Effects of Five Stones Pebble Game on In-Hand Manipulation and Hand Writing Skills of School-going Children

This randomized controlled trial will be conducted on 26 school-going children (aged 8-12 years) from The City School and Classic School System, randomly assigned to a traditional play group or an unstructured gameplay group (n=13 each). The Five Stones Pebble Game intervention will be administered for 5 weeks, with 30-minute sessions, four times per week. In-hand manipulation will be assessed using Timed-TIHM, Box and Blocks Test, and Nine Hole Peg Test, while handwriting will be evaluated using ETCH. Ethical approval will be obtained from Riphah International University, and data will be analyzed using SPSS version 23.0.