Disclosed herein is an apparatus for early detection of paralysis based on motion sensing. The apparatus includes: a sensing part which detects motion characteristic values of at least one left distal end and at least one right distal end of upper or lower limbs of a patient a motion disorder determination unit which determines whether a difference between a sum of the motion characteristic values of the at least one left distal end and a sum of the motion characteristic values of the at least one right distal end, detected by the sensing part for a certain period of time, exceeds a reference value. The motion disorder determination unit determines whether a patients motion is abnormal based on a difference in motion characteristics of distal ends, such as left and right wrists and ankles, and the like, for a certain period of time, thereby enabling detection of a stroke at an early stage. In addition, sensors of the sensing part may be attached to the hands and feet, and worn on the wrists and ankles like watches or anklets, thereby improving convenience.