Hemiparesis: A Practical Guide [5min]

Hemiparesis is a disorder that affects almost all the muscle movements on one side of the body [1]. Hemiparesis is also known as "one-sided weakness" and generally occurs following a stroke and is one of the most common aftereffects, affecting 65% of stroke patients [2].

A stroke affects the overall supply of oxygen to certain brain parts. If the affected brain parts from stroke are responsible for handling muscle functioning and motility, it causes hemiparesis. However, it could also result from brain injury, tumour multiple sclerosis, brain infection, etc.


Hemiparesis Symptoms

The following are the common signs or symptoms presented by patients suffering from hemiparesis:

  • Individuals suffering from hemiparesis have weakness or partial paralysis on one side of the legs, face, hands, feet and chest regions that causes issues in overall movements.
  • Suffering individuals might also experience numbness and fatigue in the affected areas[3].
  • The tone or reflexes of an individual could also be observed in affected patients.
  • In some instances, the individuals might face difficulty handling objects, incoordination of affected parts or disturbed balance.

Left Hemiparesis

Left hemiparesis is a type of hemiparesis which affects the body parts on the left side of an individual. However, it is caused due to dtysfunctioning majorly to the right side of the brain. A lack of oxygen supply that might be a result of a stroke that affects the functioning of the right hemisphere of the brain causes weakness or paralysis on the left side portion of the body. Individuals suffering from left hemiparesis might also have other symptoms affecting attention, vision and emotional balance due to a defect in the brain's right hemisphere.

Right Hemiparesis

It is one of the most common types of hemiparesis. Right hemiparesis affects the body parts located at the right of an individual. It is caused due to dysfunction on the left side of the brain. As opposed to left hemiparesis, a lack of oxygen or injury in the brain's left hemisphere majorly affects the functioning of the body parts on the right side. Since the left hemisphere is involved in right hemiparesis, discrepancies in the affected individual's verbal, reading and arithmetic ability might also be observed.

Weakness on One Side of the Body

Apart from the left and right hemiparesis, ipsilateral hemiparesis is the type of hemiparesis that affects muscle weakness of body parts at the same amount of the body. E.g., if the right side of the brain is affected through stroke or injury, then muscles to the right of the body are impacted. This is one of the significant symptoms of hemiparesis. It is caused due to a blockage in the arteries that cuts or lowers the blood supply to the brain or dysfunction of specific brain regions. Since it impacts an entire side of the body, it affects the ability to walk, sit and balance an individual. Muscle fatigue present at the affected parts could cause a lack of coordination which decreases the precision of tasks like holding or grabbing particular objects, decline in bowel or bladder control, which causes a significant decrease in the overall quality of life.

Left Hemisphere Stroke

Stroke is a phenomenon where blood clot or turn blood vessels affects the general supply of oxygen in the brain [4]. A low or no supply of oxygen in the left hemisphere region of the brain is known as a left hemisphere stroke. It could not just cause right hemiparesis but also affect the brain's basic logical skills, including the ability to read, write, speak and calculate. One of the significant symptoms caused by left hemisphere stroke is related to the discrepancies in language speaking ability of the affected individual as the language centre of the brain is located in the left hemisphere. Also, individuals might suffer memory loss, decreased problem-solving ability and other cognitive disabilities.

Hemiparesis: Diagnosis and Treatment

Hemiparesis can be diagnosed through a physical examination conducted by a medical expert. Imaging processes like MRI or CT scans could also help in diagnosing hemiparesis. Hemiparesis most commonly impacts ankle and wrist regions whose positions could be stabilized through resting hand splints and solid ankle-foot orthosis. The treatment methodologies for hemiparesis mostly rely on the ability of the central nervous system to re-heal itself back. Therefore, methods like the insertion of electrical or cortical stimulation that helps advance movements by sending signals to the body parts and the brain could improve the functioning of the weak or paralyzed body parts in hemiparesis.

