This item gives the support required for comfortable edge of bed play. I wair it around my neck while standing with the straps attached to my wife's feet. She gets the support she needs and I get the position I need for easy access and extended play. She can use a vibe for frontal stimulation allowing for a wonderful experience for both. I combine this with the around the neck thigh harness which I also where but supporting her calves for total support and control of her legs. She can lay back in total comfort and enjoy the experience. These products have been a blessing as she has had two lower back fusion surgeries. The first was a failed surgery so it's been many years since we've even been able to be intimate in this way.