I told the owner of the mobility, brick and mortar store in town that he was nuts not to promote this item. Makes sitting up and getting out of bed a snap. And per my physical therapist, I keep my shoulders down to avoid any muscle strains. It's also a great place to hang my CPAP mask during the day.My husband mounted one of these in our daughter's bedroom above her bed, & it has been a great help in allowing her to get out of bed & into her wheel chair alone, and back, again. So, we bought a second one he will put out in the living room above the area set up for her to sit. She appreciates the measure of freedom this allows, immensely!Very useful for a bedridden family memberThis has made getting in and out of bed so much easier! It has made getting up in the night without assistance, easier on everyone. I wish I had purchased this years ago.For get the strap.....it will kill you. Just put the handle through the rod. Works well for my 90 year old father.It's just okayWorking out great to give hubby extra help to position himself in bed! Quality mayerials.I just can't use my husband passed away just want to return and get my refund. $186 is a lot of money. Nothing wrong with item, husband took sick and passed before we got it installed.. Just want to return!!!!