The definitions for both dyslexia and dysgraphia are evolving as the research evolves. Dyslexia and Dysgraphia are language-based disabilities that impede development of reading, writing, and spelling skills.
They are often diagnostically categorized under the umbrella term Specific Learning Disability.
Both dyslexia and dysgraphia are difficulties developing automatic word level skills. These include:
- processing and differentiating between sounds
- establishing automatic sound-to-letter connections
- learning and remembering spelling patterns
Brief Definitions:
Dyslexia is primarily a difficulty in developing fast and fluent automatic sound-to-letter connections for sight word development, fluent reading, and accurate spelling, often characterized by slow decoding skills, inaccurate reading, and reading avoidance. It is primarily a deficit affecting the "phonological loop" system in the brain.
Dysgraphia is primarily a difficulty in developing fast and fluent automatic sound-to-letter connections for fluent writing and accurate spelling, often characterized by poor letter formation, poor legibility, and persistent reversal or capitalization errors. It is primarily a deficit affecting the "graphomotor loop" system in the brain, often referred to as the orthographic system.
Dyslexia and dysgraphia can occur together. Each disorder has its own set of problems, many of them overlapping. Download our checklist of indicators or watch our video on the symptoms for dyslexia and dysgraphia, as well as developmental language disorder.
Let’s unpack the official definitions. As stated, these two learning difficulties are related, sharing similar features and results, so let’s begin with the more common problem of dyslexia.
Dyslexia - Full Definition:
"Dyslexia is a specific learning disability that is neurobiological in origin. It is characterized by difficulties with accurate and/or fluent word recognition and by poor spelling and decoding abilities. These difficulties typically result from a deficit in the phonological component of language that is often unexpected in relation to other cognitive abilities and the provision of effective classroom instruction. Secondary consequences may include problems in reading comprehension and reduced reading experience that can impede growth of vocabulary and background knowledge."
There are important components of this definition:
1. "Dyslexia is a specific learning disability
Dyslexia is seen as a natural variation in human brain development that results in difficulty learning to read. When focused on reading and writing, it is easy to forget that all learning reflects the status of the developing brain. All literacy is language-based, all language is cognitive, and all cognition is neurological. Therefore, dyslexia is defined by neuroscientists and their discoveries.
In their book, Dyslexia, Dysgraphia, OWL LD and Dyscalculia: Lessons from Science and Teaching, Virginia Berninger and Beverly Wolf explain the brain research involved. "Broca's area [located on the left side of the brain, near the front] has been shown to house executive functions for all language systems—listening, speaking, reading, and writing" (4). Wernicke's area (located in the left temporal lobe) is the region involved in language comprehension. "According to contemporary brain imaging research, structural and functional differences occur between typical readers and writers and individuals with specific learning disabilities (SLDs) in both Broca's and Wenicke's regions" (4).
2. "… that is neurobiological in origin."
Scientists have determined the hereditary nature of dyslexia and dysgraphia, manifested in families with various severity levels and learning struggles. Specific genes are associated with dyslexia in replicated research studies. Dr. Nadine Gaab from Harvard Medical School, has observed fetal differences in her research studies on families with dyslexia. As Berninger and Wolf explain, genes affect how the brain is wired during development, how the brain matures after birth, and the resulting impairments found in the regions of the brain needed for reading and writing.
3. "It is characterized by difficulties with accurate and/or fluent word recognition and by poor spelling and decoding abilities."
This definition includes key component skills needed for independent reading: fluency (the ability to read accurately, quickly, and "naturally
4. "These difficulties typically result from a deficit in the phonological component of language …"
The phonological region of the brain is listed as the primary deficit, resulting in phonological processing weakness. However, other key areas are being identified, as explained above, especially Broca's region and its relation to rapid automatic naming skills, vocabulary acquisition, and executive functioning. In addition, researcher Stanislas Dehaene writes about a region called the visual word form area:
5. "that is often unexpected in relation to other cognitive abilities
This part of the definition is the greatest area of controversy. While dyslexia may occur alone, it can co occur with many different learning problems, including those resulting in lowered IQ. However, dyslexia is not associated with IQ scores. Most specifically, there is a high incidence of dyslexia paired with Developmental Language Disabilities (DLD). Snowling et al. conducted a study in 2020 on preschool students identified as having a family risk for dyslexia. They were assessed at age 8 years, resulting in 42% diagnosed with dyslexia alone, and 58% diagnosed with both dyslexia and DLD.
