If a patient struggles to step into the shower independently, what should the therapist do regarding practice with this task?

Focusing on allowing the patient to use support for balance while driving her motor output is an effective approach to facilitating independence in the task of stepping into the shower. This strategy acknowledges the patient's current limitations while empowering her to engage in the activity. By providing stability through supportive devices or structures, the therapist can reduce the risk of falls and foster a sense of security, which is essential for promoting confidence in movement.

Furthermore, this method enables the patient to practice the motion involved in stepping into the shower while concentrating on her body movements and overall motor control. The use of support does not undermine her efforts but instead enhances her ability to practice in a safe environment, gradually building her strength and coordination necessary for independent performance.

Engaging in this manner also aligns with the principle of task-specific training found in LSVT BIG, encouraging participation in real-world activities while addressing safety and confidence. This supports long-term improvements in both physical capability and functional independence.