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This size medium (fits chest sizes 38"-40")White Straight Jacket restraint is heavy duty and is ADJUSTABLE. It has 6 straps down the back, a crotch strap AND and a strap for the arms. It also has a strap in front. ALL 9 of these STRAPS ARE ADJUSTABLE!!!! Plus 2 small loops on the sides to prevent the arms from being pulled over the head. It is made of 10 oz. duck cloth canvas. The entire piece is sewn together using upholstery thread. Stitching is reinforced for strength. Heavy duty Dee rings are made of nickel plated STEEL. This jacket IS built to last!