I too have problems with my hands. Years ago I bought the Alto's QuiltCut2 and it is terrific! It (1) holds the fabric secure, (2) I only need one pressure point to hold the cutting edge in place, and at times it is my palm rather than my fingers, (3) it stores easily, even though I usually have mine out, and (4) it doesn't matter how much my hands tremor or anything else and I still get a precise cut.