The Caregiver's Journey

Hemiparesis, Hemiplegia

Muscle movement originates in the brain. A TBI can affect movement.

Movement of the right side of the body is controlled by the left side of the brain, and movement of the left side of the body is controlled by the right side of the brain.

What you might see:

  • Muscle weakness on only one side of the body (hemiparesis).
  • Total paralysis of the arm, leg, and trunk on one side of the body (hemiplegia).

How you can help:

  • Your service member/veteran’s physical therapist and occupational therapist will develop leg and arm exercises. Ask to learn these exercises.
  • Realize that your family member may take longer to move around. Allow extra time to get places.
  • Encourage use of prescribed assistive devices, such as a walker or cane. They help your family member stay safe and independent.
  • You may notice decreased sensation in affected limbs. Monitor skin for pressure points from the splints. 
  • Alert the team to areas of redness and breakdown.
  • Therapists may recommend certain sleeping positions that are best for the affected limb(s). Follow their suggestions.