The extended heel of the palm rest is good. Some with soft skin may want to wear gloves as the handles can be a bit chafing on rough skin. It is no problem for me. The expansion handle isn't very useful. If I were to buy them again I would get a similar grip without the extension having access to put a real and adjustable extension on it. They work best with click/trigger switches. I have rotary switches and this type lengthens the handles by an inch and a half, which puts your hand a little further from the switch than if you had click/trigger switches. It may also work best with straight handlebars. I have a slightly larger Bianci cruiser/commuter hybrid with slightly curved handlebars and it felt like my thumb was in a slightly odd position when gripping it.
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