Can You Still Get Up Off the Floor Without Using Your Hands?
Geriatric Training

Can You Still Get Up Off the Floor Without Using Your Hands?

Getting down to the floor and back up is one of the most honest tests of how well you're aging, and most people quietly stop doing it long before they have to. Here's what the struggle is really telling you and how to keep it easy for life.

Keri Merkel
Keri Merkel
Personal Training Specialist
Personal training, general fitness, and supporting aging well
June 28, 2026
6 min read

A while back I was training a woman in her late sixties who admitted, a little embarrassed, that she'd stopped getting down on the floor to play with her grandkids. It wasn't that her knees hurt. It was that she wasn't confident she could get back up without grabbing furniture and grunting her way through it, and she didn't want the kids to see her struggle. So she'd taken to sitting in the chair and watching them play instead.

That story stuck with me, because she didn't think of it as a fitness problem. She thought it was just one of those things that happens. But getting down to the floor and back up is one of the most revealing things I can watch a client do, and the fact that she'd quietly stopped doing it told me more than any number on a scale.

Why Does Getting Up Off the Floor Get Harder With Age?

It gets harder because it asks a lot of you all at once. Standing up from the ground is not a single muscle doing a single job. It's leg strength to push yourself up, hip and ankle mobility to fold and unfold your body, core control to shift your weight, and the balance and coordination to move smoothly between positions without toppling over. Every one of those qualities fades if you don't keep using it, and they tend to fade together.

That's why the floor becomes a quiet dividing line as people age. None of the individual pieces disappears overnight, but a little less leg strength plus a little less hip mobility plus a little less balance adds up to a movement that used to be automatic and now feels risky. So people start avoiding it, and avoidance speeds up the very decline they're worried about.

What Getting Off the Floor Actually Measures

There's a simple test some researchers have used for years where they ask someone to lower themselves to the floor and stand back up using as little support as possible, no hands, no knees, no furniture if they can manage it. People who can do it cleanly tend to be tracked as aging better than people who need a lot of help to get up. I want to be careful here, because that kind of finding shows a connection, not a guarantee. Practicing standing up off the floor won't single-handedly add years to your life.

What it really measures is the same thing your [grip strength quietly reflects](/blog/what-grip-strength-says-about-aging): your total package of strength, mobility, and balance, rolled into one honest movement. When someone can get up off the floor without a second thought, it usually means they've held onto meaningful leg strength and good range of motion in their hips and ankles. When it's a struggle, it's often the visible edge of the same slow muscle loss I write about constantly with my older clients.

The Reason This Matters More Than It Sounds

Set the longevity research aside, because the everyday stakes are reason enough. The most dangerous part of a fall for an older adult is often not the fall itself but what happens after, when someone is on the ground and cannot get back up. A person who can get themselves off the floor has a layer of safety that has nothing to do with luck. They can recover from a stumble, get up after a slip in the garden, and move through the world without that low hum of fear in the back of their mind.

I see it clearly with the older adults I train here in Affton. The ones who stay comfortable on the floor are the ones who keep gardening, keep getting down to wipe up a spill, keep playing with grandkids on the living room rug. The ones who've lost it start editing their lives around it, and that shrinking is exactly what I most want to prevent. Staying strong on the floor is part of the same picture as [fall prevention](/blog/strength-training-fall-prevention-seniors), because the goal isn't only to avoid going down, it's to know you can always get back up.

How to Keep, or Rebuild, the Ability to Get Up

The encouraging part is that this responds to training at any age, and you don't need anything fancy to work on it. The most direct way to get better at standing up off the floor is to practice getting down and up safely, on purpose, the same way you'd practice anything you want to keep. Beyond the movement itself, a few things do most of the heavy lifting:

  • **Lower-body strength.** Squats, sit-to-stand reps out of a chair, and step-ups build the leg power that getting up demands. We scale them to the person, but the goal is legs strong enough to carry you.
  • **Hip and ankle mobility.** Gentle work to keep your hips and ankles moving through a full range makes folding down and rising back up far less awkward.
  • **Practicing the transition.** Slowly moving from standing to kneeling to sitting and back, with support nearby at first, trains the exact coordination the movement needs.

What matters is that you actually challenge yourself and progress over time, rather than treating these as something to do once and forget. This kind of training sits right alongside the other [exercises that genuinely matter after 65](/blog/exercises-that-matter-after-65), and I treat it as part of a complete program rather than a standalone trick.

It's Never Too Late to Get Back Up

If you've noticed yourself avoiding the floor, please don't read that as a verdict. Read it as information, and as one of the more fixable signals your body sends. I've watched clients in their seventies go from needing both hands and a chair to standing up off the ground on their own, and the confidence that comes with it reaches into every other part of their day.

I started in this work because a trainer changed my life when I needed it most, and that's the experience I bring to every older client who wants to stay capable and independent. If you're in the South County area and you're not sure where you stand, that's worth an honest look. Take a look at our [geriatric training program](/services/geriatric-training), and we'll find out together, then build a plan around keeping you steady on your feet and able to get up from anywhere.

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