6. "and the provision of effective classroom instruction."
There are children who struggle to read due to a lack of instruction or poor instruction. There are prevailing philosophies that children will learn to read
7. "Secondary consequences may include problems in reading comprehension and reduced reading experience that can impede growth of vocabulary and background knowledge."
The ability to read accurately and fluently, with ease, is necessary for reading comprehension. Word-level skills must be so automatic that higher level cognitive skills can access background knowledge, vocabulary, and inferential language skills. Reading with ease begets more reading over time, and better time spent while reading: acquiring increased vocabulary, knowledge, and understanding of our world.
Dysgraphia - Full Definition:
"Dysgraphia is a disorder of writing ability at any stage, including problems with letter formation/legibility, letter spacing, spelling, fine motor coordination, rate of writing, grammar, and composition." It includes a "difficulty in acquiring writing skills despite sufficient learning opportunity and cognitive potential."
1. "disorder of writing ability"
While dysgraphia impedes the quality of writing, the disorder is at the level of letter and word skills, not at the level of expressive language skills. For a list of typical handwriting struggles, download our Dysgraphia Checklist.
The definition includes the component for developmental dysgraphia (unlike acquired dysgraphia due to a brain injury). NIH goes on to give historical perspectives on dysgraphia, in which it was thought to be caused by poor fine motor coordination. This type of dysgraphia does not affect spelling and is categorized as "motor or peripheral dysgraphia."
They also note a second type of dysgraphia termed "spatial dysgraphia," caused by problems of spatial perception. This type of dysgraphia also impacts the ability to draw.
3. "spelling"
As we noted in our short definition above, dysgraphia is contrasted with dyslexia. According to NIH, dysgraphia results from a “two-way dysfunction of the phonologic loop”—the information highway that communicates between orthographic (letter) and phonologic (sound) processes.
Both disorders are persistent, even though students are exposed to reading and writing instruction. This is because dysgraphia is also neurobiological in origin.
Berninger and Wolf describe the region in the back of the brain responsible for word form memory, "where spoken and written words are coded into memory for further processing . . . not only in phonological coding . . . but also in orthographic coding." In other words, children with dyslexia and/or dysgraphia struggle to develop the automatic sound-to-symbol relationships needed for writing, and the word form memory needed for spelling. Poor automaticity skills interrupt reading and writing fluency, as well.
Dehaene explains why children with dysgraphia struggle with capital versus lower case usage, as well. Again, the "letterbox" area of the brain is responsible for merging sound-to-letter information in a smooth and seamless manner. Dehaene writes, "the letterbox is the first visual area that recognizes that 'READ' and 'read' depict the same word by representing strings of letters invariantly for changes in case, which is no small feat if you consider that uppercase and lowercase letters such as 'A' and 'a' bear very little similarity."
The Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5) includes both dyslexia and dysgraphia under the category of "specific learning disorder." Because they are not defined as separate disorders, parents are often confused when their children receive this more general diagnosis.
So how do I help my child with Dyslexia or Dysgraphia?
Our mission is to help every child, especially those who struggle, to become the best readers and writers they can be!
Citations:
"Disorder of Written Expression and Dysgraphia: Definition, Diagnosis, and Management" by Chung, Patel, Nizami. (NIH, 2020)
"Dyslexia and Developmental Language Disorder: comorbid disorders with distinct effects on reading comprehension" by Snowling et al., 2020.
Dyslexia, Dysgraphia, OWL LD and Dyscalculia: Lessons from Science and Teaching, Virginia Berninger, and Beverly Wolf, 2016.
"Inside the Letterbox: How Literacy Transforms the Human Brain" by Stanislas Dehaene, 2013.
"Revisiting the Definition of Dyslexia" by Catts et al., 2024.
"Towards a Dynamic, Comprehensive Conceptualization of Dyslexia" by Wolf et al., 2024.