may be used with or without handle 17 in yet another embodiment sleeves 18 of various thicknesses are used to add girth to arm 12 in other words one device 10 is used and different level sleeves 18 are interchanged one sleeve at a time as a user progresses through a given program one sleeve size is depicted in fig6 even if sleeve 18 isn 39 t employed to add girth to arms 12 a thin version of sleeve 18 may provide additional comfort for some users and or be desired for hygienic reasons sleeves whether for girth or comfort hygiene may be constructed of silicone or other material that optimizes patient comfort an alternative embodiment of fig1 includes handle 17 for insertion and removal of device resilient members 21 that preferably bend inward one to another and no guide rods as shown in fig1 resilient members 21 are constructed of one male portion 21 a and one female portion 21 b that are attached one to another at attachment means 23 more specifically male portion 21 a terminates in male attachment means 23 a having protrusion 28 fig1 19 while female portion 21 b terminates in female attachment means 23 b having.