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Hemiplegic Cerebral Palsy - Cerebral Palsy Affecting One Side of the Body

Hemiplegic cerebral palsy or hemiplegia is a type of cerebral palsy that affects one arm and leg on the same side of the body. In case of most patients with hemiplegia, the arm is more disabled than the leg and the end of the limbs are the most affected areas. That is, the wrist and hand have the most disability but there is less trouble for the elbow and lesser for the shoulder. In the same way the ankle and foot exhibit more difficulties than
the knee.

Results of Hemiplegia:

The most common type of motor dysfunction in hemiplegic cerebral palsy is spasticity, which is complicated by the decreased growth of the affected muscles. Just like other forms of cerebral palsy, hemiplegia also results in shortened muscles. Patients face less range of movement and increased stiffness in the joints of the limbs concerned.

Symptoms of Hemiplegia:

Because of the natural variation in development, mild abnormalities are often unnoticed by either parents or pediatricians. The symptom that can be an initial clue is hand preference at an early age. In infants without any form of motor impairment, hand preference (left or right) is usually not established until 18-24 months of age. If the young infant consistently favors one hand over the other even if the toy or object is presented to the other hand, there may be a risk of hemiplegia.

How is it treated?

A full neurological evaluation is necessary after a patient is diagnosed with hemiplegia to determine if other conditions are present. As the child grows there are evaluations to see if any special braces or splints would aid the affected limb giving the child better use of both hands. While playing in the first year, the child should be given toys and other playthings that promote the use of two-handed manipulation and that encourage both hands to work together.

Children with hemiplegia usually start walking late and may also first start walking on tiptoe. But they may grow out of tiptoe-walking on their own. If they do not, there are special braces and devices that can help normalize their foot position. Except in the severe type of hemiplegic cerebral palsy, it is usual for the child to be able to walk.

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