I am an occupational therapist working in a school. I work with a 5 year old girl in kindergarten with a diagnosis of Amyoplasia Arthrogryposis Multiplex Congenita. She is in a wheelchair and the only movement she has in her arms is very little shoulder horizontal abduction/adduction of her left arm. When she saw the Twist n Write rocket pencil, she was really excited and wanted to try it. I couldn’t believe that it fit between her fingers (which do not move)! Then… she was able to do a maze (with some help from me to move the paper at times)!! Then…she wrote the first letter of her name!! She has never been able to write anything. We have tried many things, straps hurt, nothing seemed to have enough pressure to make a mark or have any sort of control. You have no idea the excitement and success this was for this little girl. She immediately asked if she could take it back to class with her – and of course she did. In the couple of days since, she has written her entire first name!