Your patient in week 1 of LSVT BIG is displaying small movements during exercises. What should your most likely action be?

Providing upper extremity (UE) support for balance while reassessing the patient's performance is a crucial approach in this scenario. In the context of LSVT BIG, the goal is to enhance the amplitude of the movements to promote functional mobility. When a patient is displaying small movements, it often indicates they may be struggling with balance or confidence during the exercises.

By offering UE support, you can help the patient feel more stable and secure, which may encourage them to engage more freely in the movements. This support can facilitate larger amplitude movements by addressing their immediate needs while ensuring safety. Subsequent reassessment is essential to gauge their progress and evaluate whether the support is adequate or if further adjustments are necessary.

This corrective action aligns with the overarching principles of LSVT BIG, which prioritizes big, purposeful movements to maximize functional capacity. It is also important to foster an environment where patients feel empowered to increase their movement without fear of falling or losing balance. In this way, you create a supportive atmosphere that encourages improvement in their movement amplitude.