Made for children's small hands, the Twist 'N Write Pencil is smaller than the Ergosof, making it the perfect size for elementary-size hands. These pencils are great at home or in the classroom. The pen's wishbone shaped body naturally shapes thefingers into the school-taught " tripod" finger grasp. The soft rubber body and curvy shape are built for comfort and helps kids focus on their content without worrying about their pencil grip or their writing speed. This means that they'll get justas excited about learning to write as they will about drawing pictures. The thick 2mm pencil lead never needs sharpening. Just twist the tip to expose more lead. This tub contains 48 pieces in an assortment of colors and is great for passing aroundand sharing. Helpful for Arthritis and Ehlers Danlos Syndrome patients.