Manual/musculoskeletal medicine in the treatmento of vertigo
Vestibular nuclei receive signals from the skin, muscle, and viscera, although the pathways conveying these nonlabyrinthine inputs to the vestibular nucleus neurons are unknown.
Experimental data show that an anatomical substrate is present for somatosensory and visceral inputs to influence the activity of cells in the autonomic region of the vestibular nuclei and suggest that these signals are primarily transmitted through brainstem relay neurons. This is the functional substrate of Sensory-Motor Re-programming that is possible to obtain by means of manual techniques, both low amplitude high velocity (manipulations) and high amplitude low velocity.
In the paper we will describe indications of manual techniques in vestibular rehabilitation.