{"title":"Neurological Rehabilitation","content":"**Neurological rehabilitation is aimed at adults with conditions affecting the nervous system — after a stroke, head injury or during a progressive neurological disease. At the Pôle Equilibre & Santé practice in Dudelange, the objective is to preserve autonomy and quality of life as much as possible, by helping the nervous system to recover, maintain or compensate for its capacities, in the south of Luxembourg.**\n\n## Which conditions are treated?\n\nCare covers both sudden-onset and progressive conditions:\n\n- stroke;\n- head injury after an accident or fall;\n- spinal cord injuries (paraplegia, tetraplegia);\n- multiple sclerosis (MS);\n- amyotrophic lateral sclerosis (ALS);\n- Parkinson's disease.\n\nThese conditions often lead to a loss of strength, balance or coordination, tremors, stiffness or, on the contrary, reduced muscle tone. Rehabilitation seeks to reduce these symptoms.\n\n## Is recovery possible? The role of neuroplasticity\n\nYes, to a certain extent: the brain is not fixed. Even when cells are damaged, neighbouring circuits can make new connections and take over. This phenomenon, neuroplasticity, is at the heart of rehabilitation. By repeating targeted and progressive exercises, we guide this reorganisation, session after session.\n\n## How is care planned?\n\nEverything begins with an assessment of your abilities, your difficulties and how fatigue affects you. The physiotherapist then develops a tailor-made programme with two constant priorities:\n\n- **prevent maladaptive postures** — stiffness and deformities that set in with immobility;\n- **develop the remaining motor skills**.\n\nTo do this, the physiotherapist combines passive and active mobilisations, positioning and stretches to prevent contractures, and techniques for working on balance and coordination. Active work can be supplemented by suitable equipment in the [rehabilitation facilities](/dudelange/equipement) and by [electrotherapy](/dudelange/equipement/electrotherapie).\n\n## How long does rehabilitation last?\n\nThere is no standard duration. The rule is simple: rehabilitation continues as long as it brings measurable benefits and until the objectives agreed together have been achieved. For progressive illnesses, care also aims to maintain acquired skills for as long as possible and to preserve quality of life.\n\n## In Luxembourg: reimbursement and official framework\n\nAt the Pôle Equilibre & Santé practice, this care falls under physiotherapy on medical prescription. The [National Health Fund (CNS)](https://cns.public.lu/en/assure/remboursements/prestations-remboursees/prestations-paramedicales/kinesitherapeutes.html) sets the coverage rules (generally 70%, rising to 100% in some cases). Masseur-physiotherapist is a regulated health profession in the Grand Duchy ([Ministry of Health](https://sante.public.lu/en.html)). Practical steps are explained on [The Consultation](/dudelange/kinesitherapie/consultation-kine).\n\n## Frequently asked questions\n\n### Can rehabilitation start at home?\n\nYes, when getting out is difficult initially, the physiotherapist can provide treatment at home if the doctor prescribes it. Treatment should continue in the practice as soon as possible: discover [physiotherapy at home](/dudelange/domicile/kinesitherapie-domicile).\n\n### Is recovery after a stroke still possible?\n\nIt depends on the extent of the injury, how soon treatment begins and the general condition. What is established is that neuroplasticity makes progress possible, especially when rehabilitation begins early and is based on repeated exercises.\n\n### Do I need a prescription to be reimbursed?\n\nYes. Neurological rehabilitation is provided on a medical prescription for reimbursement by the [CNS](https://cns.public.lu/); the practice manages administrative formalities.\n\n### How do I make an appointment in Dudelange?\n\nBy telephone at [+352 26 65 15 33](tel:+35226651533). The practice is located at Bloc A, 48 Rue de la Libération, L-3511 Dudelange — see [Contact & access](/dudelange/contact).\n\n## Find out more\n\n- [Vestibular rehabilitation](/dudelange/competence/reeducation-vestibulaire) — balance and dizziness\n- [Paediatric rehabilitation](/dudelange/competence/reeducation-pediatrique) — children with brain injuries or motor disabilities\n- [The Consultation](/dudelange/kinesitherapie/consultation-kine) — prescription, reimbursement, progress\n- [CNS — Physiotherapists](https://cns.public.lu/en/assure/remboursements/prestations-remboursees/prestations-paramedicales/kinesitherapeutes.html) — official reimbursement conditions\n- [Ministry of Health](https://sante.public.lu/en.html) — health professions in Luxembourg\n"}