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Skills were compared between children (i) without <jats:styled-content style=\"fixed-case\">PAE<\/jats:styled-content>, (ii) <jats:styled-content style=\"fixed-case\">PAE<\/jats:styled-content> but not <jats:styled-content style=\"fixed-case\">FASD<\/jats:styled-content> and (iii) <jats:styled-content style=\"fixed-case\">FASD<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most children used a transitional pencil grasp and exerted heavy handwriting pressure (83.3% and 30.6% of the cohort). The percentage of letters (M\u00a0=\u00a062.9%) and words (M\u00a0=\u00a073.3%) written legibly was low. Children with <jats:styled-content style=\"fixed-case\">FASD<\/jats:styled-content> were more likely than children without <jats:styled-content style=\"fixed-case\">PAE<\/jats:styled-content> to use a cross\u2010thumb grasp (<jats:italic>P<\/jats:italic>\u00a0= 0.027), apply heavy writing pressure (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.036), be unable to write a sentence (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.041) and show poorer word legibility (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.041). There were no significant differences between groups for drawing outcomes, although some children with <jats:styled-content style=\"fixed-case\">FASD<\/jats:styled-content> drew pictures that appeared delayed for their age. There were no significant differences between children without <jats:styled-content style=\"fixed-case\">PAE<\/jats:styled-content> and those with <jats:styled-content style=\"fixed-case\">PAE<\/jats:styled-content> but who were not diagnosed with <jats:styled-content style=\"fixed-case\">FASD<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Overall, graphomotor skills were poor in this cohort, but children with <jats:styled-content style=\"fixed-case\">FASD<\/jats:styled-content> performed significantly worse than children without <jats:styled-content style=\"fixed-case\">PAE<\/jats:styled-content>. Findings suggest the need for improved occupational therapy services for children in remote regions and evaluation of graphomotor skills in children with <jats:styled-content style=\"fixed-case\">PAE<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1440-1630.12326","type":"journal-article","created":{"date-parts":[[2016,9,20]],"date-time":"2016-09-20T02:06:45Z","timestamp":1474337205000},"page":"68-78","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Graphomotor skills in children with prenatal alcohol exposure and fetal alcohol spectrum disorder: A population\u2010based study in remote Australia"],"prefix":"10.1111","volume":"64","author":[{"given":"Robyn","family":"Doney","sequence":"first","affiliation":[{"name":"School of Public Health Curtin University Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara 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