Background: Sculpture involves intricate coordination between sensory input, motor precision, and executive cognitive functions. Prolonged and repetitive sculpting tasks may contribute to cumulative neuromuscular fatigue and potential neurological disturbances. Brain Gym interventions are structured to strengthen brain–body connectivity, augment concentration, and sharpen motor proficiency, positioning them as a viable strategy to support and enhance the occupational performance of sculptors.

Methods: This comparative study recruited 30 stroke patients (aged 40–80 years) through convenience sampling and allocated them into two groups:

§  Group A (n=15): Received Brain Gym exercises.

§  Group B (n=15): Received Diaphragmatic Breathing exercise.

Both groups underwent 20 sessions over 4 weeks. Outcomes were assessed using the Nine-Hole Pegboard Test (dominant and non-dominant hand), Hand–Eye Coordination Test, and Trail Making Test at baseline and post-intervention.

Results: Both groups demonstrated significant within-group improvements across all outcome measures (p < 0.01). Group A showed a 15.6% improvement in the Nine-Hole Pegboard Test (dominant hand), 13.2% improvement in the Nine-Hole Pegboard Test (non-dominant hand), 19.8% improvement in the Hand–Eye Coordination Test, and 14.9% improvement in the Trail Making Test, whereas Group B exhibited comparatively smaller gains with an 8.4% improvement in the Nine-Hole Pegboard Test (dominant hand), 6.1% improvement in the Nine-Hole Pegboard Test (non-dominant hand), 9.6% improvement in the Hand–Eye Coordination Test, and 5.2% improvement in the Trail Making Test. Between-group comparisons revealed statistically significant superior improvements in Group A across all outcome measures (p < 0.05).

Conclusion: While both Brain Gym exercises and diaphragmatic breathing exercises improved fine motor performance, hand–eye coordination, and cognitive flexibility among sculptors, Brain Gym exercises demonstrated greater overall effectiveness in this study. Nonetheless, diaphragmatic breathing remains a supportive intervention that may offer complementary benefits through relaxation and stress reduction.