Was watching the Biden - Stephanopoulos interview and my aunt. She mentioned that he's holding a pen. She said that people who have some sort of handicap often do that so that the look less stiff I guess. She mentioned that Bob Dole would do this. She did an impression of Biden walking and had all her fingers together and was walking like a robot and it did look like how Biden walks. So maybe they did purposely have Biden hold a pen so he looks less stiff.
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"Bob Dole, the former US Senator and presidential candidate, suffered a severe injury to his right hand during World War II. On April 14, 1945, Dole was leading an assault on Hill 913 in Italy when he was hit by shrapnel and suffered a severe injury to his right arm and hand. The injury left him with limited mobility in his right arm and numbness in his left arm."
He/his handlers would shove a pen in his hand to distract from his paralysis.