Increasing Viscosity and Inertia Using a Robotically Controlled Pen Improves Handwriting in Children

The aim of this study was to determine the effect of mechanical properties of the pen on quality of handwriting in children. A total of 22 school-aged children, aged 8 to 14 years, wrote in cursive using a pen attached to a robot. The robot was programmed to increase the effective weight (inertia) and viscosity of the pen. Speed, frequency, variability, and quality of the 2 handwriting samples were compared. Increased inertia and viscosity improved handwriting quality in 85% of children (P ≤ .05). Handwriting quality did not correlate with changes in speed, suggesting that improvement was not due to reduced speed. Measures of movement variability remained unchanged, suggesting improvement was not due to mechanical smoothing of pen movement by the robot. Because improvement was not explained by reduced speed or mechanical smoothing, we conclude that children alter handwriting movements in response to pen mechanics. Altered movement could be caused by changes in sensory feedback.

[1]  Robert Sekuler,et al.  Imitating unfamiliar sequences of connected linear motions. , 2005, Journal of neurophysiology.

[2]  S. Cermak,et al.  The influence of ergonomic factors and perceptual-motor abilities on handwriting performance. , 1993, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[3]  R.V. Dubey,et al.  Eye-hand coordination assessment/therapy using a robotic haptic device , 2005, 9th International Conference on Rehabilitation Robotics, 2005. ICORR 2005..

[4]  J. Piek,et al.  Motor coordination, empathy, and social behaviour in school-aged children. , 2005, Developmental medicine and child neurology.

[5]  Kenn Apel,et al.  Early Development of Language by Hand: Composing, Reading, Listening, and Speaking Connections; Three Letter-Writing Modes; and Fast Mapping in Spelling , 2006, Developmental neuropsychology.

[6]  D. Marr,et al.  Outcomes associated with a summer handwriting course for elementary students. , 2006, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[7]  Marian J Jongmans,et al.  Handwriting difficulties in primary school children: a search for underlying mechanisms. , 2006, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[8]  Sandra L Hammerschmidt,et al.  Teachers' survey on problems with handwriting: referral, evaluation, and outcomes. , 2004, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[9]  S. Cermak,et al.  Fine motor activities in elementary school: preliminary findings and provisional implications for children with fine motor problems. , 1992, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[10]  John P. Wann,et al.  The control of pen pressure in handwriting: A subtle point , 1991 .

[11]  P. Denton,et al.  The effects of sensorimotor-based intervention versus therapeutic practice on improving handwriting performance in 6- to 11-year-old children. , 2006, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[12]  Asha V Asher Handwriting instruction in elementary schools. , 2006, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[13]  Jane Case-Smith,et al.  Effectiveness of school-based occupational therapy intervention on handwriting. , 2002, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[14]  Rajiv V. Dubey,et al.  Eye-hand coordination assessment using a robotic haptic interface , 2004, IEEE International Conference on Robotics and Automation, 2004. Proceedings. ICRA '04. 2004.

[15]  C. Sachse-Lee,et al.  A Meta-Analysis of Single-Subject-Design Intervention Research for Students with LD , 2000, Journal of learning disabilities.

[16]  T. Sanger,et al.  Poor Penmanship in Children Correlates With Abnormal Rhythmic Tapping: A Broad Functional Temporal Impairment , 2007, Journal of child neurology.

[17]  Jean-François Démonet,et al.  Writing-specific sites in frontal areas: a cortical stimulation study. , 2004, Journal of neurosurgery.

[18]  A. Henderson,et al.  The relationship between the Evaluation Tool of Children's Handwriting and teachers' perceptions of handwriting legibility. , 2001, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[19]  Carl W. Swartz,et al.  Aptitude–Treatment Interactions Revisited: Effect of Metacognitive Intervention on Subtypes of Written Expression in Elementary School Students , 2006, Developmental neuropsychology.

[20]  G. Nuthall,et al.  Effectiveness of a Sensory Integrative Therapy Program for Children with Perceptual-Motor Deficits , 1989, Journal of learning disabilities.

[21]  Rainer W. Paine,et al.  A quantitative evaluation of the AVITEWRITE model of handwriting learning. , 2004, Human movement science.

[22]  Mina Teicher,et al.  ADHD and Dysgraphia: Underlying Mechanisms , 2007, Cortex.

[23]  N. Rubin,et al.  Two sides of the same coin: variations in teaching methods and failure to learn to write. , 2007, Special education: forward trends.

[24]  R. Gersten,et al.  Teaching Expressive Writing to Students with Learning Disabilities , 1999, Journal of learning disabilities.

[25]  B. Smits-Engelsman,et al.  Fine motor deficiencies in children diagnosed as DCD based on poor grapho-motor ability. , 2001, Human movement science.

[26]  N. Hogan,et al.  Robot-aided sensorimotor arm training improves outcome in patients with chronic stroke , 2003, Neurology.

[27]  Y. Swinth,et al.  Multisensory approach to handwriting remediation: perceptions of school-based occupational therapists. , 2002, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[28]  M. Arif Adli,et al.  Cooperative control of a human and a robot manipulator for positioning a cart on a frictionless plane , 2006 .

[29]  N. Hogan,et al.  A novel approach to stroke rehabilitation , 2000, Neurology.

[30]  C. Christensen Relationship between orthographic-motor integration and computer use for the production of creative and well-structured written text. , 2004, The British journal of educational psychology.