Neurological Damage, Neurorehabilitation, Rehabilitation, Stroke

How to Get Out of Bed Safely After a Brain Injury

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After a brain injury , the body may experience changes in balance, strength, coordination, and spatial awareness. Something as everyday as getting out of bed can become a challenge if not done carefully.

Getting up incorrectly can cause:

  • Dizziness or loss of balance
  • Dangerous falls
  • Muscle or joint pain
  • Frustration or loss of confidence

Therefore, learning a safe routine adapted to your body is key to advancing your rehabilitation.

Before you move: prepare the environment

Before attempting to get up, make sure everything around you is ready. This reduces risks and gives you more control.

1. Secure the bed

  • Use a bed with a medium height (not too high or too low).
  • If possible, put up handrails or a guide rope for support.
  • Avoid loose sheets that could cause you to slip.

2. Remove obstacles

  • Remove rugs or cords near the bed.
  • Always have a cell phone or doorbell handy to call for help.

3. Wear non-slip shoes

If you’re going to walk after getting up, make sure you have firm-soled shoes or non-slip socks.

Step-by-step strategy for getting up safely

Below, we show you a simple technique we frequently use at RehabOT Málaga . It’s safe, gradual, and respectful of each person’s time.

Step 1: Wake up your body little by little

Don’t stand up suddenly. Before moving:

  • Take a few deep breaths.
  • Move your fingers and toes.
  • Gently turn your head from side to side.
  • If you can, bend your knees a little.

This activates the nervous system and prepares your muscles to move.

Step 2: Turn to the side

  • Bend your knee on the side opposite the one you want to turn.
  • Use that leg to help you gently roll onto your side.
  • If you have difficulty, ask someone to help you with one hand on your shoulder and the other on your hip.

Step 3: Swing your legs out of bed

  • From the side position, let your legs hang off the bed.
  • Use the momentum of your leg weight to help you lift your torso.

Step 4: Push with your arm to sit up

  • Support yourself with the arm underneath you.
  • Use your free hand to gently push down on the mattress to help you get up.
  • Come to a sitting position with your feet touching the floor.

Step 5: Wait a few seconds

  • Don’t stand up right away.
  • Wait 10-20 seconds for your body to adjust to the new position.
  • This prevents dizziness and imbalances.

Step 6: Stand with support

  • Use a nearby chair, railing, or the edge of the bed as a support point.
  • Place both feet firmly on the ground.
  • Lean your torso forward, shift your weight to your feet, and then stand up.

What if I can’t do it alone yet?

It’s okay. Every body needs its own time. If you still can’t get up without help, here are some recommendations:

Use assistive technology

  • Electric beds with backrest adjustment
  • Side handles
  • Cranes for mobilization (in severe cases)

Do it with professional support

At RehabOT , our occupational therapists teach these techniques step by step and adapt them to each patient. You are never alone in your process.

Extra tips for progressing safely

  • Make it part of your routine: Practicing every day, even if it’s just part of the movement, helps build muscle memory.
  • Listen to your body: If you feel pain, stop. Discomfort is a sign that something isn’t right.
  • Track your progress: Write down what you can do today. You’ll see how, in a few days, you can do more than you imagined.
  • Celebrate every step: Getting up on your own is a huge accomplishment after a brain injury . Don’t downplay your efforts.

Getting out of bed may seem simple, but after a brain injury, it’s a real challenge . Learning to do it properly gives you autonomy, confidence, and reduces the risk of accidents.

At RehabOT Málaga , we support our patients every step of the way, with strategies tailored to their pace and abilities.

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    About Marcos James Penfold

    Marcos James Penfold, CEO of Rehab OT. Born in Marbella with British blood. Lover of the world of health and involved with his patients through the reinstatement of skills or abilities. He shows a functional vision of the patient and his occupational performance on a daily basis. Marcos James Penfold, CEO de Rehab OT. Nacido en Marbella con sangre británica. Amante del mundo de la salud e implicado con sus pacientes mediante la reinstauración de capacidades o habilidades. Muestra una visión funcional del paciente y de su desempeño ocupacional en el día a día.

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