I used my hands VERY little for over a month after bilateral hand surgery. The card holders worked great. I was able to slide the cards into the slots with little effort, and they moved smoothly, allowing me to place them close together or further apart without getting stuck. When selecting a card to fold or play on the table, I could collect as many or as few cards as I wanted without long delays in moving cards in and out. It's not the same as holding cards, but it's better. In fact, I suspect I'll continue to use them even when I can hold cards - perhaps to help when my hands get so big that I have to constantly search through them to find the right card.
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