Abstract
Even though the computerised assessment of developmental dysgraphia (DD) based on online handwriting processing has increasing popularity, most of the solutions are based on a setup, where a child writes on a paper fixed to a digitizing tablet that is connected to a computer. Although this approach enables the standard way of writing using an inking pen, it is difficult to be administered by children themselves. The main goal of this study is thus to explore, whether the quantitative analysis of online handwriting recorded via a display/screen tablet could sufficiently support the assessment of DD as well. For the purpose of this study, we enrolled 144 children (attending the 3rd and 4th class of a primary school), whose handwriting proficiency was assessed by a special education counsellor, and who assessed themselves by the Handwriting Proficiency Screening Questionnaires for Children (HPSQ–C). Using machine learning models based on a gradient-boosting algorithm, we were able to support the DD diagnosis with up to 83.6% accuracy. The HPSQ–C total score was estimated with a minimum error equal to 10.34%. Children with DD spent significantly higher time in-air, they had a higher number of pen elevations, a bigger height of on-surface strokes, a lower in-air tempo, and a higher variation in the angular velocity. Although this study shows a promising impact of DD assessment via display tablets, it also accents the fact that modelling of subjective scores is challenging and a complex and data-driven quantification of DD manifestations is needed.
This study was supported by a project of the Technology Agency of the Czech Republic no. TL03000287 (Software for advanced diagnosis of graphomotor disabilities) and by Spanish grant of the Ministerio de Ciencia e Innovación no. PID2020-113242RB-I00.
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References
Alamargot, D., Morin, M.F.: Does handwriting on a tablet screen affect students’ graphomotor execution? A comparison between grades two and nine. Hum. Mov. Sci. 44, 32–41 (2015)
Asselborn, T., Chapatte, M., Dillenbourg, P.: Extending the spectrum of dysgraphia: a data driven strategy to estimate handwriting quality. Sci. Rep. 10(1), 3140 (2020)
Asselborn, T., et al.: Automated human-level diagnosis of dysgraphia using a consumer tablet. NPJ Digit. Med. 1(1), 42 (2018)
Association, A.P., et al.: Ethical principles of psychologists and code of conduct. Am. Psychol. 57(12), 1060–1073 (2002)
Barnett, A.L., Prunty, M., Rosenblum, S.: Development of the handwriting legibility scale (HLS): a preliminary examination of reliability and validity. Res. Dev. Disabil. 72, 240–247 (2018)
Benjamini, Y., Hochberg, Y.: Controlling the false discovery rate: a practical and powerful approach to multiple testing. J. Roy. Stat. Soc.: Ser. B (Methodol.) 57(1), 289–300 (1995)
Blöte, A.W., Hamstra-Bletz, L.: A longitudinal study on the structure of handwriting. Percept. Mot. Skills 72(3), 983–994 (1991)
Brabenec, L., Klobusiakova, P., Mekyska, J., Rektorova, I.: Shannon entropy: a novel parameter for quantifying pentagon copying performance in non-demented Parkinson’s disease patients. Parkinsonism Relat. Disord. 94, 45–48 (2022)
Chen, T., Guestrin, C.: XGBoost. In: Proceedings of the 22nd ACM SIGKDD International Conference on Knowledge Discovery and Data Mining - KDD 2016. ACM Press (2016)
Chung, P.J., Patel, D.R., Nizami, I.: Disorder of written expression and dysgraphia: definition, diagnosis, and management. Transl. Pediatr 9(Suppl 1), S46 (2020)
Danna, J., Paz-Villagrán, V., Velay, J.L.: Signal-to-noise velocity peaks difference: a new method for evaluating the handwriting movement fluency in children with dysgraphia. Res. Dev. Disabil. 34(12), 4375–4384 (2013)
Deschamps, L., et al.: Development of a pre-diagnosis tool based on machine learning algorithms on the BHK test to improve the diagnosis of dysgraphia. Adv. Artif. Intell. Mach. Learn. 1(2), 114–135 (2021)
Devillaine, L.: Analysis of graphomotor tests with machine learning algorithms for an early and universal pre-diagnosis of dysgraphia. Sensors 21(21), 7026 (2021)
Drotár, P., Dobeš, M.: Dysgraphia detection through machine learning. Sci. Rep. 10(1), 21541 (2020)
Dui, L.G., et al.: A tablet app for handwriting skill screening at the preliteracy stage: instrument validation study. JMIR Serious Games 8(4), e20126 (2020)
Feder, K., Majnemer, A., Synnes, A.: Handwriting: current trends in occupational therapy practice. Can. J. Occup. Ther. 67(3), 197–204 (2000)
