23/03/2026
Getting a client off the plinth… you might be coaching this wrong 👀
There are two completely different ways to assist a sit-up 👇
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🔹 1. “Pull me towards you”
• Patient pulls
• Therapist allows a controlled forward movement
• Creates momentum-assisted sit-up
• Lower trunk demand
👉 Useful when:
• Early-stage rehab
• Painful lumbar flexion
• Low confidence / deconditioned patients
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🔹 2. “Pull yourself towards me”
• Therapist is a fixed anchor
• Patient generates movement
• Higher trunk activation + control
👉 Better for:
• Progression
• Functional carryover
• Independence
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⚠️ The mistake
Most people don’t coach either properly…
❌ Patient yanks the therapist
❌ Therapist loses position
❌ No control, no intent
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✅ The difference comes down to this:
• “Pull me” = I move with you (regression)
• “Pull yourself” = you move towards me (progression)
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🎯 Coaching cue we use:
“Pull me slightly towards you and sit up at the same time”
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This isn’t just getting someone upright…
It’s teaching movement strategy.
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