Effect of Marble Play on Handgrip Strength and Handwriting Among School Going Children.

NCT07331675 | Not Yet Recruiting

• 1 other identifier: maqsood Bibi
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to address the effects of a Marble Play on the handgrip strength and handwriting skills of primary school children, providing empirical evidence for a cost-effective and culturally relevant therapeutic tool. This study will be a randomized controlled trial. A total of 46 children from Grades 1-3 will be recruited via convenience sampling and randomly assigned to either an experimental group (n=23) or a control group (n=23).The experimental group will participate in one-on-one sessions of Marble Play game with .The control group will continue with their regular free play activities. The primary assessment tools will be the Evaluation Tool of Children's Handwriting (ETCH) to measure writing legibility and speed, and a hand-held dynamometer to measure hand grip strength.

Conditions

Hand Grasp

Keywords

Dynamometer; Hand writing skills; Hand grip strength

Outcome Measures

Primary Outcomes (2)

• Hand Grip Strength

  Hand grip strength will be measured by dynamometer

  Baseline and after 6 weeks

• handwriting skills

  handwriting skills will be measured by ECTH. ECTH scoring refers to the Evaluation Tool of Children's Handwriting (ECTH), a criterion-referenced assessment for grades 1-6, scored by occupational therapists and educators to evaluate manuscript/cursive writing speed and legibility (letter/word formation, size, spacing, alignment) through specific tasks like copying, dictation, and sentence composition, yielding scores for each task and overall legibility percentages, with established cutoffs (e.g., Total Letter \<90%, Total Word \<85%) indicating dysfunction.

  Baseline and after 6 weeks

Study Arms (2)

Marble play group

EXPERIMENTAL

The experimental group will participate in one-on-one sessions of Marble Play game with progressive difficulty levels, designed to enhance fine motor control, handgrip and handwriting skills.

Other: Marble play game

Free play

OTHER

The control group will continue with their regular free play activities.

Other: Free Play

Interventions

Marble play game OTHER

Participants have to be sure to play in playground, as we will used natural ground floor. A small circle will be dig. A straight line will be marked 40 cm away from the edge of the circle. At the beginning of game, the researcher will place 10 target marbles in the circle. The participant will be given a marble.

Marble play group

Free Play OTHER

The control group (n=38) will continues regular playing activities except Marble play.

Free play

Eligibility Criteria

• Age: 6 Years - 9 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Children enrolled in Grade 1-3 (typically aged 6-9 years)
• Children with normal cognitive development, as assessed by school records or teacher reports
• Students with average or below average handwriting fluency (based on teacher observation or pre-test).
• Parental or guardian consent obtained for participation.
• Regular school attendance and ability to participate in intervention sessions.

You may not qualify if:

• Children with significant visual or motor impairments that may affect fine motor coordination.
• Participants with a known history of dust allergy or diagnosed allergic rhinitis triggered by dust exposure will be excluded.
• Individuals with a current or recent (within the last 6 months) fracture of any upper, wrist, or hand) will be excluded.
• Students with a history of behavioral issues that would prevent consistent participation in structured play.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Aamna Hassan

Lahore, Punjab Province, 5400, Pakistan

Location

Related Publications (3)

• Hendrickx S. The adolescent and adult neuro-diversity handbook: Asperger's syndrome, ADHD, dyslexia, dyspraxia, and related conditions: Jessica Kingsley Publishers; 2010.

  BACKGROUND

• Davis RD, Braun EM. The Gift of Learning: Proven New Methods for Correcting ADD, Math & Handwriting Problems: Penguin; 2003.

  BACKGROUND

• Engel-Yeger B, Nagauker-Yanuv L, Rosenblum S. Handwriting performance, self-reports, and perceived self-efficacy among children with dysgraphia. Am J Occup Ther. 2009 Mar-Apr;63(2):182-92. doi: 10.5014/ajot.63.2.182.

  PMID: 19432056 BACKGROUND

Study Officials

• Aamna Hassan, MS

  Riphah International University, Lahore

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, Phd

CONTACT

03324390125; imran.amjad@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 29, 2025
• First Posted: January 12, 2026
• Study Start: December 22, 2025
• Primary Completion (Estimated): August 1, 2026
• Study Completion (Estimated): August 20, 2026
• Last Updated: January 12, 2026

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)