One exercise variation is to rotate them counter-clockwise and clockwise inside one palm, using gravity to help you maintain control over them. Avoid having them bump loudly, some try to not let them touch at all. Better users often do more than two in one hand. By manipulating them in your hand, you can also work the forearm and shoulder muscles, as they are connected.

In addition to the health benefits of exercise, practitioners of Alternative Medicine believes they can, by interacting with acupuncture points on the hand, be used for many medical purposes.

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