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The Hook and Strap Around the Heel and Accross the Bridge of the Foot Allow the Shoe to be Opened Fully and Adjusted to Ensure that the Shoe Moulds Comfortably to the Shape of the Foot - Simple Adjustment During the Day to Accommodate any Discomfort or Swelling - Closed Toe for Full Foot Protection - Rubber Sole Allowing Use Outdoors - The Rubber Sole does Not Limit the Washability of the Shoe - Reduce Shear and Friction and Successfully Wick Moisture Which all Work to Prevent Skin Damage & Ulceration - Effectively Regulates Body Temperature and can therefore Be Used in both Summer and Winter - Washing Machine Washable - Can be Washed with Standard Household Washing Detergents and can be Tumble Dried Following Shear Comfort Instructions - Shear Comfort is Warranted to withstand 50 Washes at up to 80 degrees C for Bacteria Eradication