Background: Hand is an important structure used for reaching, holding object predominantly for that grasp and grip strength particularly tripod pinch grip strength is very essential and handwriting is one of the skilled fine motor movements in that deft handwriting which include particular speed with legible writing product is needed for students especially for their higher grades to achieve their best academic performance. Objective: Deft Handwriting is an essential functional skill that impacts on Academic performance and progress from primary school level to higher grades, mostly assumed that grasp and tripod pinch grip affects legibility, speed, yet research studies examining this relationship as correlation are limited. Method: We used Narrative review methodology to map existing research on tripod pinch grip and handwriting quality from the school-age children to higher grades and to identify gaps in the literature. Results: Ten articles met search criteria and were categorized by grasp patterns which mainly include tripod –dynamic tripod grip strength and handwriting performance in speed and readability and grasp kinetics and handwriting performance. Findings suggest an inefficient grasp can lead to decreased handwriting quality i.e legibility and speed. The current literature is inconclusive and several gaps were identified. Conclusion: Tripod pinch grip strength consider as an important since the thump ,index and middle finger its fine motor action , pressure and force exerted on the pencil since static and dynamic tripod pinch commonly used with students if the student lack of this factor finally end in the low academic performance which affect their higher grades, hence Early Analysis at the primary level and early intervention with maintain the higher grades consider as an essential factor reveals from the article.