I have used every kind of quilting frame made and still prefer a large round one for lap quilting. I keep the left hand under the quilt and help the needle by catching it on my left index fingernail, chews it up pretty bad so I bought a set of fake fingernails, glue or tape one to that fingernail and it works great. I have wrapped the finger with adhesive tape too but get a better feel from the fake ones. Reminds me, I have a couple quilts ready for hand quilting and winter is the best time to do them.
Carol J.