Draw reins in the western riding disciplines are always attached to the rings of the cinch (a western-style girth), usually on each side of a western saddle, run through the bit rings (either inside to outside or vice versa, there is no firm rule, though the rein moves more smoothly if the inside goes to the girth and the outside to the hand), and then to the hands of the rider.
They are rarely used in a two-rein system, usually are used alone or used with the regular bridle reins allowed to lay slack and not held by the rider.
Some trainers even run draw reins between the front legs and attach them to the cinch underneath the belly in order to get the horse to travel with the low and controversial "peanut roller" style headset popular in some western pleasure classes.
However, horses can learn to evade draw reins by overflexing and putting their head practically on their chest, then charging ahead or, conversely, balking and refusing to move forward at all.
Misuse usually involves the rider pulling the horse's head in to achieve a "headset" rather than getting the animal correctly on the bit.
Additionally, many horses that are continuously or incorrectly ridden in draw or running reins may never learn to engage the hind quarters and lift their withers for self-carriage, and this habit may permanently damage their training.
In extreme cases, horses may develop neck and back pain from being forced to hold an artificial position for long periods of time.
The incorrect use of draw reins will produce horses who are overflexed on short necks with correspondingly flat backs and disengaged hind legs.