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Effects of Five Stones Pebble Game on In-Hand Manipulation and Hand Writing Skills of School-going Children
Sponsor: Riphah International University
Summary
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.
Key Details
Gender
All
Age Range
8 Years - 12 Years
Study Type
INTERVENTIONAL
Enrollment
68
Start Date
2025-10-28
Completion Date
2026-06-15
Last Updated
2026-10-13
Healthy Volunteers
Yes
Conditions
Interventions
Five Stones Pebble Game
\*\*Group A (Traditional Group):\*\* The traditional group will be taught the Five Stones Pebble Game consisting of five levels. In Level 1, five stones are scattered and the child throws one stone in the air, picks one from the surface, and catches the airborne stone, repeating until all are collected. In Level 2, the child picks two stones at a time, and in Level 3, three stones at a time using the same method. In Level 4, one stone is tossed while the remaining four are scattered, then picked together before catching the airborne stone. In Level 5, the child tosses all five stones and catches them on the back of the hand, then tosses again and catches them in the palm.
Unstructured Play Group
The child will go through unstructured play in the indoor environment. During this time, he is free to explore and initiate activities. The child may involve in activities such as block play, dough play and arts and crafts.
Locations (1)
The Children Hospital and University of Child Health Sciences
Lahore, Punjab Province, Pakistan