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My son with SPD actually tolerates these on his wrist, and the four bells are just loud enough to catch his attention without overwhelming him. Perfect for our imitation games at home.

The four bells on each bracelet make such a clear, distinct sound that my daughter with SPD actually stops and listens instead of covering her ears. We use them for imitation games during her sessions and the velcro holds up fine through all the pulling. Honestly didn't expect a simple wrist bell to

Got these for my son's therapy sessions and the four bells on each bracelet make just enough noise without being overwhelming. He's been copying me shaking them during imitation exercises, which is a first for him. The band stays put on his wrist too.