There is a method of hand-quilting called the "Aunt Becky" where you use a metal cover (the Aunt Becky) in one hand and you move IT up to catch the needle. The needle hand really does not move much except to push the needle against the Aunt Becky. I have taken a class by Jean Brown on this technique and with a little practice, it works well. This is particularly good for people with arthritis or other joint problems. No rocking motion!