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Ropper, Allan H. "Refined Romberg Test." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 12, no. 3 (1985): 282. http://dx.doi.org/10.1017/s0317167100047193.
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Agrawa, Yuri, John P. Carey, Howard J. Hoffman, Daniel A. Sklare, and Michael C. Schubert. "The Modified Romberg Balance Test." Otology & Neurotology 32, no. 8 (2011): 1309–11. http://dx.doi.org/10.1097/mao.0b013e31822e5bee.
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Dolch, Lisa. "Das zeigt der Romberg-Test." VPT Magazin 04, no. 01 (2017): 14–15. http://dx.doi.org/10.1055/s-0037-1618609.
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Zusammenfassung Assessments sind objektive standardisierte Testverfahren, mit denen sich in der Physiotherapie die Situation des Patienten beurteilen lässt. Sie liefern Hinweise für die Optimierung und weitere Therapieplanung. Die AG Akademisierung stellt im VPTMAGAZIN valide Tests steckbriefartig vor.
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Clarke, Frances, Yiannis Koutedakis, Margaret Wilson, and Matthew Wyon. "Associations Between Balance Ability and Dance Performance Using Field Balance Tests." Medical Problems of Performing Artists 34, no. 3 (2019): 154–60. http://dx.doi.org/10.21091/mppa.2019.3026.
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AIMS: Although balance is a key element of dance, it remains to be confirmed which balance components are associated with dance performance. The aim of this study was to assess the associations between different field balance tests and dance performance in an in-house measure in ballet, contemporary, and jazz genres. METHODS: 83 female undergraduate dance students (20±1.5 yrs, 163.04±6.59 cm, 60.97±10.76 kg) completed the Star Excursion Balance Test (SEBT), the airplane test, a dance-specific pirouette test, the modified Romberg test, and the BioSway™ Balance System. Results from these balance tests were compared to the participants’ technique and repertoire performance scores in ballet, contemporary, and jazz genres. RESULTS: Ballet scores were best predicted by SEBT 90° and Romberg for technique (r=0.4, p=0.001, SEE ±2.49) and Romberg, SEBT 90°, and SEBT 225° for repertoire (r=0.51, p=0.001, SEE±1.99). Contemporary data indicated SEBT 90° and Romberg for technique (r=0.37, p=0.001, SEE±2.67) and SEBT 225° for repertoire (r=0.27, p=0.015, SEE±2.29). Jazz indicated SEBT 90°, Romberg, SEBT 315°, and SEBT 225° for technique (r=0.51, p=0.001, SEE±2.28) and SEBT 225° and Romberg for repertoire (r=0.41, p=0.001, SEE±2.29). CONCLUSION: The present study suggests that balance ability has a limited influence on dance performance, with existing field balance tests demonstrating low to moderate associations with dance technique and repertoire.
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Murray, Nicholas, Anthony Salvatore, Douglas Powell, and Rebecca Reed-Jones. "Reliability and Validity Evidence of Multiple Balance Assessments in Athletes With a Concussion." Journal of Athletic Training 49, no. 4 (2014): 540–49. http://dx.doi.org/10.4085/1062-6050-49.3.32.
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Context: An estimated 300 000 sport-related concussion injuries occur in the United States annually. Approximately 30% of individuals with concussions experience balance disturbances. Common methods of balance assessment include the Clinical Test of Sensory Organization and Balance (CTSIB), the Sensory Organization Test (SOT), the Balance Error Scoring System (BESS), and the Romberg test; however, the National Collegiate Athletic Association recommended the Wii Fit as an alternative measure of balance in athletes with a concussion. A central concern regarding the implementation of the Wii Fit is whether it is reliable and valid for measuring balance disturbance in athletes with concussion. Objective: To examine the reliability and validity evidence for the CTSIB, SOT, BESS, Romberg test, and Wii Fit for detecting balance disturbance in athletes with a concussion. Data Sources: Literature considered for review included publications with reliability and validity data for the assessments of balance (CTSIB, SOT, BESS, Romberg test, and Wii Fit) from PubMed, PsycINFO, and CINAHL. Data Extraction: We identified 63 relevant articles for consideration in the review. Of the 63 articles, 28 were considered appropriate for inclusion and 35 were excluded. Data Synthesis: No current reliability or validity information supports the use of the CTSIB, SOT, Romberg test, or Wii Fit for balance assessment in athletes with a concussion. The BESS demonstrated moderate to high reliability (interclass correlation coefficient = 0.87) and low to moderate validity (sensitivity = 34%, specificity = 87%). However, the Romberg test and Wii Fit have been shown to be reliable tools in the assessment of balance in Parkinson patients. Conclusions: The BESS can evaluate balance problems after a concussion. However, it lacks the ability to detect balance problems after the third day of recovery. Further investigation is needed to establish the use of the CTSIB, SOT, Romberg test, and Wii Fit for assessing balance in athletes with concussions.
