Physical Sequelae

Hemiplegia and Deformity

A man with a cane, one side of his body drawn in a light color and the other in a dark color. The arm on the dark side is bent

Hemiplegia occurs on the opposite side of the body from the brain region injured by the stroke. For example, a stroke in the left side of the brain causes paralysis of the right arm and leg.

Deformity

The paralyzed arm and leg can stiffen into the following deformities.

  • Upper extremity deformities: adducted and internally rotated shoulder (the arm held against the body), and flexed elbow, wrist, and fingers.
  • Lower extremity deformities: retracted and elevated pelvis, adducted and extended hip, and flexed knee and sole.

To learn how hemiplegic patients can dress or transfer from a bed to a wheelchair, see Help with daily life.