The Universal Leather ADL Cuff with Elastic Hand Strap is designed to hold utensils and eating cutlery such as spoons, forks, and knives to make it easier for individuals with weak or limited grasp. The leather utensil pocket holds the utensil handle, and a comfortable elastic strap keeps the holder secure on the hand. The Universal Leather ADL Cuff with Elastic Hand Strap is designed to allow users with limited grip or dexterity controlled use of items such as eating utensils and writing tools. This durable, high-quality ADL universal utensil cuff will provide years of reliable use and is easy to use. Simply slide the eating utensil handle into the 4 inch long leather pocket. Choose from 3 sizes: small, medium and large. Small size fits very small adults; Medium size fits most women and smaller men; Large fits most men. To determine the correct size, measure the width of the hand below MP joints. This universal cuff holds various utensils as well as the Right-Angle Pocket (NC21025) for positioning the utensil. Please note, the fork and spoon shown in the image are for demonstration only and are not included with the Universal Leather ADL Cuff with Elastic Hand Strap. Universal Leather ADL Cuff with Elastic Hand Strap Specifications: Choose size: Small, Medium or Large. Small size: Fits 3 to 3.5 inches. Medium size: Fits 3.5 to 4 inches. Large size: Fits 4 to 4.5 inches. Pocket measures: 4 inches long. Materials: Leather, adjustable elastic strap.