authors: Rachel Bartov, Michael Wagner, Nir Shvalb, Michal Hochhauser
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/9/1534
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author Rachel Bartov
Michael Wagner
Nir Shvalb
Michal Hochhauser
author_facet Rachel Bartov
Michael Wagner
Nir Shvalb
Michal Hochhauser
author_sort Rachel Bartov
collection DOAJ
description Recent studies have analyzed the writing metrics of children with developmental coordination disorder (DCD) using computerized systems. To date, the use of computerized visual feedback to improve handwriting has not been investigated. This study aimed to examine the effects of computerized visual feedback on handwriting performance in time, spatial orientation, and pressure indices for children with DCD. Twenty-seven children aged 7 to 12 years with DCD assessed by the Movement Assessment Battery for Children and the Developmental Coordination Disorder Questionnaire received one weekly intervention session for 8 weeks, during which they twice copied an excerpt onto a tablet. Once, they received visual feedback where the writing color corresponded to the degree of pressure on the writing surface, and once they received no visual feedback. The two conditions were counterbalanced throughout the sessions. Pre-intervention sessions were compared with post-intervention sessions and with new texts for time, spatial orientation, and pressure measures. The findings revealed significantly decreased total and mean letter writing, in-air, and writing time and increased capacity in the visual feedback condition. In the spatial variables, a significant decrease in letter height variance was found. Pressure increased significantly throughout the intervention with visual feedback, whereas it decreased post-test in the writing task in both conditions and was maintained in the new text. Visual feedback intervention can increase the kinesthetic–haptic feedback required to regulate pressure during writing, promoting more efficient feedforward processes and improving output quality and capacity. The training effectiveness was transferable, and the intervention accessibility could increase student autonomy.
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spelling doaj.art-496e6e2587744537bbd5f05e3094be172023-11-19T10:03:52ZengMDPI AGChildren2227-90672023-09-01109153410.3390/children10091534Enhancing Handwriting Performance of Children with Developmental Coordination Disorder (DCD) Using Computerized Visual FeedbackRachel Bartov0Michael Wagner1Nir Shvalb2Michal Hochhauser3Department of Occupational Therapy, Ariel University, Ariel 40700, IsraelDepartment of Industrial Engineering and Management, Ariel University, Ariel 40700, IsraelDepartment of Mechanical Engineering and Mechatronics, Ariel University, Ariel 40700, IsraelDepartment of Occupational Therapy, Ariel University, Ariel 40700, IsraelRecent studies have analyzed the writing metrics of children with developmental coordination disorder (DCD) using computerized systems. To date, the use of computerized visual feedback to improve handwriting has not been investigated. This study aimed to examine the effects of computerized visual feedback on handwriting performance in time, spatial orientation, and pressure indices for children with DCD. Twenty-seven children aged 7 to 12 years with DCD assessed by the Movement Assessment Battery for Children and the Developmental Coordination Disorder Questionnaire received one weekly intervention session for 8 weeks, during which they twice copied an excerpt onto a tablet. Once, they received visual feedback where the writing color corresponded to the degree of pressure on the writing surface, and once they received no visual feedback. The two conditions were counterbalanced throughout the sessions. Pre-intervention sessions were compared with post-intervention sessions and with new texts for time, spatial orientation, and pressure measures. The findings revealed significantly decreased total and mean letter writing, in-air, and writing time and increased capacity in the visual feedback condition. In the spatial variables, a significant decrease in letter height variance was found. Pressure increased significantly throughout the intervention with visual feedback, whereas it decreased post-test in the writing task in both conditions and was maintained in the new text. Visual feedback intervention can increase the kinesthetic–haptic feedback required to regulate pressure during writing, promoting more efficient feedforward processes and improving output quality and capacity. The training effectiveness was transferable, and the intervention accessibility could increase student autonomy.https://www.mdpi.com/2227-9067/10/9/1534handwritinginterventionpressureregulationspatialtemporal
spellingShingle Rachel Bartov
Michael Wagner
Nir Shvalb
Michal Hochhauser
Enhancing Handwriting Performance of Children with Developmental Coordination Disorder (DCD) Using Computerized Visual Feedback
Children
handwriting
intervention
pressure
regulation
spatial
temporal
title Enhancing Handwriting Performance of Children with Developmental Coordination Disorder (DCD) Using Computerized Visual Feedback
title_full Enhancing Handwriting Performance of Children with Developmental Coordination Disorder (DCD) Using Computerized Visual Feedback
title_fullStr Enhancing Handwriting Performance of Children with Developmental Coordination Disorder (DCD) Using Computerized Visual Feedback
title_full_unstemmed Enhancing Handwriting Performance of Children with Developmental Coordination Disorder (DCD) Using Computerized Visual Feedback
title_short Enhancing Handwriting Performance of Children with Developmental Coordination Disorder (DCD) Using Computerized Visual Feedback
title_sort enhancing handwriting performance of children with developmental coordination disorder dcd using computerized visual feedback
topic handwriting
intervention
pressure
regulation
spatial
temporal
url https://www.mdpi.com/2227-9067/10/9/1534
work_keys_str_mv AT rachelbartov enhancinghandwritingperformanceofchildrenwithdevelopmentalcoordinationdisorderdcdusingcomputerizedvisualfeedback
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AT nirshvalb enhancinghandwritingperformanceofchildrenwithdevelopmentalcoordinationdisorderdcdusingcomputerizedvisualfeedback
AT michalhochhauser enhancinghandwritingperformanceofchildrenwithdevelopmentalcoordinationdisorderdcdusingcomputerizedvisualfeedback