With 9 grandchildren I make a kot of every day quilts for them---I tie them so they can be really used and washed----so, my DH ties all the knots. I have RA and my fingers are very bad so this is a big help. He does it while watching TV at night.
BTW, when the kids reach 12 years old I make them a real hand quilted quilt. In the meantime I've usually made them each 2 or 3 others.
Happy sewing, Kutnso