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Legcuffs are also used when transporting prisoners outside of a secure area to prevent attempts to escape. In a few rare cases, hog-tied persons lying on their stomachs have died from positional asphyxia, making the practice highly controversial, and leading to its being severely restricted, or even completely banned, in many localities. On occasions when a suspect exhibits extremely aggressive behavior, leg irons may be used in addition to handcuffs sometimes the chain connecting the leg irons to one another is looped around the chain of the handcuffs, and then the leg irons are applied, resulting in the person being " hog-tied". Standard-type leg irons have a longer chain connecting the two cuffs compared to handcuffs. Some models consist of elliptically contoured cuffs so that they widely adapt to the anatomy of the ankle, minimizing pressure on the Achilles' tendon. Legcuffs are similar to handcuffs, but have a larger inner perimeter so that they fit around a person's ankles.
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In addition, plastic restraints are believed by many to be more likely to inflict nerve or soft-tissue damage to the wearer than metal handcuffs. Recent products have been introduced that serve to address this concern, including disposable plastic restraints that can be opened or loosened with a key more expensive than conventional plastic restraints, they can only be used a very limited number of times, and are not as strong as conventional disposable restraints, let alone modern metal handcuffs. However, aforementioned usage means that cheap handcuffs are available in situations where steel ones would normally lie unused for long times. It is not unheard of for a single subject to receive five or more sets of disposable restraints in their first few hours in custody. Disposable restraints could be considered to be cost-inefficient they cannot be loosened, and must be cut off to permit a restrained subject to be fingerprinted, or to attend to bodily functions. In recent years, airlines have begun to carry plastic handcuffs as a way to restrain disruptive passengers. They can be carried in large quantities by soldiers and police and are therefore well-suited for situations where many may be needed, such as during large-scale protests and riots. Plastic restraints, known as wrist ties, riot cuffs, plasticuffs, flexicuffs, flex-cuffs, tri-fold cuffs, zapstraps, zipcuffs, or zip-strips, are lightweight, disposable plastic strips resembling electrical cable ties. Unsourced material may be challenged and removed. These include 'T'-type 'Come Along', 'D'-type and 'Figure-8' handcuffs. The National Museum of Australia has a number of handcuffs in its collection dating from the late 19th and early 20th centuries.
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Oversized handcuffs are available from a number of manufacturers. Sometimes two pairs of handcuffs are needed to restrain a person with an exceptionally large waistline because the hands cannot be brought close enough together in this case, one cuff on one pair of handcuffs is handcuffed to one of the cuffs on the other pair, and then the remaining open handcuff on each pair is applied to the person's wrists.
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Handcuffs may be manufactured from various metals, including carbon steel, stainless steel and aluminium, or from synthetic polymers. While used by some in law enforcement it was never popular. In 1933 the Royal Canadian Mounted Police used a type called "Mitten Handcuffs" to prevent criminals from being able to grab an object like the officer's gun. Various accessories are available to improve the security or increase the rigidity of handcuffs, including boxes that fit over the chain or hinge and can themselves be locked with a padlock. Both rigid and hinged cuffs can be used one-handed to apply pain-compliance/control techniques that are not workable with the chain type of cuff. is one of the largest suppliers of rigid handcuffs to police forces. Hiatts Speedcuffs are rigid handcuffs used by most police forces in the United Kingdom. While bulkier to carry, rigid handcuffs permit several variations in cuffing. There are three main types of contemporary metal handcuffs: chain (cuffs are held together by a short chain), hinged (since hinged handcuffs permit less movement than a chain cuff, they are generally considered to be more secure), and rigid solid bar handcuffs.