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The Reverse prayer position, a technique used in BDSM play, involves restraint of a person's arms by binding them behind the person's back, with the hands placed between the shoulders, palm to palm, and the wrists bound together. It is thus similar to the traditional prayer position, but with the arms behind, rather than in front of, the bound person, thus preventing use of the arms. Many people find this position painful after a time, and cramps may set in. Thus, someone bound in this position may need careful monitoring.
To immobilize the arms further, ropes or a strap are often placed round the arms and torso, pressing the arms against the back. On a woman, this can conveniently be linked to ropes for breast bondage. Another technique is to fix ropes from the elbows to a belt or other ropes round the body.
In bondage fiction, people in this position are sometimes forced to have their elbows touching, turning this into a form of elbow bondage. Very few people can adopt this position without dislocation of the shoulders. However, with many people, it is possible to press the elbows together slightly and tie them in that position.
The reverse prayer position (without any bondage) is also used in some yoga exercises.