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Effect of the vision suppression on the graphomotor gesture in school aged children typically developed and with handwriting disorders

Published online by Cambridge University Press:  01 September 2022

C. Lopez
Affiliation:
National Institute of Health and Medical Research (INSERM UMR 1018-CESP), University of Paris-Saclay, UVSQ, Faculty Of Medicine, Villejuif, France
L. Vaivre-Douret*
Affiliation:
National Institute of Health and Medical Research (INSERM UMR 1018-CESP), University of Paris-Saclay, UVSQ, Faculty Of Medicine, Villejuif, France Faculty of Health, Université de Paris, Department Of Medicine, Paris, France Imagine Institute Necker hospital, Department Of Endocrinology, Paris, France University Institute of France, (iuf ), Paris, France Necker hospital AP-HP .Centre, Child Psychiatry, Paris, France
*
*Corresponding author.

Abstract

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Introduction

The knowledge aboutthe integration of letter motor programs during learning to write support the idea of an interdependence of visual and kinesthetic controls to direct the strokes.

Objectives

The objective of our study is to analyze the effect of the vision suppression both on the postural-gestural organization and on the spatial/temporal/kinematic parameters in a prescriptural task.

Methods

35 school aged children with handwriting disorders (HD group) aged 6-11 years and 35 matched typical children were included in the study. They performed a prescriptural task of copying a cycloid line of loops, carried out under two conditions, with open eyes versus closed eyes. Postural-gestural measures were recorded with two video cameras allowing 2D reconstruction of the gesture. Spatial/temporal/kinematic measures were recorded with a digital pen.

Results

The HD group showed a significantly poorer postural control and an improvement in the spatial/temporal/kinematic parameters of the loops when they closed their eyes compared to eyes open. In typical group, the postural-gestural organization became significantly more mature but with no significant influence on the spatial/temporal/kinematic parameters of the loops.

Conclusions

HDs could be partly explained by a deficit in the processing of proprioceptive/kinesthetic feedback and a disruptive effect of the visual control on the quality of the prescriptural drawings. The ability to direct the strokes would remain dependent on sensory feedbacks, themselves insufficiently efficient, which would lead to difficulties in reaching a proactive control of handwriting. These results should be able to enhance clinical practices and to contribute to clinical decision making processes for handwriting disorders remediation.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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