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In the Romberg test, the standing patient is asked to close their eyes. An increased loss of balance is interpreted as a positive Romberg's test. The Romberg test is a test of the body's sense of positioning (proprioception), which requires healthy functioning of the dorsal columns of the spinal cord. [1]
Sensory ataxia is distinguished from cerebellar ataxia by the presence of near-normal coordination when the movement is visually observed by the patient, but marked worsening of coordination when the eyes are shut, indicating a positive Romberg's sign.
Although there were earlier clinical accounts of this disease, and descriptions and illustrations of the posterior columns of the spinal cord, it was the Berlin neurologist Romberg whose account became the classical textbook description, first published in German [4] and later translated into English.
Romberg test: Moritz Heinrich Romberg: neurology: dorsal column lesions, cerebllar lesions, alcohol intoxication: Romberg's sign at Whonamedit? inability to maintain posture with eyes closed Rose's sign? vascular medicine: deep vein thrombosis (needed) Warm, stiff feeling of skin when affected leg is pinched Rosenbach's test: Ottomar Rosenbach ...
Ataxia (from Greek α- [a negative prefix] + -τάξις [order] = "lack of order") is a neurological sign consisting of lack of voluntary coordination of muscle movements that can include gait abnormality, speech changes, and abnormalities in eye movements, that indicates dysfunction of parts of the nervous system that coordinate movement, such as the cerebellum.
He worries that a positive test result in someone without symptoms is “particularly concerning” as it would cause “significant anxiety and distress for both them and their family ...
Now, Romberg's test evaluates postural instability in an ataxic patient standing with his/her feet together. If postural instability is markedly worsened by closing his/her eyes (i.e. by eliminating the visual input), Romberg's test is positive and that means the patient has sensory ataxia, i.e. loss of spinal proprioception. In other words ...
If however, the swaying is not corrected, or the patient opens the eyes or takes a step to regain balance, Romberg's test is positive. When doing this test, stand facing the patient with your arms outstretched and hands are at the level of the patient's shoulders to catch or stabilise him/her in case of a positive Romberg's test.