Acupuncture and Neuroreflexology

  • P. L. Ghilardi
  • C. Borsari
  • A. Casani
  • L. Bonuccelli
  • B. Fattori
Conference paper


Acupuncture [26] may be considered a valid and efficacious tool in the treatment of cervically originated vertigo since it intervenes on a known physiopathological substrate [7]. It exerts its function through the activation of the transducers in the skin and in the surface and deep muscles in the neck, which are capable of affecting the vestibulo-spinal reflex arc [5, 27]. It is well known, in fact, that vestibulo-spinal reflexes play a fundamentally important role in the maintenance of posture [1]. Experiments on animals have shown that the neurons of the lateral reticular nucleus (LRN), the bulbar relay station of the ascending somatosensorial pathway, are responsive to lateral tilting [15]. The response of these LRN neurons to head tilting does not appear to depend on either peripheral proprioception or skin feedback. While the LRN can receive signals from the macular receptors directly through Deiter’s lateral vestibular nucleus (LVN), responses to tilting can be also mediated, to a certain extent, by an indirect influence of the lateral vestibulo-spinal tract on the ascending neurons of the reticulo-spinal pathway [4]. It has already been demonstrated that the lateral vestibulo-spinal tract stimulates the extensor motoneurons of the lower limb muscles in a monosynaptic manner, whereas the descending fibers in the ventral quadrant, including those in the lateral vestibulo-spinal tract, are capable of exerting a monosynaptic stimulus in the neurons with ascending axons in the ventrolateral cord.


Whiplash Injury Balance Disorder Lateral Reticular Nucleus Lateral Vestibular Nucleus Acupuncture Analgesia 
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Copyright information

© Springer-Verlag Italia 1996

Authors and Affiliations

  • P. L. Ghilardi
    • 1
  • C. Borsari
    • 2
  • A. Casani
    • 1
  • L. Bonuccelli
    • 1
  • B. Fattori
    • 1
  1. 1.Institute of OtorhinolaryngologyUniversity of PisaPisaItaly
  2. 2.3rd Department of AnesthesiologySt. Chiara HospitalPisaItaly

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