It has a new twist on hand therapy. puttycise is ideal for use with theraputty to increase functionality and versatility. 5 piece tool set includes cap turn, knob turn, turn wrench, l-bar, turn and pliers. Each tool helps simulate various functions to help with everyday life. Kit includes carry bag and Theraputty exercise material as specified in the product title. puttycise tools can be pushed, pulled or twisted through drills to generate specified drills. Simulates functional activity. Teaches joint protection techniques and easy to use, easy to learn.