Which of the following is NOT included in an LSVT BIG treatment session?

In LSVT BIG treatment sessions, the focus is on exercises and activities that are directly applicable to improving the movement patterns of individuals with Parkinson’s disease. The program emphasizes tasks that enhance amplitude and control, incorporating both the "BIG" movements and functional tasks relevant to daily living.

Maximal daily exercises are essential as they form the cornerstone of the LSVT BIG methodology, where patients practice large movements to combat the effects of bradykinesia. Hierarchy tasks are integrated into the sessions to progressively challenge patients at various difficulty levels, helping them to generalize their movement skills into real-life situations. Big walking is also a crucial component, emphasizing increased step size and frequency during ambulation to improve overall mobility.

On the other hand, supine stretching exercises are not a part of the LSVT BIG treatment framework. While stretching may have its benefits in maintaining flexibility and reducing stiffness, the LSVT BIG program prioritizes dynamic movements and functional activities over passive stretching techniques. Thus, the inclusion of supine stretching exercises does not align with the primary goals of LSVT BIG, making it the correct answer to the question about what is not included in a standard LSVT BIG treatment session.