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NCT Number: NCT07331675

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

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.

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Key information

Conditions

Age range

6 year–9 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Aamna Hassan

Lahore, Punjab Province, 5400, Pakistan

About this study

In 2022, Audrey Saile and Mohd Hanafi Mohd Yasin hey conducted a study in Malaysia, to investigate the efficacy of fine motor training for improving handwriting legibility among students with special educational needs. Their study used a quasi-experimental pre-test/post test design but was limited by a very small, purposefully selected sample of only four students.

Despite this limitation, the results indicated a positive outcome: the treatment group showed an average 15-point increase on a modified Handwriting Legibility Scale, improving their performance from "very poor" to "moderate." The authors concluded that fine motor training is a valuable intervention for enhancing the handwriting skills of SEN students.

Current literature reveals a significant gap in research examining marble play as a targeted fine motor intervention. While existing studies have explored the effectiveness of various manipulative activities such as clay modeling, bead threading, and drawing exercises for fine motor development, there is a notable absence of research that specifically isolates and examines the unique benefits of marble play. This represents a critical oversight, given the accessibility and affordability of marbles as intervention tool. The findings of this study will provide much-needed, evidence-based guidance for educators and therapists, particularly those working in resource-limited environments.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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.

Exclusion criteria

  • 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.

Treatment and study plan

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.

Free Play

Other

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

Primary outcomes

  1. Hand Grip Strength

    Time frame: Baseline and after 6 weeks

    Hand grip strength will be measured by dynamometer

  2. handwriting skills

    Time frame: Baseline and after 6 weeks

    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.

Study contacts

Contact information is provided by the study sponsor or research team.

Imran Amjad, Phd

CONTACT

[email protected]

03324390125

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Effects of Marble Play on Hand Grip Strength and Handwriting Skills Among School Going Children

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jan 12, 2026
Registry last updated
Jan 12, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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