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Junita Maja PS*

Disablement involves the complex relationship between disease, impairment, disability and handicap.
Stroke is a disease which resulting the impairment, disability and handicap. Functional disabilities are
target in neurorehabilitation, which is one of parts of neurorestatology, the new sub-division of
neuroscience which study neural regeneration, neural structural repair of replacement, neuroplasticity
neuromodulation and neurorehabilitation.

Traditionally, stroke neurorehabilitation focused on preventing the impairment from becoming worse
through passive range-of-motion, stretching, and positioning exercises to prevent contracture and
maximizing activity through compensatory. The essential things which come from the brain itself did not
place well in the plan management of stroke neurorehabilitation yet.

There is a paradigm shift in stroke rehabilitation. The traditional approaches to rehabilitation that focus
on compensation alone, rather than restoration, are unlikely to result in optimal recovery of function.
Stroke rehabilitation is a learning perspective.

To put the right plan of stroke neurorehabilitation, the stroke neurorehabilitation intervention should
begin following an acute hospitalization once the neurological diagnosis has been established and life-
threatening problems are controlled to prevent the secondary complications, maintaining the
homeostasis, and managing the specific neurorehabilitation interventions performed by the
multidisiplinary neurorehabilitation team.

 Junita Maja PS is Neurologist, the head of Neurobehavior and Neurorestoration-rehabilitation

subdivisions, in Neurology Department Medical Faculty Sam Ratulangi University, Manado.