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In page Straitjacket:
"The sleeves of the jacket are sewn shut at the ends—a significant restraint in itself because it restrains the use of the hands. The arms are folded across the front, with the ends of the sleeves wrapping around to fasten or tie behind the back. On some jackets, the sleeve-ends are anchored to the garment to allow the fastening or knot to rotate away from the wearer's hands as they move their arms, making it more difficult to undo. Some straitjackets are designed to have the person's arms crossed behind them rather than in front to ensure further restraint.[citation needed]
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