Muscle Weakness / Immobility

Muscle movement originates in the brain. A TBI, therefore, can affect a person’s 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 might you see?

• Muscle weakness on only one side of the body (this is known as hemiparesis)
• Total paralysis (loss of the ability to move and feel) of the arm, leg, and/or trunk on one side of the body (this is known as hemiplegia)

How can you help?

• The physical therapist and occupational therapist will develop leg and arm exercises to help strengthen the muscles and prevent joint tightness or contractures from developing. Ask the therapist to teach you these exercises so that you can assist in performing them at home.
• Realize that the service member or veteran may take longer to move around due to hemiparesis or hemiplegia. Allow extra time to perform daily activities around the home and to get places outside the home.
• Encourage use of prescribed assistive devices, such as a walker or cane. They can help the service member or veteran stay safe and help promote independence.
• You may notice decreased sensation in the affected limbs (arms, legs, face, or body). You should check the skin every day for pressure points caused by the splints, assistive devices, or body positioning. You should alert the healthcare team to areas of skin redness and/or breakdown.
• Therapists may recommend certain sleeping positions that are best for the affected limb or limbs. Be sure to follow their suggestions.