Hemiplegia is a general term used to describe the wide variety of motor deficits that result from stroke. Motor deficits are characterized by paralysis, typically on side of the body opposite to the side of the lesion. Infantile hemiplegia is a condition that may be noted at birth or develop in first 6 years of life- there is often an abrupt onset. Infantile hemiplegia can originate from variety of primary etiologies such as cerebrovascular accident, intraventricular hemorrhage of the newborn, thrombosis: embolism or hemorrhage, transient ischemic attack, brain tumor (primary or metastatic) or infection: brain abscess, encephalitis, subdural empyema or meningitis.

The clinical symptoms of a child with spastic hemiplegia may differ from child to child and over time. The symptoms include paralysis of the muscles of one side of the body, often using only one hand during play or favoring one hand before three years of age, keeping one hand in fist, balance and co-ordination problems, difficulty with fine motor tasks like writing or using scissors and delay in reaching expected developmental milestones such as rolling, sitting, standing etc.

The purpose of this study was to review the recovery of two year old child who had acute onset infantile hemiplegia, including description of physical therapy examination, evaluation and intervention.