I do have it in a stable frame. It is a lap hoop with a bottom on it so it sits on my lap but I don't have to hold the frame. Make sense.
I felt a little uncomfortable at first. The most problem I have is coming back up from the back. It is hard to find the right place to come back up. I did find if you don't move your needle but just a hair it keeps it almost in the right place to come back up through. What I think it helps with the most is not having to pull you thread all the way thru, you can do several stitches before you have to pull it down tight. Doing it the other way I was pulling the thread after each stitch. A lot of movement of the arm.
I would really like to do the old traditional method of rocking the needle. I was a pretty good quilter 25 plus yrs ago but I have lost my touch with this arm and shoulder.