“…A total of 19 (65%) studies [21,40,44,48,49,52,53,55,56,57,58,59,60,61,62,63,64,65,66] used standardized assessment tools to measure both fine motor proficiency and academic performance in mathematics. Of the 29 studies that examined these variables, 12 (41%) [40,48,51,54,56,57,59,64,65,66,67,68] were categorized as having ‘good’ methodological quality, 10 (34%) [44,49,52,55,58,60,61,62,69,70] were categorized as having ‘fair’ methodological quality, and seven (24%) [21,43,45,53,63,71,72] were categorized as having ‘poor’ methodological quality. A summary of the associations between the components of fine motor proficiency and academic performance in mathematics, along with the levels of evidence supporting the associations can be found in Table 1.…”