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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)
It was validated both at the hospital and the community level against the standard Denver Developmental Screening Test. [2]With a sensitivity of 66.7% and specificity of 78.8%, it can be used even by community level health worker for mass screening and takes around 5 minutes to complete. [2]
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.
The McCarthy Scales of Children's Abilities has been used in many different research studies: ". . . use to evaluate the effects of nutritional supplements given to nursing mothers on the development of the nursing infants, the effects of air-pollution on children's cognitive developments, and the effects of early intervention on the cognitive development of preterm infants."
Other sensory modalities exist, for example the vestibular sense (balance and the sense of movement) and proprioception (the sense of knowing one's position in space) Along with Time (The sense of knowing where one is in time or activities). It is important that the information of these different sensory modalities must be relatable.
It is the area of integration between proprioceptive, and vestibular inputs, to aid in unconscious maintenance of balance and posture. The inferior olivary nucleus aids in complex motor tasks by encoding coordinating timing sensory information; this is decoded and acted upon in the cerebellum. [9] The cerebellar vermis has three main parts.
The first test is to lift an animal and bring the anterior/dorsal surface of a paw up to a table edge. The normal animal will position its paw onto the surface properly. The second (sometimes called the proprioceptive positioning reflex) is similar.
[57] [58] However, these models were deterministic and did not account for motor noise, which is an essential property of stochastic motor control that results in speed-accuracy trade-off. To address that, a new model was later proposed to incorporate the motor noise and to unify cost-benefit and speed-accuracy trade-offs. [59]