One reviewer mentions that he thinks it's for those who hold the hook like a knife - I hold mine like a pencil and still feel the Addi -Hook greatly helps relieve hands stress Took me an hour to get used to addi's design. After acclimatization, I noticed that each stitch required less arm movement, which reduced repetitive stress on the arm. Overall it feels good in the hand, although I would have liked more of the soft part of the grip and less of the hard plastic part. Also, as others have said, the shank of the hook is quite short, but that wasn't a problem for me.
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