To get into the Ho Ho position, the giver sits on the floor if they can, depending on their ability level, leaning back and bracing themselves with their arms, hands on the bed (or floor) for support. The receiver sits between their partner’s legs, then leans back and places their ankles on their partner’s shoulders. The giver can maneuver from there to penetrate the receiver. We at Kinkly completely understand if this position is not physically accessible for you.
To create the greater intimacy this position is so good for, the receiver should tilt their head towards their partner to hold eye contact. If they can, they can prop themselves up on their elbows to help maintain the position without putting so much stress on their neck or trying to hold a crunch position for the duration. It may be a good idea to have a conversation with your partner regarding your chronic pain and disability level BEFORE, DURING, AND AFTER attempting this position.