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Melo, Renato de Souza, Sônia Elvira dos Santos Marinho, Maryelly Evelly Araújo Freire, Robson Arruda Souza, Hélio Anderson Melo Damasceno, and Maria Cristina Falcão Raposo. "Static and dynamic balance of children and adolescents with sensorineural hearing loss." Einstein (São Paulo) 15, no. 3 (2017): 262–68. http://dx.doi.org/10.1590/s1679-45082017ao3976.
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ABSTRACT Objective To assess the static and dynamic balance performance of students with normal hearing and with sensorineural hearing loss. Methods A cross-sectional study assessing 96 students, 48 with normal hearing and 48 with sensorineural hearing loss of both sexes, aged 7 and 18 years. To evaluate static balance, Romberg, Romberg-Barré and Fournier tests were used; and for the dynamic balance, we applied the Unterberger test. Results Hearing loss students showed more changes in static and dynamic balance as compared to normal hearing, in all tests used (p<0.001). The same difference was found when subjects were grouped by sex. For females, Romberg, Romberg-Barré, Fournier and Unterberger test p values were, respectively, p=0.004, p<0.001, p<0.001 and p=0.023; for males, the p values were p=0.009, p<0.001, p<0.001 and p=0.002, respectively. The same difference was observed when students were classified by age. For 7 to 10 years old students, the p values for Romberg, Romberg-Barré and Fournier tests were, respectively, p=0.007, p<0.001 and p=0.001; for those aged 11 and 14 years, the p values for Romberg, Romberg-Barré, Fournier and Unterberger tests were p=0.002, p<0.001, p<0.001 and p=0.015, respectively; and for those aged 15 and 18 years, the p values for Romberg-Barré, Fournier and Unterberger tests were, respectively, p=0.037, p<0.001 and p=0.037. Conclusion Hearing-loss students showed more changes in static and dynamic balance comparing to normal hearing of same sex and age groups.
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Putri, Fauzia Alya, and Dwi Rosella Komalasari. "Validity and Reliability Testing of the Romberg Test Using a Methodological Approach in Stroke Patients." Majalah Ilmiah Fisioterapi Indonesia 13, no. 1 (2025): 32. https://doi.org/10.24843/mifi.2025.v13.i01.p07.
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Introduction: One of the challenges post-stroke patients face is a decrease in balance, both static and dynamic. Evaluating static balance is crucial to prevent the risk of falls in stroke patients. One tool used to assess static balance is the Romberg test. A good measurement tool requires high validity and reliability. This study aims to evaluate the reliability and validity of the Romberg test to measure static balance in stroke patients. Methods: This study employed an observational research design with a methodological approach, conducted at Pandan Arang Hospital in Boyolali from September to October 2024. The study population included stroke patients aged over 46 years. A total of 33 subjects were selected using purposive sampling, adhering to inclusion and exclusion criteria. Data were analyzed using descriptive-analytic methods. The validity of the Romberg test was assessed using the Pearson Product Moment, while reliability was measured using Cronbach’s Alpha and Intraclass Correlation Coefficients (ICC) to determine internal consistency. Results: The intra-rater reliability of Cronbach's Alpha for open and closed eyes tests was ?=0.947 and ?=0.994, respectively, indicating high consistency (ICC=0.973 and ICC=0.997). Similarly, the inter-rater reliability for both open and closed eyes tests showed excellent Cronbach’s Alpha values (?=1.000) and high consistency (ICC=1.000). Validity analysis using the Pearson Product Moment for open and closed eyes tests demonstrated high validity (p<0.001, r=0.947 and r=0.994, respectively). Conclusion: The Romberg test is proven valid and reliable for measuring static balance in stroke patients. Keywords: validity, reliability, Romberg test, balance, stroke
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Kim, So Young, Yang-Sun Cho, Ji-Soo Kim, and Ja-Won Koo. "Association between Bone Metabolism and Vestibular Problems in the Modified Romberg Test: Data from the 2009–2010 Korean National Health and Nutrition Examination Survey." Journal of Clinical Medicine 9, no. 8 (2020): 2415. http://dx.doi.org/10.3390/jcm9082415.
