A patient support apparatus comprising a central panel section (120a-120d), a side panel section (122a-122d, 123a-123d) movable relative to the central panel section (120a-120d) between a retracted position and an extended position and an adjusting system for moving the side panel section (122a-122d, 123a-123d) relative to the central panel section (120a-120d) between the retracted position and the extended position, wherein the adjusting system comprises: a mounting bracket mounted to the side panel section (122a-122d, 123a-123d); a handle assembly rotatably mounted to the mounting bracket , the handle assembly comprising a outer end allowing a user to manually operate the adjusting system and first end rotatably mounted to the mounting bracket ; an extending member comprising a first end operatively couplable to the central panel section (120a-120d) of the patient support apparatus and a second end rotatably mounted to the mounting bracket , the extending member being capable of extending and retracting along a longitudinal axis; characterized by a clutch assembly operatively mounted to the mounting bracket , the clutch assembly operatively engaging the first end of the handle assembly and the second end of the extending member , wherein the clutch assembly is configured to urge a movement of the extending member upon actuation of the handle assembly below a defined resistance level of the extending member while preventing rotation of the extending member above or equal to the defined resistance level of the extending member , wherein the rotation of the extending member in a first rotation direction causes the side panel section (122a-122d, 123a-123d) to move toward the extended position relative to the central panel section (120a-120d) while the rotation of the extending member in an opposed rotation direction causes the side panel section (122a-122d, 123a-123d) to move toward the retracted position. a mounting bracket mounted to the side panel section (122a-122d, 123a-123d); a handle assembly rotatably mounted to the mounting bracket , the handle assembly comprising a outer end allowing a user to manually operate the adjusting system and first end rotatably mounted to the mounting bracket ; an extending member comprising a first end operatively couplable to the central panel section (120a-120d) of the patient support apparatus and a second end rotatably mounted to the mounting bracket , the extending member being capable of extending and retracting along a longitudinal axis; characterized by a clutch assembly operatively mounted to the mounting bracket , the clutch assembly operatively engaging the first end of the handle assembly and the second end of the extending member , wherein the clutch assembly is configured to urge a movement of the extending member upon actuation of the handle assembly below a defined resistance level of the extending member while preventing rotation of the extending member above or equal to the defined resistance level of the extending member , wherein the rotation of the extending member in a first rotation direction causes the side panel section (122a-122d, 123a-123d) to move toward the extended position relative to the central panel section (120a-120d) while the rotation of the extending member in an opposed rotation direction causes the side panel section (122a-122d, 123a-123d) to move toward the retracted position. <EOS>