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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]
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.
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 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."
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 crucial aspect of testing graphesthesia, as with any sensory testing, is to establish that the patient understands the test, hence the test is commenced, in the hemiplegic patient, on the normal, intact hand. This also allows the examiner to establish the patient's numeracy, since semi-numerate patients may have difficulties performing the ...
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.