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Romberg's test, Romberg's sign, or the Romberg maneuver is a test used in an exam of neurological function for balance. The exam is based on the premise that a person requires at least two of the three following senses to maintain balance while standing: proprioception (the ability to know one's body position in space)
Impaired proprioception may be diagnosed through a series of tests, each focusing on a different functional aspect of proprioception. The Romberg's test is often used to assess balance. The subject must stand with feet together and eyes closed without support for 30 seconds.
Some functional balance tests that are available are: Romberg Test: used to determine proprioceptive contributions to upright balance. Subject remains in quiet standing while eyes are open. If this test is not difficult enough, there is a Sharpened Romberg's test. Subjects would have to have their arms crossed, feet together and eyes closed.
The auditory system, vestibular system (within the inner ear), and proprioceptive system (sensory receptors located in the skin, muscles, tendons and joints) collectively work to coordinate movement with balance, and can also create illusory nonvisual sensations, resulting in spatial disorientation in the absence of strong visual cues.
Proprioceptive feedback is also linked to motor deficits in Parkinson's disease and cerebral palsy. People with cerebral palsy often suffer from spasticity due to hyperreflexia. [13] A common clinical test of spasticity is the pendulum test, in which the subject remains seated and the relaxed leg is dropped from horizontal.
Proprioceptive ability tests are important in testing for righting reflex function. A therapist may ask a patient whether they know where a certain limb or joint is located without looking at it. These tests are often conducted on uneven surfaces, including sand and grass. [1]
Sometimes there can be a problem with the encoding of the sensory information. This disorder is known as sensory processing disorder (SPD). This disorder can be further classified into three main types. [11] Sensory modulation disorder, in which patients seek sensory stimulation due to an over or under response to sensory stimuli.
This is a test of upper motor neuron disease. [citation needed] If a forearm pronates, with or without downward motion, then the person is said to have pronator drift on that side reflecting a contralateral pyramidal tract lesion. In the presence of an upper motor neuron lesion, the supinator muscles in the upper limb are weaker than the ...