What treatment strategy is NOT appropriate when a patient fails to reach back with their free arm during stepping exercises?

Focusing solely on the stepping movement is not an appropriate strategy when a patient struggles to reach back with their free arm during stepping exercises. This approach neglects the importance of addressing the underlying difficulties that the patient is facing. In situations where a patient is unable to perform an aspect of a movement, it is essential to provide a more holistic treatment plan that includes the integration of all components of the movement.

Assisting with tactile facilitation, breaking the exercise into components, and modeling the movement are strategies that aim to enhance the patient's understanding and performance of the movement. Tactile facilitation can provide sensory feedback to help the patient develop body awareness and coordination. Breaking the exercise down into smaller, manageable parts allows for skill acquisition and confidence-building. Modeling the movement visually can also serve as a powerful cue, helping the patient to visualize and replicate the desired action.

By focusing only on the stepping movement without addressing the comprehensive nature of the task, the patient may continue to struggle without acquiring the necessary skills to progress functionally. Therefore, a well-rounded approach that considers all aspects of the movement is crucial for effective treatment.