{"title":"Paediatric Rehabilitation","content":"**Paediatric rehabilitation supports children, from toddler to adolescent, in terms of motor skills and breathing. At the Pôle Equilibre & Santé practice in Dudelange, everything is based on a strong idea: for rehabilitation to work, it must be experienced as play. Physiotherapists design fun sessions and rely on parents, whose participation changes everything.**\n\n## How is bronchiolitis treated?\n\nEvery physiotherapist at the practice has completed [P2R training in respiratory pathologies in children](https://www.p2r-formation.fr/formation-bronchiolite/), a major focus for children's respiratory health.\n\n<p2r-training-card></p2r-training-card>\n\nThis viral respiratory infection is common each year and mainly affects infants, mainly from autumn to the end of winter. It usually starts with a simple cold with a cough, then breathing may become difficult and tiring for the baby.\n\nThe gentle approach follows the baby's breathing rhythm. Treatment begins with a clinical examination, followed by delicate movements that guide airflow without causing distress, completed by nasal clearance and washing, which we demonstrate to parents for use at home. Certain signs require immediate medical advice: a baby under three months old, refusal to drink, pauses in breathing, complexion turning blue. When in doubt, seek medical advice.\n\n## What other needs does it cover?\n\nThe scope of child rehabilitation is broad:\n\n- the flattened skull of infants, or plagiocephaly;\n- delays in the acquisition of motor skills;\n- scoliosis and other orthopaedic problems linked to growth;\n- everyday accidents (broken bones, sprains, dislocations).\n\n## Plagiocephaly and motor skills: why intervene quickly?\n\n**Plagiocephaly** refers to a skull that has become asymmetrical in the newborn, most often due to repeated positioning. Acting early is very important: place infants on their backs without a cushion, vary their position, encourage them to turn their heads and allow them to move freely. Physiotherapy is most effective when it starts in the first weeks. An [osteopathic follow-up of infants](/dudelange/osteopathie/nourrisson) can provide support.\n\nAs for **delayed motor skills**, it can be supported by following the child's major natural stages - from sensory awareness to the first steps - with games and exercises based on their progress.\n\n## Scoliosis, orthopaedics and trauma\n\n**Scoliosis** corresponds to a spinal column deviated in three dimensions; it is monitored throughout growth and rehabilitation aims to slow down its worsening, by softening the back, strengthening the trunk and supporting respiratory function. More generally, orthopaedic physiotherapy deals with posture defects and conditions specific to growth. Finally, just like adults, children get injured: rehabilitation is incorporated into games to help them recover.\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## Resources for parents\n\nTo learn more about your child's motor, respiratory and orthopaedic development, visit our specialist site [kine-pedia.lu](https://kine-pedia.lu/).\n\nFor practical information about bronchiolitis and warning signs that need medical advice, see [kine-bronchiolite.lu](https://kine-bronchiolite.lu/).\n\n## Frequently asked questions\n\n<details>\n<summary>Does respiratory physiotherapy hurt the baby?</summary>\n\nNo. The techniques used today are gentle and follow the child's rhythm. Their goal is to free the airways without distressing them.\n\n</details>\n\n<details>\n<summary>Are the physiotherapists trained in bronchiolitis care?</summary>\n\nYes. Every physiotherapist at the practice has completed [P2R training in respiratory pathologies in children](https://www.p2r-formation.fr/formation-bronchiolite/). It covers gentle techniques, assisted autogenic drainage (2019 HAS recommendations), parent education and vigilance for changes in the child's behaviour.\n</details>\n\n\n<details>\n<summary>When to act when faced with a flat head?</summary>\n\nAt the earliest, ideally from the first weeks of life. The sooner position changes and support begin, the better the skull remodels.\n\n</details>\n\n\n<details>\n<summary>How do you get a young child to cooperate?</summary>\n\nThrough play. The sessions take the form of fun activities adapted to their age, which willingly involve them and make the work effective.\n\n</details>\n\n\n<details>\n<summary>How do I make an appointment in Dudelange?</summary>\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</details>\n\n\n## Find out more\n\n- [Infant osteopathy](/dudelange/osteopathie/nourrisson) — complementary care, particularly for plagiocephaly\n- [P2R Formation](https://www.p2r-formation.fr/formation-bronchiolite/) — training in respiratory pathologies in children, completed by the whole team\n- [Respiratory rehabilitation](/dudelange/competence/cardio-respiratoire) — for respiratory conditions\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"}