If the motor difficulty is in the arm, as is generally the case in hemiplegia, then the child should be given toys and other objects that encourage two-handed exploration. Stimulating the use of the affected hand can help lead to a greater degree of improvement.
Even though only one limb is affected, it is always a good idea to work with physicians and therapists to set realistic goals for the child. Hemiplegic types of impairment are most severe at the end of the limb, and the arm is more often affected than the leg. A child may never achieve full use of the hand and fingers.
