There's a new twist in hand therapy. Puttycise is great for use with Theraputty to increase function and versatility. 5 piece tool set includes the cap turn, key turn, knob turn, L-bar, and peg turn. Each tool helps simulate various functions to help with everyday life. Kit includes carry bag and Theraputty exercise material as specified in product title. Kit includes carry bag, manual, and 2 x 1 pound red (soft) and 2 x 1 pound green (medium) Theraputty.