This technique is only suitable for clients with adequate upper limb strength and trunk stability. With hip hitching, the client ‘walks’ up the bed on their buttocks. They gently rock to one side, lifting the other buttock and moving it up the bed, then they repeat the action on their other side. This technique is especially useful for people who cannot easily weight bear on their arms.
1. Ask the client to sit up in bed (see Supervised sit up)
2. Ask them to make their hands into closed fists and put their fists just behind their hips
3. Ask them to bend their knees and dig their heels into the bed, ready to push themselves up the bed
4. Ask them to push themselves up by pushing through their heels and fists at the same time, to lift and move their bottom up the bed.
Hand blocks may be useful for this technique
1. Ask client to sit up in bed
2. Client puts hands in closed fists behind hips
3. Client bends knees and digs heels into the bed to push up the bed
4. Client lifts and moves their bottom up the bed