An investigation of the factors affecting handwriting articulation of school aged children with cerebral palsy based on the international classification of functioning, disability and health

[Purpose] This study was designed to identify factors influencing handwriting articulation based on the international classification of functioning, disability and health (ICF) and to recommend effective evaluation and intervention strategies to improve the handwriting of children with cerebral palsy. [Subjects] The subjects were 96 elementary school children with cerebral palsy and the study was conducted from 04/07/2011 to 29/08/2011. [Methods] Factors related to handwriting articulation were investigated based on the ICF model. [Results] Wrist lateral deviation, upper-extremity speed of body function and education of personal factor were significantly associated with handwriting articulation. [Conclusion] Efforts to manage and improve the handwriting articulation of children with cerebral palsy should focus on wrist lateral deviation, upper-extremity speed, and education.