The metal poles come in one piece for maximum support and safety. They arrive in a separate box. These were added to the system options as Dan began to work with stroke survivors that needed more upper body support. They have been invaluable in helping those needing extra support, confidence or learning to stand again. When using the metal poles, you can control the board with your arms to help the balance. This is great to get started and feel safe. An essential part of trusting yourself on a balance board. However, as you progress, you want to lessen the hand grip to make sure the legs, with brain directives, are doing the work. Confidence to start is critical and these poles are highly recommended for anyone wanting to add total balance support. Recommended for those with walkers, walking stick, if you cannot stand unaided or in a wheelchair. Yes, we have helped people get out of their wheelchair and back walking unaided!