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How to set up a computer mouse to be comfortable?
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Ohh, thats a vertical mouse! It uses upper arm muscles! I'm glad its working for you, thats great.
A pinch mouse uses the fine motor muscles in the hand, much like a pencil (no upper arm movement required).
It can use upper arm muscles. For me I use my fingers to move it, not much arm movement, much finer control on any mouse. Grip matters.