I have not been able to shoot for a couple of years because of arthritis. I developed this release that wraps around my wrist and under my middle finger then over the bow string. The bulk of the pressure is transferred to my wrist so I can hold the bow string. You shoot with split finger just as with a glove only you don't need a glove you can shoot with bare fingers. Before this I could only shoot for a few minutes now I can shoot all I want.