You can count on the bed handles to stabilize you until your body adjusts to the new position. And when you return to bed the helping handles will assist you to safely maneuver back to a flat position. They fit on any bed with a standard box spring and mattress as well as most platform beds and waterbeds. Each handle has two 3-foot long tubes that slide underneath the mattress. No tool required .
Sheets stay on.
The bars may be pulled out a few inches to make the bed or change the sheets. Yes, they really are adult strength. Once you are sitting on the bed, use the bed handles for leverage while you raise your legs. If you lie down while doing this the bed handles help to keep you from sliding off the bed. My feet fall over the side of the bed during the night.