During therapy, what is an indicator that a cognitive challenge may be overwhelming for a patient?

The indication that a cognitive challenge may be overwhelming for a patient is reflected in their difficulty maintaining movement amplitude. When a patient struggles to keep consistent movement amplitude, it often suggests that they are unable to adequately process the cognitive demands placed upon them. This might lead to a decrease in the quality of their motor performance, as they may focus too much on the cognitive aspects of the task instead of executing the physical movements correctly.

Maintaining movement amplitude is crucial in therapies like LSVT BIG, where the focus is not just on movement but also on the integration of cognitive and physical tasks. A decline in movement amplitude indicates that the patient's capacity to handle the cognitive load has been exceeded, which can result in frustration and disengagement from the therapeutic process. Recognizing this sign helps therapists to adjust the therapeutic activities to ensure they remain within the patient's cognitive abilities, thus facilitating a more effective and beneficial therapy experience.