The way I understand them they force the shank down. They wrap around the top, then put pressure upward from the underside of the receiver, sucking the shank down, the way you would want it.
When it comes to my WD hitch, that thing creeps and moans enough that rattle is not an issue. And it also applies pressure with the arm bars directly to the hitch shank. (I believe this is upward pressure on the WD shank, but I never get annoying rattle with my WD hitch, at least nothing that I notice. Although I have been known to shove a wood shim into the gap between the shank and the receiver, or wrap some felx seal tape around the solid shank if there was a big gap. The rubber or wood dampen the metal to metal bang.
When it come to hollow shanks, especially for cargo carriers that rattle around like bb's in a tin can, I'll cast another vote for the Let's Go Aero. Those are awesome!