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Individuals with developmental dyslexia exhibit medium magnitude impairments in fine motor skills compared to neurotypical peersChildren with dyslexia often struggle with fine motor skills

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Key Takeaway
Note that individuals with developmental dyslexia show significant impairments in fine motor skills regardless of oral language.

This meta-analysis synthesizes data from 100 studies and 366 effects to evaluate fine motor skills, including handwriting and manual dexterity, in individuals with developmental dyslexia compared to age-matched neurotypical peers. The analysis identified a medium magnitude impairment in the dyslexic group (effect size -0.56; 95% CrI [-0.67, -0.47]). Notably, even among dyslexic individuals without oral language impairments, significant motor skill deficits were observed (effect size -0.46; 95% CrI [-0.62, -0.31]).

Regarding longitudinal trends, the magnitude of group differences in fine motor skills decreased from childhood to adolescence but remained present through adulthood. Additionally, the analysis noted that effect sizes were slightly larger for Chinese orthography compared to English orthography.

While these results suggest a correlation between developmental dyslexia and motor deficits, they do not establish a causal link. Clinically, fine motor tasks may be useful in identifying children at heightened risk of reading difficulties. These findings could inform the development of more comprehensive interventions for early childhood education.

If you have a child who struggles with reading, you might notice they also struggle with physical tasks like holding a pencil or buttoning a shirt. New research confirms this link. A large review of 100 different studies found that people with developmental dyslexia show a medium level of impairment in fine motor skills compared to those without the condition.

This difficulty is not just about language. Even when children have strong speaking and listening skills, they still show significant struggles with manual dexterity and handwriting speed. These differences are noticeable from childhood all the way through adulthood, though the gap narrows slightly as children move into their teenage years.

While this study does not prove that one cause leads to the other, it highlights a clear connection between how the brain processes language and how it controls small muscle movements. For parents and teachers, these motor tasks could be helpful tools for identifying children who might need extra support early on.

What this means for you:
People with dyslexia often show significant difficulties with handwriting and fine motor skills from childhood through adulthood.

Common questions

Does this mean children with dyslexia have trouble with physical movements?

Yes, the study found a medium magnitude impairment in fine motor skills for people with developmental dyslexia. This includes specific tasks like handwriting, manual dexterity, and speed of movement. These difficulties are present even in children who do not have problems with spoken language.

Do these motor skill challenges go away as children get older?

The difference in motor skills between children with dyslexia and their peers decreases slightly from childhood to adolescence. However, the study found that these differences remain present through adulthood.

Can these findings help identify kids who might have dyslexia?

Because fine motor tasks are linked to reading difficulties, they can be used in clinical settings. They may help identify children at a higher risk of having reading problems early on so they can get the right support.

Study Details

Study typeMeta analysis
EvidenceLevel 1
Follow-up148.8 mo
PublishedJul 2026
View Original Abstract ↓
PURPOSE: Individuals with developmental dyslexia frequently exhibit impairments that extend beyond reading. Numerous studies examine fine motor skill deficits in dyslexia. The current study used meta-analysis to examine whether individuals with dyslexia show differences in motor skills when compared to age-matched individuals with neurotypical development, while also exploring possible moderators of effects. METHOD: We report findings of a Bayesian hierarchical meta-analysis evaluating evidence of co-occurring motor skills deficits in dyslexia, using literature spanning 5 decades (1970-2025). Included reports compared dyslexic groups with age-matched neurotypical groups on various handwriting, other graphomotor, manual dexterity, speed fine motor, and motor composite tasks ( dyslexia = 3,113, comparison = 4,521; = 12.4 years, age range: 6.2-30.8 years). RESULTS: After removing outliers, the data set comprised estimates from 100 studies (), with 366 effects (). The Bayesian hierarchical model yielded a mean estimate of medium magnitude, = -0.56, 95% credible interval (CrI) [-0.67, -0.47], confirming that impaired motor skills often accompany dyslexia diagnosis. Results held in a subgroup analysis involving dyslexic groups confirmed to have no oral language impairments, = -0.46, 95% CrI [-0.62, -0.31]. Meta-regression analyses indicated that group differences decreased in magnitude from childhood to adolescence but were present through adulthood. Estimates were slightly larger for Chinese than for English orthography, in keeping with the heightened importance of handwriting for character acquisition. CONCLUSIONS: Results align with conceptualizations of dyslexia as a multifactorial neurodevelopmental disorder. As such, fine motor tasks may be useful in clinical settings for identifying children at a heightened risk of reading difficulties and may inform efforts to develop more comprehensive interventions.
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