Raising Awareness of the Myth of the “Unaffected Hand” in Childhood Hemiplegia

Abstract

Background and aims:The term 'hemiplegia' implies a unilateral deficit, yet several studies have demonstrated abnormal limb control ipsilateral to the brain lesion. This is under-recognised by clinicians and has implications for function and therapy. We documented deficits in the "unaffected" hand in children with hemiplegia using a dexterity test developed by our group for use in children with motor disorders.