A suspension bow is a form of suspension bondage where the subject is suspended in the inverted (upside down) position bent backwards into a bow. To achieve this, they are suspended with their legs apart (sometimes with a suspension spreader bar) and with a rope tied to the wrists pulling the arms up behind the person, securing the rope either to the spreader bar or to a securing point between the two legs. Suspension cuffs may be used in place of the rope, as a large amount of stress is placed on the wrists in this position.

If the subject is a female, then, in this position, her breasts would be pointing almost straight down (depending on the strictness of the position), and nipple clamps and weights can be added for painful stimulation. The clamps may alternatively be secured to a point on the floor, limiting the subject's ability to struggle or to move at all without causing pain.

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