A Blog for Older Adults

Can't Stand Up After Sitting? Discover the Reasons

Written by Dr. Raj Pusuluri, PT, DPT | Aug 24, 2024 1:07:34 PM

Explore the common and not-so-common reasons why you might struggle to stand up after sitting and what you can do about it.

Understanding the Basics: Why Standing Can Be a Struggle

Struggling to stand up after sitting is a common issue many people face, especially as they age. Various factors can contribute to this difficulty, from weakened muscles to joint stiffness. Understanding the underlying causes can help you address the problem more effectively.

One major reason for difficulty in standing up is prolonged periods of inactivity, which can lead to muscle atrophy and decreased flexibility. Additionally, poor posture while sitting can put extra strain on your muscles and joints, making it harder to stand up.

Common Health Conditions Linked to Mobility Issues

Several health conditions are often linked to difficulties in standing and walking after sitting. Arthritis, particularly osteoarthritis, can cause joint pain and stiffness that make standing up challenging. Similarly, conditions like sciatica and lower back pain can affect your mobility.

Neurological disorders such as Parkinson's disease or multiple sclerosis can also impair your ability to stand up from a seated position. These conditions impact muscle control and coordination, leading to increased difficulty in performing daily tasks.

The Role of Physical Therapy in Improving Mobility

Physical therapy can be crucial in improving one's ability to stand up and walk after sitting. A physical therapist can develop a personalized exercise program to strengthen the muscles and improve joint flexibility.

Physical therapy may include exercises, manual therapy techniques, education on proper posture, and ergonomic advice to help alleviate strain on your body. Regular sessions can significantly improve your mobility and overall quality of life.

Below, you will find the proper sit-to-stand transfer technique and five exercise suggestions by Dr.Raj Pusuluri. These exercises are general recommendations that may not be appropriate for you. Consult your physical therapist for exercises specific to your needs. 

Proper Sit-to-Stand Technique  

Setup

  • Begin sitting upright in a chair with armrests with your feet flat on the floor.

Movement

  • Place your hands on the armrests and scoot to the edge of the chair. With your feet tucked underneath you, lean your torso forward so your head is over your toes, then press into your feet and hands to push up into a standing position.

Tip

  • Maintain your balance and try to keep your weight evenly distributed between both legs. Do not lock your knees when you are standing.


1. Sit to Stand with Counter Support  - 1 x daily - 7 x weekly - 3 sets - 12 reps

Setup

  • Begin sitting upright in an armchair with a counter in front of you within arms reach.

Movement

  • Lean your torso forward, then press up through your hands and feet to stand up. Slowly sit back down using the armrests for support and repeat.

Tip

  • Use the counter to help you balance as you stand up, and try to keep your weight evenly distributed between both legs. Do not lock your knees when you are standing.


2. Sit to Stand with Arm Swing  - 1 x daily - 7 x weekly - 3 sets - 12 reps

Setup

  • Begin sitting upright with your feet flat on the ground underneath your knees.

Movement

  • Move your shoulders and head over your toes, swing both arms backward, and then swing them forward, moving your knees forward and allowing your hips to come off the chair. Then, push down equally into both feet to stand up, pulling both arms backwards simultaneously. Reverse these movements to sit back down. Use the momentum of your arms to help you stand up.

Tip

  • Keep your weight evenly distributed between both legs and try to keep your back straight throughout the exercise. Do not lock out your knees once you are standing.


3.  Sit to Stand with Arms Crossed  - 1 x daily - 7 x weekly - 3 sets - 12 reps

Setup

  • Begin sitting upright in a chair.

Movement

  • Cross your arms on your chest, lean your torso forward, and press into your feet to stand up. Slowly sit back down and repeat.

Tip

  • Maintain your balance and try to keep your weight evenly distributed between both legs. Do not lock your knees when you are standing.


4.  Single Leg Sit to Stand with Arms Extended  - 1 x daily - 7 x weekly - 3 sets - 12 reps

Setup

  • Begin sitting upright in a chair, holding your arms straight forward.

Movement

  • Lift one foot slightly off the floor, then carefully stand up on your other leg. Slowly lower yourself back onto the chair, then repeat.

Tip

  • Make sure to maintain your balance during the exercise.


5.  Sit to Stand with Arm Reach and Jump  - 1 x daily - 7 x weekly - 3 sets - 12 reps

Setup

  • Begin sitting upright.

Movement

  • Reach your arms forward letting your hips come off the chair, then push equally into both of your feet and jump, throwing your arms backward. As you land, slowly reverse the movement to sit back down and repeat.

Tip

  • Make sure to maintain your balance during the exercise.

 

Remember:

 

    • Listen to your body and take breaks if needed.

 

    • Start slowly and gradually increase the number of repetitions as you get stronger.

 

    • Consult your doctor before starting any new exercise program, especially if you have any health concerns.

 

Lifestyle and Environmental Factors Affecting Your Ability to Stand

Your lifestyle and environment can significantly impact your ability to stand up after sitting. A sedentary lifestyle, for instance, can lead to weakened muscles and poor circulation, making it harder to stand up. Ensuring regular physical activity can help maintain muscle strength and joint flexibility.

Environmental factors such as the height and type of chair you use can also play a role. Chairs that are too low or lack proper support can make it more challenging to stand up. Opting for ergonomic furniture can make a noticeable difference in your comfort and mobility.

Preventive Measures and Simple Exercises to Aid Mobility

There are several preventive measures and exercises you can incorporate into your routine to improve your ability to stand up after sitting. Simple exercises like squats, leg raises, and stretches can help strengthen the muscles involved in standing and walking.

Additionally, maintaining a healthy weight, staying active, and ensuring proper hydration can contribute to overall better mobility. It's also beneficial to take frequent breaks from sitting to move around and stretch, reducing stiffness and improving circulation.