How should a therapist respond if a patient believes their home is too small to practice BIG walking?

The choice of suggesting practicing BIG steps even in tight spaces is particularly effective because it empowers the patient to engage with the therapy in their current environment. This approach emphasizes the practical application of the LSVT BIG principles, demonstrating that BIG movements can be adapted to various settings, regardless of available space.

By encouraging the patient to practice in their home, the therapist helps them integrate the therapy into their daily routine, which can enhance carryover and generalization of skills. It reinforces the idea that therapy can be flexible and that progress can still be made in less-than-ideal conditions. This response also validates the patient's concerns, showing understanding while guiding them toward a productive and proactive solution.

In contrast, waiting for more space or finding a larger venue may create unnecessary delays in the rehabilitation process. Diminishing the patient's concerns is unproductive, as it could make them feel dismissed and less motivated to engage in their treatment. Thus, focusing on achievable practice in their current home setting aligns with the goals of LSVT BIG therapy effectively.