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Flaccid hemiparesis means that there is no movement or muscle flickers in one side of the body. This is usually the first stage of hemiparesis following a cerebrovascular accident (CVA) or neurological accident. Unfortunately there is no guarantee that the person with this condition will improve. It usually takes between 6-12 months post CVA/ injury to understand the long term prognosis for this person, however saying this, if the person has good recovery in the first 3-6 months this is a good sign.

Hemiplegia is also another commonly used term - this is where there is no movement at all in the affected side.

Check out this website and the following info gathered there on one theory of CVA

http://www.ncbi.nlm.nih.gov/books/bv.fcgi?indexed=Google&rid=physmedrehab.section.726

Brunnstrom (1966, 1970) and Sawner (1992) also described the process of recovery following stroke-induced hemiplegia. The process was divided into a number of stages: # Flaccidity (immediately after the onset)

No "voluntary" movements on the affected side can be initiated # Spasticity appears

Basic synergy patterns appear

Minimal voluntary movements may be present # Patient gains voluntary control over synergies

Increase in spasticity # Some movement patterns out of synergy are mastered (synergy patterns still predominate)

Decrease in spasticity # If progress continues, more complex movement combinations are learned as the basic synergies lose their dominance over motor acts

Further decrease in spasticity # Disappearance of spasticity

Individual joint movements become possible and coordination approaches normal # Normal function is restored (It must be remembered that although 7 stages mentioned - not all people progress from stage to stage - some may only get to stage 1 or others to stage 3 etc and their recovery may plateau)

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17y ago

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