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I received these crutches as prescribed by my Physical Therapist. They are easy to adjust and very patient friendly. Both heights (below handle and handle to arm cuff) can be adjusted with the push of a button. Screwing on a black cap locks the height adjustment in place and limits the amount of movement of the crutches eliminating the noise commonly associated with crutches. I like the fact that the cuff is able to be shaped how you want it (although you need someone strong to help you with that aspect). These have great traction on the bottom. Makes me feel very safe when I am out walking.