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Shoulder 1.3m adjustable, waist 2.6m adjustable for continuous daily use. Secure Torso Support Self-Release Wheelchair Positioning Vest provides upper torso support and prevents leaning, tilting, or sliding forward in a wheelchair. 3 adjustable back straps, safe and secure,breathable mesh design on the back is comfortable and durable . Use in conjunction with the Secure Wheelchair Seat Belt, Wedge Cushion, Pommel Cushion, or Lap Cushion for increased support and safety. Universal sizing - Latex-Free .