Counter weights keep the spoon bowl level no matter what the adult or child’s arm position or level of tremor, preventing food spillage. Hook & loop strap on built-up handle eliminates need for strong grasp. The spoon’s weight gives added proprioceptive input for children with PDD and SI problems. Institutional dishwasher safe up to 220°F. Not microwavable. BPA, Phthalates and Latex free.