Assessment & Research

Excess of non-right handedness among individuals with intellectual disability: experimental evidence and possible explanations.

Grouios et al. (1999) · Journal of intellectual disability research : JIDR 1999
★ The Verdict

Expect more left-hand use in clients with ID—note it on intake and test both hands for motor tasks.

✓ Read this if BCBAs completing intake assessments or motor skill programs for adults with intellectual disability.
✗ Skip if Practitioners who only run verbal or social-skills programs where handedness is irrelevant.

01Research in Context

01

What this study did

Schlundt et al. (1999) counted how many adults with mild or moderate intellectual disability used their left hand for everyday tasks.

They compared the count to adults without disability who were the same age and sex.

A quick handedness checklist was the only tool; no therapy was tested.

02

What they found

More people with ID favored the left hand than the control group.

The authors say this may point to unusual brain wiring, but they did not test brain scans.

03

How this fits with other research

Oppewal et al. (2013) later used the same handedness fact to show grip strength can be weaker on the "dominant" side in older adults with ID.

Because of that, they tell us to test both hands, not just the one the client writes with.

Sandberg et al. (2026) widened the lens with a giant registry and found higher rates of almost every diagnosis in people with ID, giving the left-hand clue a place in a bigger health map.

The 1999 paper sits early in this chain: it flags a simple marker that later studies turn into practical advice.

04

Why it matters

When you do an intake, note which hand the client prefers. It will not change your program, but it reminds you that this learner may have other atypical wiring. Pair this with Alyt’s tip: if you ever test grip or fine-motor skill, check both hands. One quick line in your file keeps your data clean and your goals fair.

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Add "preferred hand" to your intake form and trial both left and right hands in any grip or dexterity probe.

02At a glance

Intervention
not applicable
Design
other
Sample size
146
Population
intellectual disability
Finding
not reported

03Original abstract

Seventy-three subjects with mild and moderate intellectual disability (ID) of an unknown/idiopathic nature, who had no record of specific deficits in motor control, and 73 normal controls, matched for chronological age and sex, underwent evaluation of handedness. The results confirmed the previously reported excess of non-right handedness among subjects with ID, and suggested that this finding might be indicative of a deviant cerebral organization or atypical lateralization of cerebral representation of function in this group. However, it was noted that further research is needed to clarify how far this is a function of level of motor skill and how far is a syndrome-specific pathological phenomenon.

Journal of intellectual disability research : JIDR, 1999 · doi:10.1046/j.1365-2788.1999.00217.x