{"title":"Neurological rehabilitation","image":"https://pes-luxembourg.lu/bascharage/wp-content/uploads/sites/2/2019/08/Reeducation-neurologique-bascharage-1-300x300.jpg","content":"\n**After a stroke, traumatic brain injury or when facing a neurological condition, rehabilitation helps you regain safer movement, greater independence and confidence in daily life.** At Pôle Equilibre & Santé in Bascharage, the programme begins with a neuromotor assessment and evolves according to your abilities, your goals and your medical history.\n\nOur specialised site [kine-neuro.lu](https://kine-neuro.lu/) presents in more detail our approach to neurological physiotherapy, the situations we treat and practical advice for preparing your appointment.\n\n## Who is it for?\n\nNeurological rehabilitation can support people after a **stroke**, traumatic brain injury or neurological surgery. It may also be offered for multiple sclerosis, Parkinson's disease, spinal cord injury, neuropathy or another condition affecting movement, balance or independence.\n\nIt is also for people who have weakness, stiffness, coordination problems, difficulty walking or repeated falls. Care is adapted to age, fatigue, treatments and stage of disease. It does not replace follow-up by your neurologist, GP or other professionals supporting you.\n\n## A personalised neuromotor assessment\n\nThe first appointment allows us to observe what matters to you in real life: getting up, walking, turning, climbing a few steps, using an arm or maintaining balance. The physiotherapist may assess strength, muscle tone, coordination, sensation, balance, gait, transfers and endurance.\n\nThe assessment also takes into account fatigue, pain, spasticity, attention difficulties and fall risk when they influence your activities. Functional tests may be used to track progress without reducing your gains to a single number.\n\n## Goals of rehabilitation\n\n- **Improve mobility**: walking, changing direction, transfers, stairs and use of a walking aid if needed.\n- **Work on balance and coordination** to make movements more stable and reduce fall risk.\n- **Recover or maintain limb function** through targeted, repeated exercises, especially for the arm and hand.\n- **Manage stiffness, spasticity and fatigue** to better distribute your efforts throughout the day.\n- **Regain independence** in daily activities, with concrete strategies and exercises to repeat at home.\n\nThe aim is not to do as many exercises as possible, but to choose useful tasks, repeat them under good conditions and progress without exhausting yourself.\n\n## What happens during a session?\n\nExercises are selected after the assessment and reassessed regularly. Depending on your needs, a session may include:\n\n- work on walking, balance and changes of position;\n- coordination, precision and movement control exercises;\n- active or assisted mobilisation of the arm, hand or leg;\n- functional strengthening and training of daily gestures;\n- activities with visual feedback or adapted equipment when it brings benefit;\n- learning strategies to manage fatigue, obstacles and risky situations.\n\nRepetition and regularity favour adaptations of the nervous system: this is the principle of **neuroplasticity**. It is not a promise of complete recovery, but a possibility to develop, maintain or better use remaining abilities, with a realistic, progressive programme.\n\n## After a stroke or hospitalisation\n\nRehabilitation can begin or continue after returning home, according to the medical team's instructions. The programme evolves with recovery stages: bed mobility, transfers, standing, walking, use of the upper limb and resumption of activities that matter to you.\n\nCoordination with the doctor, occupational therapist, speech therapist or other professionals is important when the situation also involves communication, swallowing, cognition or home adaptations.\n\n## Preventing falls and securing daily life\n\nWork does not stop in the treatment room. We can help you identify risky situations, choose a walking aid, organise home exercises and consider useful adaptations in your environment. Relatives may also receive advice to support transfers and encourage activity without doing for you what you can still manage alone.\n\n## Mon Kiné: at the practice or at home?\n\nWith **Mon Kiné**, physiotherapy sessions can take place at the practice or at home depending on your mobility, state of health and programme goals. At the practice, the team has more space and equipment to work on walking, balance and functional movements. At home, Mon Kiné supports you directly in your usual environment to train the gestures and movements that matter in daily life.\n\nThe most suitable arrangement is discussed when booking and reassessed when your needs change. [Discover Mon Kiné and home physiotherapy](/bascharage/domicile/kinesitherapie-domicile).\n\n## Your support at Pôle Equilibre & Santé\n\nOur team supports you with concrete, measurable and understandable goals. We move at your pace, taking good days as well as harder ones into account, so that exercises remain useful in your daily life.\n\nDiscover the full approach and practical information on [kine-neuro.lu](https://kine-neuro.lu/), then [book online](https://fr.doctena.lu/cabinet/Pole_Equilibre_Sante-281318) or contact the Bascharage practice on [+352 26 65 28 42](tel:+35226652842).\n\n## When to seek emergency care?\n\nSudden loss of strength or sensation on one side, abrupt speech or comprehension problems, facial drooping, loss of vision, unusual confusion, very severe headache or sudden loss of balance may signal a neurological emergency. Call **112** immediately and do not drive yourself to hospital. A fall with loss of consciousness, significant pain or suspected fracture also requires urgent medical advice.\n\n## Your specialists at the practice\n\nAt the practice, neurological rehabilitation is notably provided by **[Mathilde Jeanne](/bascharage/kinesitherapeute/mathilde-jeanne)**, a physiotherapist specialised in neurology, **[Lise-Anne Parent](/bascharage/kinesitherapeute/lise-anne-parent)**, who is also trained in this field. It is to them that you will most often be directed for this type of care.\n\n## Frequently asked questions\n\nWhen should physiotherapy start after a stroke?
\n\nThe timing depends on your medical condition and the recommendations of the team following you. Rehabilitation can continue at different stages, from hospital to home and then at the practice. The physiotherapist adapts exercises to your fatigue level and the goals set with healthcare professionals.\nWhat progress can be expected?
\n\nProgress differs for each person. It may concern walking, balance, coordination, use of an arm, transfers or confidence in daily activities. Recovery is not always linear; goals are regularly reassessed with you.\nIs neurological rehabilitation painful?
\n\nExercises should not cause significant pain. Fatigue or moderate effort may be normal, but any unusual pain, lasting worsening of symptoms or malaise should be reported. Intensity and breaks are adjusted accordingly.\nWhat is neuroplasticity?
\n\nNeuroplasticity refers to the nervous system's ability to adapt and modify its functioning. Repeating useful tasks, feedback and progression can help make better use of available abilities. It does not guarantee complete recovery and does not replace medical follow-up.\nHow long does rehabilitation last?
\n\nThe duration depends on the diagnosis, how long symptoms have been present, fatigue, goals and progress. Some people need intensive support for a given period; others benefit from maintenance follow-up and regular home exercises.\nIs physiotherapy reimbursed in Luxembourg?
\n\nPrescription, authorisation and reimbursement conditions depend on your situation and current CNS rules. To find out the applicable steps, see our page [The physiotherapy consultation](/bascharage/kinesitherapie/consultation-kine) or ask the practice for advice.\nCan sessions take place at home?
\n\nYes, when travel is difficult or work in the usual environment is relevant. The practice may be preferable for certain walking, balance or strengthening exercises. The arrangement is defined according to your safety and goals.\n