Genuflection , bending at least one knee to the ground, was from early times a gesture of deep respect for a superior. In 328 BC, Alexander the Great introduced into his court-etiquette some form of genuflection already in use in Persia. In the Byzantine Empire even senators were required to genuflect to the emperor. In medieval Europe, one demonstrated respect for a king or noble by going down on one knee, often remaining there until told to rise. It is traditionally often performed in western cultures by a male making a proposal of marriage. More recently, the gesture is largely restricted to Catholic religious practices.