Assessment of Handwriting Skills in a Sample of Egyptian Children With ADHD

This study investigated handwriting difficulties in 70 children with ADHD and examined the relationship between these difficulties and their executive functioning and fine motor abilities. Dysgraphia was reported in 42.9% of participants. Handwriting legibility was associated with deficits in executive functioning domains, except for visual-spatial organization and processing speed. Hand grip (but not pinch grip) strength was associated with handwriting legibility and speed. No association was seen with spelling. Despite a relatively small sample size, these findings highlighted the need to integrate tailored occupational therapy with executive functioning strategies within educational and therapeutic contexts for children with ADHD attending schools.