This study identified limb bruises in 19.8 percent of the hanging victims, the highest rate ever reported for hangings; however, this rate varied widely, depending on the hanging location; it ranged from 0.0 percent in more open settings (e.g., barn, bridge, fence, and park) to over 50 percent in restraint areas (e.g., staircases and closets). Limb bruises in hangings are more likely to be located on posterior upper limbs and anterior lower limbs. A review of filmed asphyxia by hanging found a complex pattern of body movement responses. Loss of consciousness is closely followed by convulsions and alternating phases of decerebrate and decorticate rigidity. Arms are abruptly flexed in the quick and sudden phase of decortication. In contrast, arms are extended away from the body in the decerebration rigidity. The study concludes that in the evaluation of a given case, the presence of posterior arm bruises or anterior leg bruises is not generally reason for suspecting foul play; however, the presence of anterior arm bruises or bruises on both upper and lower limbs warrant more caution by the pathologist. Still, a suspicious bruise location by itself should not be interpreted as evidence of foul play without all other elements of the death scene and autopsy findings being taken into account. 7 tables, 3 figures, and 6 references