Dysgraphia cannot be diagnosed solely by looking at a handwriting sample. A qualified clinician must directly test the individual. Such a test includes writing self-generated sentences and paragraphs and copying age-appropriate text. The examiner assesses not only the finished product, but also the process, including posture, position, pencil grip, fatigue, cramping or tremor of the writing hand, eyedness and handedness, and other factors. The examiner may assess fine-motor speed with finger-tapping and wrist turning.
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