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There are a number of developmental, cognitive and intellectual aberrations that may present with difficulties in learning capabilities and school performance. Healthcare providers suggest early identification and appropriate management or training can lead to absolutely normal or near normal development in children that does not interfere with personal, social and occupational aspects of life in adulthood.

Improper pencil grip is the leading cause of poor handwriting as a result of impaired motor skills. It has been observed that development of pencil grip and good hand-writing is an automatic reflex that develops during the early years of schooling; however, in some children this reflex is significantly impaired. There are a number of parameters that are used by educators and teachers to determine the hand-writing and pencil grip in school- aged children as young as 9 to 10 years. The parameters like use of

Research conducted by Carter and Synolds suggested that the majority of the children with handwriting abnormalities develop symptoms of learning disabilities in coming years.

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