Neurological rehabilitation is an active participatory process involving a dynamic interaction between the person with neurological deficits and the health professional members of the team. Appreciating the amount of effort required to achieve agreed-on functional goals and establishing a framework for the interaction among everyone participating is necessary to obtain an ideal balance concerning perceived effort (both the patient's and therapist's viewpoint), maintenance of attention and motivation, and expectation of the rewards and benefits of and satisfaction with rehabilitation. Frequency at all discuss at least 3 mechanisms through which reward interacts with movement. Interactions between the basal ganglia and the prefrontal cortex are important for goal selection on the basis of expected or predicted reward, to reinforce movements based on expected reward, and for switching to novel actions. Although there is no direct evidence that establishing a rehabilitation contract taps into any of these mechanisms, it is important to realize that setting the right expectations will ultimately affect the perceived success or failures of therapy, and this will in tum lead to stronger or weaker learning of compensatory movement or strategies. Neurological rehabilitation is in many ways different from the other branches of neurology. Rehabilitation is a process of education of the disabled person with the ultimate aim of assisting that individual to cope with family, friends, work, and leisure as independently as possible. It is a process that centrally involves the disabled person in making plans and setting goals that are important and relevant to their own particular circumstances. In other words it is a process that is not done to the disabled person but a process that is done by the disabled person themselves, but with the guidance, support, and help of a wide range of professionals. Rehabilitation will go beyond the rather narrow confines of physical disease in Neuro Forum 2023 which needs to deal with the psychological consequences.