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Some of my students have special needs and the kids come in all sizes. One of the teachers uses Silly Putty because it is firmer than clay, molds to the hand easily, and (very important to her!) is very easy to wash and reuse. Check out school supply stores for similar products, again the Special Needs section has amazing tools for adapting almost anything.
Soft foam cylinders that one can push a hole into with a pencil or dowel for the brush handle to slide through have also made appearances in my room as many kids come with their own modified tools and materials.
I just have the common form of arthritis but have found holding the brush between my pointer and middle finger very helpful.