When developing the initial home exercise program for a patient with motion sensitivity, should the exercises provoke the most symptoms?

In the context of developing an initial home exercise program for a patient with motion sensitivity, starting with less provoking exercises is crucial. This approach allows for gradual acclimatization to movement without overwhelming the patient's system. By minimizing symptom provocation, you can promote adherence to the exercise program and prevent exacerbation of symptoms.

It is essential to consider the patient's comfort level and response to motion; beginning with gentle, low-impact exercises can help build confidence and tolerance over time. Progressive exposure can then be introduced once the patient demonstrates improved stability and reduced sensitivity. This method prioritizes safety and comfort while ensuring that the patient can engage in their rehabilitation consistently.

In managing motion sensitivity, it is vital to focus on therapeutic goals that promote functional mobility and reduce fear of movement, rather than provoking symptoms that could lead to avoidance or withdrawal from necessary activities.