Just like everything else, if you use them properly you won't have an issue.
That's my point, Whiffy. There is no "proper" way to use them. They're intended to be a replacement for using a torque wrench and they are completely inaccurate when used alone. Here's a quote taken directly from a manufacturer:
"By using our torque sticks, you can increase your shop efficiency and eliminate damage caused by impact wrenches. These premium quality brand new torque sticks are a low cost and efficient way to accurately torque wheel nuts properly. There is nothing to calibrate or maintain! Innovative technology guarantees accuracy every time! No more damaged wheels or studs! No more customer hassles!"
People that use a "low" rated torque stick and then go back and verify with a torque wrench are kidding themselves. A torque wrench doesn't "undo" the overtorqued condition created by the torque stick. It will just click at the preset level regardless of how much higher the lug was actually torqued.
I don't see any labor or monetary savings in using a special $30.00 +/- extension and then torque by hand when anybody with half a brain can turn the force down on their impact gun (or, God forbid, even spin the lugs snug by hand), snug them up and then use the torque wrench.
Tommy