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Osteoporosis contributes to the occurrence of falling and vestibular problems, particularly in elderly patients. This study aimed to investigate the association between bone metabolism with vestibular problems and falling. A total of 4054 participants of the Korean National Health and Nutrition Examination Survey (KNHANES) from 2009 to 2010 aged ≥50 years old were surveyed on their history of falling, vestibular problems evaluated by the modified Romberg test, variables involving bone metabolism, and serum levels of vitamin D and alkaline phosphatase. They also underwent dual energy X-ray absorptiometry. The crude (simple) and adjusted odd ratios (ORs) of variables involving bone metabolism for vestibular problems in the modified Romberg test and falling were analyzed using a logistic regression model. A subgroup analysis was performed according to sex and the presence of menopause in females. Vestibular problems in the modified Romberg test group but not the falling group were associated with decreased serum vitamin D levels (p < 0.001; odds ratio (OR) = 0.951; 95% confidence interval (CI), 0.926–0.976). In subgroup analysis according to sex, the post-menopause group showed a higher rate of vestibular problems in the modified Romberg test compared to the pre-menopause group (4.5% vs. 0.7%, p = 0.019). In the post-menopause group, osteoporosis was positively associated with vestibular problems in the modified Romberg test (p = 0.001, OR = 10.971, 95% CI = 2.650–45.414). On the other hand, a history of hormone replacement therapy was negatively related with vestibular problems in this subgroup (p = 0.035; OR = 0.473; 95% CI = 0.239–0.948). A decrease in serum vitamin D levels may impact the vestibular system through neural signaling or by osteoporotic changes of the otic capsule, as well as otolith particles. Decreased estrogen levels in postmenopausal women may make them more prone to osteoporotic changes, which were associated with vestibular problems in the modified Romberg test. Because this is a cross-sectional study, the causal relationship of bone metabolism with vestibular function needs to be investigated.
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Woon, Yvonne Khor Yee, Eileen L. M. Su, Kang Xiang Khor, Muhammad Najib Bin Abdullah, and Che Fai Yeong. "Comparison between Romberg test with sensor-based balance assessment using electronic wobble board." Journal of Physics: Conference Series 2622, no. 1 (2023): 012009. http://dx.doi.org/10.1088/1742-6596/2622/1/012009.
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Abstract The number of fall-related injuries resulting in hospital admissions could place a significant load on hospitals. Prior research revealed that balance impairment is the most reliable indicator of future falls, and postural instability testing is expensive and tedious to be applied in clinical settings. This paper presents an objective based balance assessment method using an electronic wobble board to examine the balance ability among individuals, with minimal specialist intervention. The balancing assessment software modules provide visual feedback such as visual concentration, test procedure teaching, and time counting. Quick objective balance evaluation is facilitated by the software modules, which also can comprise visual feedback and provides instant biofeedback with objective measurements of user’s progress. The balance assessment score obtained from this electronic wobble board was compared against physiotherapists’ ratings using the Romberg test. The results indicated that the sensor-based balance score is comparable with the expert ratings using the Romberg test. Additionally, the sensor-based score provides higher sensitivity in differentiating among similar categories of subjects as compared to the conventional Romberg test.
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Annafisah, Zuhaida, and Ika Rosdiana. "The Effect of Exercise on Elderly Body Balance which Measured By Romberg Test Study in Plamongansari Pedurungan Semarang." Sains Medika : Jurnal Kedokteran dan Kesehatan 4, no. 2 (2012): 142. http://dx.doi.org/10.30659/sainsmed.v4i2.370.
