This document discusses the use of manipulatives in middle grades mathematics education. It defines manipulatives as tools that represent concrete mathematical ideas to help students develop understanding of abstract concepts. The document notes that NCTM supports the use of technology and manipulatives to enhance learning. It provides suggestions for effective use of manipulatives, such as selecting ones all students can use, allowing exploration time, and ensuring all students have opportunities to manipulate objects. A list of example manipulatives and virtual manipulatives is also included.