Physical therapy techniques that aim to provide proper alignment, recognition of limbs, promote weight balance, muscle tone reduction and elongation of muscle could be used to treat hemiparesis. Also, occupational therapy, which is the ability to use the affected body parts for daily activities like bathing, self-feeding and dressing subtly regularly, could help improve the symptoms caused by hemiparesis. In mirror therapy, individuals practice from the unaffected side by keeping a mirror in front could also help train the brain to think that both sides are working, helping treat hemiparesis. Acupuncture and massage also have a significant effect in treating hemiparesis.


Dr. Jean‐Michel Gracies: KOL #1 for Hemiparesis

According to KOL's technology, Dr. Jean‐Michel Gracies is the top ranking Key Opinion Leader (worldwide) for Hemiparesis. You can see Dr. Jean‐Michel Gracies's KOL resume and other concepts for which they rank #1 worldwide.

Jean‐Michel Gracies Hospital Henri Mondor, Creteil, France
KOL #1 (worldwide) for: Hemiparesis

Jean Michel Gracies, French medical educator, researcher. Achievements include patents pending for device to measure pronation supination in humans; design of Concept of spastic cocontraction in spastic paresis. Founder and honorary president Le Plaisir Des Dieux Hospital, Paris, 1994; Member of College Francais Des Enseignants En Medecine Physique Et De Readaptation, Movement Disorders Society. Chef clinique Centre Hospitalier Universitaire Pitie-Salpetriere, Paris, 1993—1994. Postdoctoral fellow University New South Wales, Sydney, 1995—1997. Movement disorders fellow Mount Sinai Medical Center, New York City, 1997—1999, instructor, 1999—2001, assistant professor, 2001—2007. Professor chef de service Centre Hospitalier Universitaire Henri Mondor, Creteil, France, since 2007. Advisory board member Allergan Inc, Irvine, California, 1997—2007, Solstice Neuroscience Inc., 2004—2007. Co chair Cognimed Neurorehabilitation Initiative, New Jersey. Advisory board member Merz, GbmH, Frankfurt, Germany, since 2007, Ipsen Ltd., France. Founder and honorary president Le Plaisir Des Dieux Hospital, Paris, 1994. Member of College Francais Des Enseignants En Medecine Physique Et De Readaptation, Movement Disorders Society.

Biography courtesy of: https://prabook.com/web/jean_michel.gracies/253083

Hemiparesis - References

  1. ^ Mary Ann Rutherford. al. (2022). Magnetic Resonance Image Correlates of Hemiparesis After Neonatal and Childhood Middle Cerebral Artery Stroke: Influence Statistics. Retrieved 19 Nov 2022.
  2. ^ Bourbonnais D., et. al. (1992). Incoordination in patients with hemiparesis. Canadian Journal of Public Health, 83(2), pp. S58-63. https://europepmc.org/article/med/1468052. Retrieved 19 Nov 2022.
  3. ^ González-Fernández M. and Feldman D. (2021). Rehabilitation of the Stroke Patient. Conn's Current Therapy, 742-746. https://www.clinicalkey.com/#!/content/book/3-s2.0-B9780323790062001701. Retrieved 19 Nov 2022.
  4. ^ Wist S. et. al. (2016). Muscle strengthening for hemiparesis after stroke: A meta-analysis. Annals of Physical and Rehabilitation Medicine, 59(2), pp. 114-124. https://doi.org/10.1016/j.rehab.2016.02.001. Retrieved 31 Oct 2022.

  • Who are the top experts researching treatments for hemiparesis?

    The top experts researching hemiparesis are: Marimuthu Swami Palaniswami, Rouzbeh Motiei-Langroudi and Carmelo Carmelo.

  • What are some of the top places that specialize in hemiparesis?