Galaz, Z., Mucha, J., Zvoncak, V., Mekyska, J.: Handwriting features (2023). https://github.com/BDALab/handwriting-features
Galaz, Z., et al.: Advanced parametrization of graphomotor difficulties in school-aged children. IEEE Access 8, 112883–112897 (2020)
Katusic, S.K., Colligan, R.C., Weaver, A.L., Barbaresi, W.J.: The forgotten learning disability: epidemiology of written-language disorder in a population-based birth cohort (1976–1982), Rochester. Minnesota. Pediatr. 123(5), 1306–1313 (2009)
Kunhoth, J., Al-Maadeed, S., Kunhoth, S., Akbari, Y.: Automated systems for diagnosis of dysgraphia in children: a survey and novel framework. arXiv preprint arXiv:2206.13043 (2022)
Kushki, A., Schwellnus, H., Ilyas, F., Chau, T.: Changes in kinetics and kinematics of handwriting during a prolonged writing task in children with and without dysgraphia. Res. Dev. Disabil. 32(3), 1058–1064 (2011)
Lomurno, E., Dui, L.G., Gatto, M., Bollettino, M., Matteucci, M., Ferrante, S.: Deep learning and Procrustes analysis for early dysgraphia risk detection with a tablet application. Life 13(3), 598 (2023)
Lundberg, S.M., Lee, S.I.: A unified approach to interpreting model predictions. In: Guyon, I., et al. (eds.) Advances in Neural Information Processing Systems, vol. 30, pp. 4765–4774. Curran Associates, Inc. (2017)
Luria, G., Rosenblum, S.: A computerized multidimensional measurement of mental workload via handwriting analysis. Behav. Res. Meth. 44, 575–586 (2012)
McCloskey, M., Rapp, B.: Developmental dysgraphia: an overview and framework for research. Cogn. Neuropsychol. 34(3–4), 65–82 (2017)
Mekyska, J., Faundez-Zanuy, M., Mzourek, Z., Galaz, Z., Smekal, Z., Rosenblum, S.: Identification and rating of developmental dysgraphia by handwriting analysis. IEEE Trans. Hum. Mach. Syst. 47(2), 235–248 (2016)
Mekyska, J., et al.: Graphomotor and handwriting disabilities rating scale (GHDRS): towards complex and objective assessment (2023)
Paz-Villagrán, V., Danna, J., Velay, J.L.: Lifts and stops in proficient and dysgraphic handwriting. Hum. Mov. Sci. 33, 381–394 (2014)
Rosenblum, S., Parush, S., Weiss, P.L.: Computerized temporal handwriting characteristics of proficient and non-proficient handwriters. Am. J. Occup. Ther. 57(2), 129–138 (2003)
Rosenblum, S.: Development, reliability, and validity of the handwriting proficiency screening questionnaire (HPSQ). Am. J. Occup. Ther. 62(3), 298–307 (2008)
Rosenblum, S., Chevion, D., Weiss, P.L.: Using data visualization and signal processing to characterize the handwriting process. Pediatr. Rehabil. 9(4), 404–417 (2006)
Rosenblum, S., Dvorkin, A.Y., Weiss, P.L.: Automatic segmentation as a tool for examining the handwriting process of children with dysgraphic and proficient handwriting. Hum. Mov. Sci. 25(4–5), 608–621 (2006)
Rosenblum, S., Gafni-Lachter, L.: Handwriting proficiency screening questionnaire for children (HPSQ-C): development, reliability, and validity. Am. J. Occup. Ther. 69(3), 6903220030p1-6903220030p9 (2015)
Rosenblum, S., Weiss, P.L., Parush, S.: Product and process evaluation of handwriting difficulties. Educ. Psychol. Rev. 15, 41–81 (2003)
Safarova, K., et al.: Psychometric properties of screening questionnaires for children with handwriting issues. Front. Psychol. 10, 2937 (2020)
Snowling, M.J.: Specific learning difficulties. Psychiatry 4(9), 110–113 (2005)
Todd, M.T., Nystrom, L.E., Cohen, J.D.: Confounds in multivariate pattern analysis: theory and rule representation case study. Neuroimage 77, 157–165 (2013)
Van Waelvelde, H., Hellinckx, T., Peersman, W., Smits-Engelsman, B.C.: SOS: a screening instrument to identify children with handwriting impairments. Phys. Occupa. Ther. Pediatr. 32(3), 306–319 (2012)
Ziviani, J.: The development of graphomotor skills. In: Hand Function in the Child, pp. 217–236. Elsevier (2006)
Zvoncak, V., et al.: Effect of stroke-level intra-writer normalization on computerized assessment of developmental dysgraphia. In: 2018 10th International Congress on Ultra Modern Telecommunications and Control Systems and Workshops (ICUMT), pp. 1–5 (2018)
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Mekyska, J. et al. (2023). Assessment of Developmental Dysgraphia Utilising a Display Tablet. In: Parziale, A., Diaz, M., Melo, F. (eds) Graphonomics in Human Body Movement. Bridging Research and Practice from Motor Control to Handwriting Analysis and Recognition. IGS 2023. Lecture Notes in Computer Science, vol 14285. Springer, Cham. https://doi.org/10.1007/978-3-031-45461-5_2
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