I quilt in a large floor frame at church, with the long boards and horses, not high tech! But I have gotten the ladies used to using rolling adjustable office chairs so it is easier to move around and adjust ones's body to quilt in one direction! I quilt toward my body and left to right, and right to left easily. When I have to quilt away from my body, I have a push thimble that looks like a flat knife with dimples. Then there are small metal things that you attach to any finger or thumb to use however you want. The one to use on top is dimpled, the one for the under is plain. Hope this helps. :lol: