A fitness expert’s five-step routine performed in bed aims to restore the strength crucial for rising from the floor.
Many assume that standing up from the floor is primarily about having strong legs or a powerful core, perhaps even being flexible. However, after two decades of guiding clients, I’ve observed that the root of the issue often lies elsewhere.
The fundamental problem is that we’ve forgotten the movement patterns we mastered as babies, along with the body’s method of organizing tension throughout its entire system. Movement encompasses more than just muscles; it involves fascia, joint capsules, ligaments, and the nervous system working in harmony around a stable axis of rotation. These elements are ingrained during early development.
For those aged 65 and above, falls are a major source of injuries and can lead to a loss of independence. The Centers for Disease Control and Prevention reports that approximately one in four seniors experience a fall each year. Such incidents can have severe consequences, with hip fractures being particularly common. Research indicates that about 20 to 30 percent of older adults succumb within a year following a hip fracture. However, a significant factor in recovery is not merely the fall itself, but the individual’s ability to rise afterward.
For adults over 65, falls are one of the leading causes of injury and loss of independence. According to the Centers for Disease Control and Prevention, about 1 in 4 adults over 65 falls each year. And once someone falls, the consequences can be serious. Hip fractures are one of the most common outcomes, and studies show that roughly 20 to 30 percent of older adults die within a year after a hip fracture. But one of the biggest predictors of recovery isn’t just the fall itself. It’s whether or not they can get off the floor afterward.
So instead of just trying to get stronger, I take my clients back through the developmental sequence. We restore the way the body organizes tension, transfers force, and stabilizes around each joint. These five exercises rebuild that foundation, and you can do almost all of them right from your bed.
Spinal Extension
This is one of the very first things we learn as infants to organize our body. The cervical curve develops first, followed by extension through the rest of the spine. If that system isn’t functioning well, you’ll often see compensation all the way down into the shoulders and even the ribcage. This exercise rebuilds that pattern from the ground up, in the exact order the nervous system developed it.
Muscles Trained: Cervical extensors, thoracic extensors, lumbar extensors, deep spinal stabilizers
How to Do It:
- Lie face down in bed (or on the floor) with your head resting down.
- Lift your head and eyes first. This is where the sequence starts.
- Get your hands under you and slowly extend yourself upward through the spine.
- Lower yourself back down, with the head being the last thing to go down.
- Move segmentally and in order. The head comes up first and goes down last. This is how the nervous system developed as an infant, and the order matters.
Recommended Sets and Reps: 1 to 3 sets of 10 to 15 controlled repetitions
Form Tip: Move slowly. The goal is segmental control, not speed. Head leads the way up, and it’s the last thing to return.
Rolling
Rolling is where the body first learns to transfer force across itself. The thorax rotates, the pelvis follows, and the fascial system, especially those cross-body slings, starts connecting shoulder to opposite hip. I see a lot of breakdown in clients here. They’ve lost the ability to rotate through the ribcage, so the pelvis either overworks or locks up, and the spine and hips start taking stress they shouldn’t be taking.
Muscles Trained: Obliques, deep core stabilizers, shoulder stabilizers, hip flexors, thoracic rotators
How to Do It:
- Lie on your back with both arms resting naturally.
- Take your top arm (for example, your left arm) and reach it up and across your body.
- Let your other arm come up out of the way.
- Keep reaching until your ribcage rolls over, then let your hips follow.
- To roll back, take that same arm and reach up and back to help you return to your starting position.
- Really reach. Pull your shoulder blade off the ground. Your head will come up into some extension as you control through the movement.
- Move smooth. No flopping or dropping. You’re rebuilding the neuromuscular system, not just getting from point A to point B.
Recommended Sets and Reps: 1 to 3 sets of 10 to 15 total repetitions (8 to 10 per side)
Form Tip: The reach is what drives the roll. If you’re not pulling the shoulder blade off the ground, you’re not getting enough rotation through the ribcage.
Sideline to Hip Bridge
Now we’re introducing load into the system. The shoulder has to center in the joint, the ribcage has to stack over it, and the spine has to distribute extension instead of hinging in one spot. If this stage is weak, you’ll often see shoulder instability, neck tension, and even poor breathing mechanics because the ribcage isn’t organized. This exercise combines the rolling pattern you’ve already practiced with side support.
Muscles Trained: Shoulder stabilizers, obliques, lateral hip stabilizers, intercostals, serratus anterior
How to Do It:
- Start on your back (or stomach, whatever is more comfortable).
- Use the rolling pattern from exercise two to roll onto your forearm.
- Once you’re on your forearm, push yourself away from the bed (or floor) into a supported side position.
- Return back down to your forearm.
- Roll back to your starting position. That’s one full rep.
- The sequence matters: roll onto the arm, push up, return down, roll back.
Recommended Sets and Reps: 1 to 3 sets of 8 to 10 repetitions per side
Form Tip: Don’t skip the roll into position. Starting from your back and rolling onto your forearm is part of the exercise, not just setup. It connects this movement to everything you’ve already practiced.
Rocking
This is the beginning of learning how to crawl. You’ve got weight transfer, coordination between limbs, and the spine segmentally stabilizing while everything else is moving. This stage heavily involves the lumbar plexus and sacral nerves, and it’s critical for how the hips and SI joints function. If someone skips this pattern, they often lack the ability to transfer force from the ground up efficiently.
Muscles Trained: Hip flexors, hip extensors, quadriceps, shoulder stabilizers, deep core stabilizers, spinal extensors
How to Do It:
- Start lying face down on your bed or the floor.
- Bring your legs up and under you on one side.
- Push yourself up and get the other leg under you so you’re in a crawling position.
- Once set, rock back into your hips, then transfer your weight forward into your arms.
- Do about 4 to 5 rocking transitions (back and forward), then work your way back down to lying on your belly. That’s one repetition.
- Repeat starting with the opposite leg.
Recommended Sets and Reps: 1 to 3 sets, 4 to 5 rocking transitions per rep, building up gradually
Form Tip: Reset as needed between transitions. The goal is controlled weight transfer between hips and arms, not rushing through the reps.
Half Kneeling to Stand
This is the bridge between the ground and upright life. The pelvis has to organize, the hip has to center, and the entire system has to coordinate to bring you up. At this point, everything we developed earlier, the fascial connections, the joint positioning, the neurological control, all has to come together. Note: This exercise is done beside the bed, not on it. Use the bed for support if needed.
Muscles Trained: Glutes, quadriceps, hip stabilizers, deep core, full-body coordination
How to Do It:
- Start on your back (or belly) beside your bed.
- Use the rolling pattern to get onto your side, then push up onto your forearm just like exercise three.
- Get one hand under you, then the other, so you’re in the crawling position from exercise four.
- Rock your weight back into your hips.
- Bring your body weight up into a tall double kneel.
- Bring one leg forward into a half-kneeling position. If you need support, place your hand on your bed.
- When you’re ready, press into full standing.
- Come back down the same way you came up: standing to half kneel, to high kneel, to low kneel, to crawl, all the way back down.
- Repeat, starting from the opposite side.
Recommended Sets and Reps: 1 to 3 sets of 8 to 10 total repetitions (5 per side)
Form Tip: The whole sequence matters. Don’t skip from the floor straight to kneeling. Go through every position: roll, side support, crawl, kneel, stand. That’s the point of the entire program.
