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Doctor insights on: Spastic Hemiparesis Gait

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How can I control spastic hemiparesis?

How can I control spastic hemiparesis?

PT/Baclofen or botox: To help with spasticity, things like Baclofen pumps and Botox injections into the muscle have shown to reduce the stiffness and increase function. Most of the time, a physiatrist (physical medicine and rehab physician) does these procedures. Other interventions include pt, occupational therapy, speech and behavior therapy.

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Dr. Lawrence Kessler
33 Doctors shared insights

Hemiparesis (Definition)

"Hemi" refers to half. "Paresis" means weakness. Hemiparesis refers to a weakness over one side (half) of body. The most common cause is from a cerebral infarction (stroke) on one side of the brain. It usually affects the opposite side of the body relative to the side of stroke, although if the face is involved, that tends to be on the same side as the brain ...Read more


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What is spastic hemiparesis in children?

What is spastic hemiparesis in children?

One side affected: This generally refers to a disorder of strength and mobility involving one side of the body. The limbs are stiff and movement is difficult but possible.Hemiplegia would mean the side is essentially paralyzed. It is often the result of pre-natal brain injury/stroke and more often found in premature infants.

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How can I control or mitigate a spastic hemiparesis?

How can I control or mitigate a spastic hemiparesis?

Medication/botox: You want to maintain some degree of spasticity in your leg to assist walking. The use of oral medication may help, but will affect arm and leg-plus there may be sedation. Botox can be very helpful, different doses for arm/leg, customizing the effect. It can address specific trouble areas oral medications can't address. Would find a neurologist/ rehab doctor who does this under EMG for best result.

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In what way can I control or lessen a spastic hemiparesis?

Suggestions: Could try anti-spasticity drugs, such as baclofen, dantrolene, or tizanidine, and even BOTOX. Baclofen pump of value in some cases. However, physical therapy by experienced clinic may be highly miraculous.

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Can you tell me how I could control or lessen a spastic hemiparesis?

Approaches: Physical and occupational therapy, exercises, BOTOX, anti spasticity drugs such as tizanidine, baclofen, even diazepam. Maybe if all else fails, use of baclofen pump.

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Is there a difference between cerebral palsy and a spastic hemiparesis?

Is there a difference between cerebral palsy and a spastic hemiparesis?

Categorical: "cp" is a group of chronic motor impairments defined by functional limitations in mobility & hand use from neurological dysfunction, not by underlying cause. Impaired control of movement & posture appears early in life, usually from prenatal brain malformation or injury. Spastic=increased muscle tone with decreased voluntary movement hemi-one-sided paresis-weakness is a form of cp.

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What is the difference between cerebral palsy and spastic hemiparesis or diplegia?

What is the difference between cerebral palsy and spastic hemiparesis or diplegia?

Terminology: Spastic diplegia refers to spasticity that primarily affects the legs, and spastic hemiplegia primarily affects one side of the body (arm and leg). Cerebral palsy is a movement disorder caused by damage to an immature brain and can present as either.

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Previous eschemic ovoid focus on putamen. 4 hyperintense t2 flairs - 2 deep dwm, 1 subcort wm etc. Previous hemiparesis r arm weakness gait change.

? your question is?: Let's assume you suffered a stroke due to a localized thrombus, and have signs of more widespread ischemia. Thus, you should be using a medication to prevent future strokes, but not on your list. What do your docs feel is cause of your hemiparesis? Is it cardiac, or antiphospholipid antibody, etc? Are these lesions due to arteritis, lupus, multiple sclerosis, sjogren's, lyme disease, etc?

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How do I know if I have hemiparesis?

One side weakness: If you have one sided weakness, decreased strength, decreased sensation, gait problems, trouble swallowing, then you should be examined. See your doctor for a proper assessment.

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How to care for someone with hemiparesis?

Learn from therapist: Someone with hemiparesis will have many needs and may need someone available around the clock. The best way is to have a home therapy evaluation and work with the therapist and home health personnel on what the patient's individual needs will be.

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What is the definition or description of: Hemiparesis?

Half body weakness: "Hemi" refers to half. "Paresis" means weakness. Hemiparesis refers to a weakness over one side (half) of body. The most common cause is from a cerebral infarction (stroke) on one side of the brain. It usually affects the opposite side of the body relative to the side of stroke, although if the face is involved, that tends to be on the same side as the brain injury, (opposite) to body.

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Can a pinched nerve cause a hemiparesis?

Can a pinched nerve cause a hemiparesis?

No: A single pinched nerve may cause weakness in the distribution of that nerve only. Hemiparesis=weakness on half the body should be caused by something larger like a stroke or compression of the spinal cord/disease of the spinal cord.

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Can hemiparesis causes be determined by doctors?

Absolutely: Start with your family md and then a neurologist for a full neurological workup and treatment.

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What does it mean to have a mild right hemiparesis?

Weakness: This means that the muscles on the right side of hte body are mildly weak. It is typically called hemiparesis (half-weak) when the cause is a problem in the brain or spinal cord, such as a stroke, tumor or traumatic injury.

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What is the psychological effect of having hemiparesis?

What is the psychological effect of having hemiparesis?

Hemiparesis: The psychological effects of hemiparesis vary with the person and extent of symptoms. Many people struggle with frustration about not being able to use a whole side of their body, loss of independence -- and depression about capacity to take care of themselves, or roles they can no longer carry out. For instance, if they can no longer work/earn money they may feel there's no reason to be alive.

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How can somebody with left hemiparesis (due to a stroke) drive? What can they use?

How can somebody with left hemiparesis (due to a stroke) drive? What can they use?

Rehab Consult: You need to consult with a rehabilitation medicine specialist for a detailed evaluation of the extent of your deficits and a proper determination of your potential to safely resume driving. Good luck.

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Is there a difference between hemiplegia / hemiparetic / hemiparesis?

Degree of weakness: Hemiparesis is the term used to describe unilateral weakness. The range of power is anything less than full, to just being able to move a limb when gravity is removed. Hemiplegia describes a limb (s) that have no movement. The spectrum of power goes from full->hemiparesis->hemiplegia. The tone of a hemiparetic can be either flaccid or spastic depending on the cause.

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Am 8 months post-stroke (ICH). What can botox injections do for my right side hemiparesis? How does it work in cases like this? Thank you.

Am 8 months post-stroke (ICH). What can botox injections do for my right side hemiparesis? How does it work in cases like this? Thank you.

Reduce spasticity: Botox can reduce the spasticity of certain muscle groups or reduce the activity of antagonistic muscles. In the case of facial paresis it can improve symmetry by decreasing activity of contra lateral facial muscles

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Is there surgery for patient with cerebal palsy with hemiparesis?

Is there surgery for patient with cerebal palsy with hemiparesis?

No.: But that doesn't mean some new form of therapy is on the horizon. Neurosciences is definitely one of the most exciting fields today; it will lead to more close understanding of how our brains get as screwed up as they are, and then hopefully how to screw them on straight. Hurrah to my daughter, arielle, who is to become chief resident of neurology at nyu.

Gait (Definition)

Gait is the way locomotion is achieved using our limbs. Gait is defined as "bipedal, biphasic forward propulsion of center of gravity of human body, in which there is alternate movements of different segments of the body". Different gaits are characterized by differences in limb movement patterns, overall velocity, forces, ...Read more