Certainly the clenched fists MAY be due to neurological trauma to the head. But taken all together, that position just doesn't add up to a comfy nap. Like I said, Being a man who wears suits, I can tell you when the jacket rides up your wrists like that it means it is uncomfortable. Crossing arms over chest or lifting them above your head can make the arms pull at your shoulders causing it. Anyone over 65 can tell you that to twist your vertebrate in such a position as in the photo will hurt. My guess is that with head on afghan/armrest and ankles up on the other arm rest, he could nap fairly comfortably. Andrew does NOT seem like the kind of gentleman to put his shoes on the furniture though. I correct my above statement, there is NOT any official testimony of Lizzie helping Andrew with his shoes/slippers. Geez, sometimes things run together with all of the contradictory statements. Anyway, At the trial Officer Harrington completely contradicted the photographic evidence he held in his hand and swore:Curryong wrote:It does look most uncomfortable Possum, I agree. A couple of things, though. I don't think the couch was long enough for Andrew to have laid down full length. The couch was 7' 1" long, including those rolled arms. Andrew was 5ft 11" so it would have been a tight fit. He also had a hernia on his right side and wore a truss, so that may have caused pain.
I've always thought Andrew may have gone upstairs to put his 'cardigan' on, and his congress boots, which were more casual shoes than his outdoor boots, might have been kept in a downstairs closet.
Do hands sometimes go into spasm in death throes?
Q. Yes. And you discovered Mr. Borden's body there?
A. Yes, sir; on a sofa which rested on the north side of the house was the form of a man partially covered with a sheet, going from the head, the west end of the lounge, down a little below the knees. Below that black pants and a pair of laced shoes.
..........
Q. You said, speaking of Mr. Borden as he was laid upon the sofa---did he have slippers on?
A. No, sir.
Q. What kind of boots did he have on?
A. He had a laced shoe.
Q. Do you mean a low shoe?
A. No, sir.
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Q. A laced high shoe?
A. Yes, sir.
Q. You are pretty certain about that?
A. Yes, sir.
Q. It was not a congress boot?
A. No, sir.
Q. You know what I mean?
A. Yes, sir.
Q. You are certain about that. Have you ever seen the photograph of the body as it is presented here?
A. Not the photograph, no, sir.
Q. (Showing photograph to witness). Will you look at those shoes---your eyes are better than mine, but will you kindly tell us whether those are a correct representation?
A. Not as they impressed me, sir.
Q. Then, as you recall it, this is not correct?
A. As I recall it.
Q. Then seeing this, having this to refresh your recollection, do you change your statement?
A. No, sir.
Q. You leave it that he had on laced boots?
A. My impression was laced boots.
Hmmm, well, you know I HAD to try and get a better photo. 
The crime scene photos of 1892, are not very visually clear. Abby’s crime scene photos of her wounds are just as unclear. 
