Back at the beginning of this post, fetish chick mentioned that she was so combative they had to strap her feet down, but this made her even more so and harder for the doc to do what he needed to do. Same sort of thing with strapping a patient into the stirrups is mentioned early on for patients with mental issues.
In a play setting, I might could see it adding to the vulnerability, and if the woman so chose, so be it.
Yes, I'm a man, and can't really speak to this, but in a realistic setting, however, this seems a bad practice. Too many things can go wrong for a woman gynecologically speaking, and to me - especially in the case of fetish chick's situation - would only push one away from necessary exams rather than toward them. Seems like a better approach would have been to have had a nurse reassure her, then help her hold her legs open gently, applying force only as needed to keep them apart.
I have a young friend who will be 20 in February who has never seen a gyn, and apparently is aware that is a bit odd in this day and time, but will continue to see her pediatrician until she is 21. She has not told me specifically what the pediatrician does in examining her (the doctor may be an adolescent medicine type), but my thoughts of this girl strapped in to a gyn chair because she's combative, perhaps screaming because she's scared to death and not understanding what is going on are FAR from pleasant...if I were there for support, I would just have to insist that we come back another time, once she was ok with what might happen.
My two cents for what it's worth...