Prayer wheels are used primarily by the Buddhists of Tibet and Nepal, where hand-held prayer wheels are carried and turned by pilgrims and other devotees during devotional activities.
It usually bears the mantra "OM MANI PADME HUM (ཨོཾ་མ་ཎི་པ་དྨེ་ཧཱུྃ།)”, the six syllables mantra of the Buddha of compassion, Avalokitesvara.