I ordered it because a review mentioned it can work with clawfoot baths. However, when I received it, it seemed impossible. But I've experimented and it worked for me - the trick is you need to add some material between the outer surface of the tub and either side of the clamping surface - about 2.5 inches thick. I used a 2x4 piece of wood and hard rubber blocks. Here is a link to my explanation on this: https://app.box.com/s/84bup9aqsoutulcp2cgco8eu9byylyp8 Once you tighten the screw it becomes extremely stable, in fact you can use the rail to lift and move the tub ( this is a 300 pound cast iron tub). My wife uses the tub every night and since I added this guide she no longer slides out of the tub when getting in or out.
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