    Recommended institutions that specialize in hemiparesis:

    1. Dr. Madjid DJERDI - NeurologistCISA, 311 Av. de la Libération Charles de Gaulle, 33110 Le Bouscat, France Phone: +33556909969
    2. Matthias Haslbeck neurologistMilbertshofener Str. 90, 80807 München, Germany Phone: +49893596927
    3. The Neuron Clinic450 4th Ave Suite 215, Chula Vista, CA 91910, United States Phone: +16194253840
    4. Neurology One7151 University Blvd Suite 100, Winter Park, FL 32792, United States Phone: +14079160304

  • Recent articles about Hemiparesis

    Relation Of Regional Cerebral Blood Flow To Hemiparesis In Chronic Subdural Hematoma

    .. of hemiparesis in chronic subdural hematoma, 38 patients with unilateral chronic subdural hematoma were studied on the relationship between their clinical manifestations and regional ...

    Known for Chronic Subdural |  Blood Flow |  Regional Cerebral |  Hemiparesis Patients |  Headache Hematoma

    The Contribution Of Quasi-Joint Stiffness Of The Ankle Joint To Gait In Patients...

    .. with hemiparesis has not been clarified. The purpose of this study was to determine the contribution of quasi-joint stiffness of the ankle joint to spatiotemporal and kinetic parameters ...

    Known for Joint Stiffness |  Patients Hemiparesis |  Healthy Individuals |  Aged Ankle |  Gait Speed

    Is It Correct To Always Consider Weight-Bearing Asymmetrically Distributed In...

    .. with hemiparesis, characterization of the weight-bearing asymmetry is poorly and indirectly described. Therefore, this study aimed to describe weight-bearing distribution during upright ...

    Known for Subjects Hemiparesis |  Weight Bearing |  Postural Control |  Nonaffected Hemibody |  Aged Paresis

    Magnetic Resonance Image Correlates Of Hemiparesis After Neonatal And Childhood...

    .. of hemiparesis differs between the 2 age groups. Lesion topography is an important predictor of hemiparesis after neonatal IS, but it is not known if the same topographic predictors of ...

    Known for Magnetic Resonance |  Cerebral Artery |  Newborn Infarction |  Motor Impairment |  Neonatal Childhood

    Effects Of An Ankle-Foot Orthosis On Balance Performance In Patients With...

    .. with hemiparesis of short and long duration.

    DESIGN: Within-subject random order of intervention, cross-sectional study design.

    SETTINGS: Medical centres and district hospitals.

    SUBJECTS: ...

    Known for Balance Performance |  Subjects Hemiparesis |  Foot Orthosis |  Speed Cadence |  Long Duration

    Standing Balance And Functional Recovery Of Patients With Right And Left...

    The objective was to determine the effects of the side of brain lesion on recovery of functional abilities and balance control among subjects 2 months following a stroke. There were 104 ...

    Known for Functional Recovery |  Stroke Patients |  Standing Balance |  2 Months |  Brain Lesion

    Aspects Of Joint Coordination Are Preserved During Pointing In Persons With...

    .. with hemiparesis is important to the development of rehabilitation approaches for these persons. The purpose of the present study was to investigate whether, and to what extent, persons ...

    Known for Joint Coordination |  Persons Hemiparesis |  Motor Abundance |  Control Hand |  Aged Movement

    The Effect Of Walking Aids On Balance And Weight-Bearing Patterns Of Patients...

    .. with hemiparesis, yet their effect on postural control remains unclear. Thus, the objective of this study was to examine the effects of standard and quad canes on postural sway and on ...

    Known for Walking Aids |  Postural Sway |  Patients Hemiparesis |  Quad Cane |  Weight Bearing

    The Effect Of Shoe Lifts On Static And Dynamic Postural Control In Individuals...

    .. with hemiparesis.

    DESIGN: Quantitative posturography was performed to determine subjects' response to sudden perturbations. Subjects received graded forward and backward perturbations ...

    Known for Shoe Lifts |  Postural Control |  Individuals Hemiparesis |  Response Strength |  Weight Symmetry

    Dynamic Postural Control In Patients With Hemiparesis

    .. with hemiparesis secondary to stroke. The purpose of this study was to evaluate dynamic postural control in patients with hemiparesis and in normal subjects matched for age.

    DESIGN: ...

    Known for Postural Control |  Strength Symmetry |  Response Latency |  Normal Subjects |  Stroke Weight