A Blog for Older Adults

Struggling to Stand Up After Sitting? It's a Warning Sign

Written by Dr. Raj Pusuluri, PT, DPT | Dec 15, 2023 3:18:22 PM

The Good News: You Can Take Control. See A Physical Therapist.

We all know the feeling: sinking into a comfy chair, only to struggle to get back up. While it's easy to blame it on temporary stiffness, difficulty with sit-to-stand (STS) transitions could be a warning sign of something more serious.

If you live in The United States of America, you do not need a medical doctor's referral to see a physical therapist, and are covered by insurance. Waiting too long results in more suffering. The sooner you see a physical therapist, the better results you will see and prevent pain and surgery for as long as possible. 

Muscle Weakness: The Hidden Culprit

The STS movement relies on the coordinated effort of multiple muscle groups, primarily in the legs and core. Even simple tasks like getting out of a chair or climbing stairs become challenging when these muscles weaken. This weakness isn't just age-related; it can be caused by various factors, including:

    • Chronic conditions: Arthritis, diabetes, and neurological disorders can all contribute to muscle loss.
    • Inactivity: Lack of exercise can lead to muscle atrophy, making everyday movements more demanding.
    • Poor nutrition: Not getting enough protein or other essential nutrients can impede muscle growth and repair.

The Fall Risk Connection

Muscle weakness isn't just inconvenient; it's also a significant risk factor for falls, especially among older adults. Falls can have devastating consequences, leading to fractures, injuries, and even loss of independence.

The Good News: You Can Take Control

Don't let muscle weakness dictate your life! Here's what you can do:

    • Talk to your Physical Therapist: Sarcopenia (muscle loss)is a natural process, physical therapists can educate you on how to regain muscle and muscle strength.
    • Get active: Start with simple exercises like chair squats, heel lifts, and wall walks. Gradually increase intensity and duration as you get stronger.
    • Fuel your body: Eat a balanced diet rich in protein, fruits, vegetables, and whole grains.
    • Stay engaged: Socialize, participate in activities you enjoy, and avoid isolation.

Early intervention is key to preventing muscle weakness and its associated risks. By paying attention to your body's signals and taking proactive steps, you can maintain your strength, and independence, and enjoy an active life well into your golden years.

Remember:

    • Difficulty with STS is a common but often ignored symptom.
    • Muscle weakness can be caused by various factors, but it's treatable.
    • Addressing muscle weakness can significantly reduce your fall risk.
    • Simple exercises, a healthy diet, and staying active can make a big difference.
    • Don't hesitate to seek professional help if you need it.

Here's a quick and easy routine to get you started.

Don't worry! You can do simple exercises right at home to strengthen your legs and improve your balance, making those sit-to-stands a breeze. ā€¨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

  • Make sure to 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

  • Make sure to 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 at the same time. Reverse these movements to sit back down. Use the momentum of your arms to help you stand up.

Tip

  • Make sure to 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 and lean your torso forward, then press into your feet to stand up. Slowly sit back down and repeat.

Tip

  • Make sure to 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 your self 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.

 

Here is an affordable assistive device that can help people who struggle to get up but are less likely to improve their strength due to chronic medical issues. 

20" Electric Chair Lift Assist Devices for Seniors, Chair Lift Assist for Elderly, Chair Assist for Elderly Sit to Stand, Elderly Lift Assist Devices for Elderly Adults Supports Up to 200lb

Bonus Tip: Make it fun! Put on some music, grab a friend, or add light weights to your chair squats.

Let's fight muscle weakness and prioritize our well-being.

**Share this post with your friends who want to stay strong and independent! **

 

 

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