Which activity could be a hierarchy task for a patient?

In the context of LSVT BIG therapy, a hierarchy task is designed to progressively challenge a patient by increasing the complexity or demands of the activity. Upper body dressing is particularly significant within this framework because it involves multiple components that can be adapted based on a patient's abilities and progress.

When considering upper body dressing, it involves not just the act itself, but also requires coordination, balance, and the ability to sequence movements. This task can be broken down into smaller steps, allowing the therapist to emphasize specific skills such as reaching, coordination, and timing. As the patient gains confidence and ability, the complexity can be increased, such as dressing faster, reaching for different articles of clothing, or dressing while standing instead of sitting, thus creating a challenging yet manageable progression.

In contrast, the other activities listed—walking in a straight line, reading a book, and sitting with support—while beneficial for various therapeutic goals, do not offer the same range of progressive challenge that can effectively capture and expand upon fine and gross motor control, functional mobility, and cognitive sequencing utilized in upper body dressing tasks. These activities are more straightforward and do not lend themselves as well to the hierarchical structure aimed for in LSVT BIG.