For people with limited hand mobility, the handle on this button aid provides several grasping positions. First you place the hook through the button-hole, than you place the hook with the widest part over the button and you need to pull the button to the smallest part of the hook. After you have done that you can pull back the button hook through the button-hole. This dexterity will take some exercise The button loops fold back toward the handle when not in use, making it easy to store and travel with