I use this palm protector due to left side spasticity and night time fingers clenching that side. It's soft, easy to use and comfortable. However, it is not designed to control finger spasms. I often wake up with my fingers slipping off my palm which is supposed to prevent this. I can't make any adjustments that fix this problem. I don't know if different hand sizes will have the same difficulties. My hands are medium sized.
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