Many can use the 1-UP hair tie, even if: You have broken your arm or wrist; You have paralysis in the hand, arm or shoulder; You do not have hand(s) or arm(s); You have other upper limb mobility challenges. 1-UP hair ties can be used with: One Hand, Residual Limb, Two Hands, Feet. Get a handful of independence! Use the 1-UP for: Ponytails, Buns, Bunches or as a Headband