Maximum control and positioning for severely flexed hands. Provides the same superior benefits as the Progress(tm) Palm Protector, with the added advantage of adaptable wrist and forearm positioning. Even the most severely flexed hand and wrist can be improved. Removable finger separators offer finger abduction to assist with tone control and hygiene.The palmar section can be folded or rolled for progressive finger extension. Includes splint liner, two straps with D-ring buckles and Velcro(r) strap tabs. To size, measure width across the MP joints at the distal palmar crease. Small: 3-1/4in to 3-1/2in (8.3 to 8.9cm) width across MP joints. Medium: 3-1/2in to 3-3/4in (8.9 to 9.5cm) width across MP joints. Large: 3-3/4in and up (9.5cm and up) width across MP joints.