Slide 3. Simpo Stroke 2013 - Abstrak Neurorehabilitation.docx

STROKE NEUROREHABILITATION 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 lifethreatening 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, 2013.

in Neurology Department Medical Faculty Sam Ratulangi University, Manado.