The Handmaster Plus stenghtens the 9 muscles that close the hand as well as the 9 muscles that open the hand. The result is mmaximun strenght, balance and blood flow to the hand, wrist and elbow. The Handmaster Plus comes in 3 stengths. Soft - Purple Ball with Yellow Cord for early rehab Medium - Red Ball with Black Cord for late rehab Firm - Orange Ball with Grey Cord for strength and speed training.