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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]
Proprioception refers to the sensory information relayed from muscles, tendons, and skin that allows for the perception of the body in space. This feedback allows for more fine control of movement. In the brain, proprioceptive integration occurs in the somatosensory cortex, and motor commands are generated in the motor cortex.
The chart contains rows of the letter "E" in various kinds of rotation. The patient is asked to state (usually by pointing) where the limbs of the E are pointing, "up, down, left or right." Depending on how far the patient can "read", his or her visual acuity is quantified. It works on the same principle as Snellen's distant vision chart.
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.
A child's performance on each strand corresponds to a Performance Level Rating (Age Appropriate, Emerging or Concern) and a Developmental Age. Developmental Age, determined by calculating the results of the GDO-R, is an age in years and half-years that best describes a child's behavior and performance on a developmental scale.
The patellar reflex (knee jerk) is an example of the stretch reflex and it is used to determine the sensitivity of the stretch reflex. Reflexes can be tested as part of a neurological examination, often if there is an injury to the central nervous system. To test the reflex, the muscle should be in a neutral position.
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.