If a patient exhibits voluntary fractionated movement against gravity, which therapy approach is recommended?

When a patient demonstrates voluntary fractionated movement against gravity, it indicates a level of motor control and strength that allows for purposeful movement. In such cases, the remediation approach is recommended. This therapy method focuses on enhancing or restoring functional abilities and aims to improve the patient's overall movement patterns and skills.

Remediation is valuable in therapy because it directly addresses the specific impairments that may be affecting a patient's ability to perform tasks independently. By promoting active participation and facilitating the patient's existing movement abilities, the therapist can help the patient achieve greater functional independence and improve their overall quality of life.

In contrast, a compensatory approach would typically involve adapting tasks or the environment to enable performance without necessarily improving underlying deficits. Preventive strategies aim to avoid the onset of complications or decline based on risk factors rather than focusing on rehabilitation. Passive therapy methods involve assisting movements without the patient's active participation, which would not be suitable for a patient capable of voluntary movement against gravity.