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HEMIPLEGIA

hemiplegia

The word Hemi refers to half and plegia refers to paralysis. So the term means paralysis of half side of the body. It is caused by damage/disease affecting the motor nerve tracts in the opposite side of the brain. A common cause is a stroke. This can affect either side of the body.

Hemiplegia can happen before, during or after the birth of the child. The condition can be congenital/acquired.

Hemiplegia is a term used to describe paralysis, severe weakness, rigid movements of either left/right side of the body. It is also associated with limited use of hand, balance issues, speech and visual problems.

Causes:

The main cause of hemiplegia is brain damage as the result of disrupted blood flow. This can occur at birth, may occur after birth as a result of stroke, CP, traumatic injury.

  • Hypertension
  • Infections like Encephalitis, Meningitis, and Tuberculosis.
  • Cerebral Tumor
  • Cerebral abscess
  • Hemorrhage
  • Depressed fracture
  • Multiple sclerosis
  • Post epileptic paralysis

Symptoms:

  • Motor weakness/Developmental delay
  • Stiffness of the limbs
  • Weakness of the limbs
  • Difficulty in walking
  • Poor balance while sitting/standing/walking
  • Sensory impairment
  • Speech/visual problems
  • Learning difficulties
  • History of convulsion
  • History of coma

Investigations:

  • CT Scan
  • MRI
  • Blood for electrolyte values including calcium, blood urea, ketone, culture.

Physiotherapy:

  • Stretching exercise
  • Strengthening exercise
  • Positioning
  • Sitting balance
  • Standing balance
  • Weight bearing exercises
  • Gait training – Walking, Climbing, Cycling

Supporters:

  • Splints (AFO/Gaiters/Knee braces)
  • Slings (Shoulder arm pouch)

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