You only have to maneuver 1/2 of the quilt in the throat space. That can be squished and accordion-folded with your one hand underneath the fold. Wearing gloves really helps. I use Christina Cameli's glove alteration where I cut out the index finger and thumb so I have enough traction with the other fingers and palm but I can easily thread needles. Works like a charm. (Actually I use cheap garden gloves with the rubberized palm side. I let them air out to get the chemical smell out first.