Yes, the cane can be used on an adjustable bed.
Hi D's, the safety strap is attached to the bottom horizontal member of the PT Bedcane and runs underneath the mattress. There is a basic buckle on the end so that you can wrap the safety strap around the bed frame on the opposite side of the rail and buckle it together. We are currently in the process of creating an installation video for this product so it is not up on site yet. However, if you are interested in seeing a visual of the safety strap attached to the bed frame, please email me directly at email@example.com and I would be happy to provide you with a visual. Thanks!