When teaching stalling in the simulator on a type rating course, this was normally a hand-flown exercise. The briefing would normally be that use of elevator trim down to Vfto (for example) with a clean wing was permitted but below that speed, the candidate was expected to keep back pressure on the control column down to the stick shaker whilst maintaining altitude when a recovery was made. In this case, only about 200 -300 feet would be lost.
This continued through various wing configurations right down to the point where the gear was down and land flap was set flying level with 30 degrees of bank set. Elevator trim was allowed down to Vref and then height was maintained with average approach power set using back pressure on the control column and this time we went right through the stick shaker to stick push when a recovery was made. In this case around 700 - 800 feet would be lost.
Some years later, we got to thinking about what might happen if we got to the stick shaker with the autopilot engaged. Imagine the scenario; lousy weather, crew tired, lots of problems, heavy ATC and we get to the bottom of descent and either the auto throttles don't work or we forget to advance the throttles.
In this case, the aircraft levels off and the automatics keep trimming back until the stick shaker activates and the autopilot falls out. In this case, the PF takes control pretty quickly and applies a large handful of power and then suddenly discovers that the elevator trim is somewhere near the aft limit.
If you don't push like hell and get the elevator trim moving forward in an expeditious fashion, the rest of the flight might just be a bit shorter and a bit more interesting than you had ever planned on!