As you age, your handwriting may change. Especially with age-related vision decline, having stiff fingers, or even due to increased use of keyboards over a pen. Although you would expect changes in how you write over time, doctors advise keeping an eye on your handwriting, as some changes could be signs of Parkinson’s disease. Take notice of these indications in handwriting as early signs of Parkinson’s disease.
Early Signs of Parkinson’s Disease
Parkinson’s disease is a neurological disease that stops neurons from producing dopamine in a specific part of the brain. The lack of dopamine is associated with the symptoms of impaired movements, such as sluggishness, tremors, and walking difficulties. However, there are other non-movement symptoms, such as insomnia, speech issues, and depression, which are more prevalent and cause more disturbances than the visible ones. The earlier it is known, the earlier you can start treatment. Although there is no cure for Parkinson’s disease yet, it can be helped with medications, therapies, lifestyle changes, and in some cases, surgery. With adequate support, people with Parkinson’s disease can still lead a quality life.
It is easy to overlook the early indications of Parkinson’s disease when they occur intermittently. And especially for older adults who live alone. However, if you notice some of these symptoms appearing more frequently, it is time to visit the doctor:
- Sluggish handwriting or changes in penmanship
- Feeling tremors in the hands, feet, or fingers
- Unintentional and uncontrollable movements when you are asleep
- Increasing stiffness in the limbs and slower movement
- Changes in voice
- Rigidness in facial expression
- Bending posture, balance, and gait issues
As Parkinson’s disease is a degenerative disease, older adults may face increasing difficulties with daily living activities. In such cases, retirement communities with assisted living options may be ideal.
Writing Smaller and Slower
Although it is typical for a person’s penmanship to evolve, sudden changes with cramped handwriting and other symptoms may be an early sign of Parkinson’s disease. Due to the altered brain chemistry, it is difficult for people with Parkinson’s disease to control their movements, especially their fine motor skills. Sudden changes in handwriting could indicate that the person is beginning to find it challenging to control their hands. They may write slower than usual as they try to gain control of their movements. They may also start to write smaller. Medically known as Micrographia, the patient’s words are smaller than average and so closely spaced that they look cramped. As the person writes more, their handwriting might become smaller.
The patient’s signature might change as their handwriting changes, so keeping track of signature changes over time is a good idea. To document signature changes, have a lawyer prepare several formal witnessed and notarized affidavits for the patient to sign at various times throughout the day. These can be used as supporting statements with legal documents, financial documents, advanced directives, and planned giving.
Managing Changes in Handwriting
Medications that manage movement disorder symptoms can help with Micrographia. Some simple techniques can also help your writing be more comfortable and readable. The Parkinson’s Foundation recommends practicing writing one page per day with lined paper. Write sitting upright on the table and take breaks when needed. There is also the option of working with occupational therapists who can provide specific instructions and handwriting exercises.