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Background: Balance disorders is a major cause which often lead elders to fall easily. Body balance reduction of elders can be helped by many variety of balance exercises, one of them is elders exercise. There have been many researches on the assessment of body balance. But a research carrying a Romberg Test to assesses static balance by closing and opening eyes as a visual organ has not been done. This study aims to determine the effect of exercise on elderly body balance which measured by Romberg Test.Design and Method: Analytic observational research with cross-sectional approach was conducted to elderly who routinely do exercises and to them who don’t. There were 82 samples, consisted of 41 elderly do exercises and 42 elderly who don’t. Body balances of both groups were measured using the Romberg test. The data were analyzed by chi-square.Result: Among the 41 elderly who do exercise, consisted of 12 men and 29 women, showed 97.56% balanced and 2.44% unbalanced. While 41 elderly aged over 60 years who don’t do exercise, consisted of 15 men and 26 women, showed 46.34% balanced and 53.66% unbalanced. The results of chi-square test showed p = 0.000; r = 0.495.Conclusion: The elderly exercises influence the body balance as measured using the Romberg Test to healthy elderly, with a moderate degree of correlation (Sains Medika, 4(2):142-146).
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Konig, Pablo Rafael, Eveline Galarza, Natália Batista Albuquerque Goulart, Fábio Juner Lanferdini, Carlos Leandro Tiggeman, and Caroline Pieta Dias. "Effects of Tai Chi Chuan on the elderly balance: a semi-experimental study." Revista Brasileira de Geriatria e Gerontologia 17, no. 2 (2014): 373–81. http://dx.doi.org/10.1590/s1809-98232014000200014.
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Aging impairs the functional capacity, possibly compromising the balance over the years. However, Tai Chi Chuan is a martial art that can provide balance improvements in elderly people. This study aimed to evaluate balance in elderly after three and six months of Tai Chi Chuan practicing. Participants were 27 individuals (62±4.4 years) who underwent Tai Chi Chuan training (one hour each) twice a week, for six months. Balance was assessed by the Timed Up and Go (TUG) test, Berg Balance Scale (BBS) and Romberg test, all evaluated before and after three and six months of practicing. MANOVA for repeated measures was used to compare times in TUG and BBS tests. The Cochrane Q test was used to compare moments and frequencies in the Romberg test (α=0.05). Results showed significant improvement in TUG performance (p≤0.01), BBS score (p≤0.01) and in the Romberg test (p≤0.01) after three and six months, compared with pre-training. These results suggest that Tai Chi Chuan practice can improve the balance in elderly people.
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González-Iñigo, Salvador, Pedro V. Munuera-Martínez, Guillermo Lafuente-Sotillos, José M. Castillo-López, Javier Ramos-Ortega, and Gabriel Domínguez-Maldonado. "Ankle sprain as a work-related accident: status of proprioception after 2 weeks." PeerJ 5 (December 15, 2017): e4163. http://dx.doi.org/10.7717/peerj.4163.
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PurposeThis study aims at verifying whether proprioception is abnormal or not, two weeks after a grade 1 and 2 ankle sprain in the scope of work-related accident.MethodsA descriptive, observation and transversal study was designed to compare speed, movement and oscilation of centre of pressure in employees of companies signed up to a mutual company. Participants’ healthy feet comprised the control group, and feet that had undergone an ankle sprain due to a work-related accident comprised the cases group. The following stability tests were undertaken to both the healthy and injuried feet using a force plate: Monopodal Romberg test with eyes open, Monopodal Romberg test with eyes open on a 30 mm thick foam rubber, Monopodal Romberg test with eyes closed, and Romberg test as monopodal support with eyes closed on a 30 mm thick foam rubber. A multiple logistic regression analysis was performed. From the results of this regression model the COR curve test was performed.Results71.7% accuracy in the predictions was attained. The equation was as follows:Condition (injured or healthy)=0.052⋅%RGC AP Movement − 0.81⋅MREO AP Movement. The variable MREO antero-posterior movement was used in the COR curve methodology. The area under the curve was greater than 0.65 and at a 95% confidence interval the 0.75 value was included, which in our case was the injured subject condition. Values for sensitivity, specificity, positive predictive value and negative predictive value were 0.667, 0.633, 64.5%, and 65.5%, respectively.ConclusionThe participants in this study showed a diminished capacity for postural control in an ankle two weeks after an ankle sprain.
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Hernandez Arango, Nicolas, María Paula Godoy Infante, Sofía González Briceño, Diego Armando Vásquez Martínez, Lisbet Yuliana Pérez Pérez, and Rafael Ricardo Chacón Durán. "Evaluación de la propiocepción en población estudiantil mediante el test de Romberg modificado: efecto de una intervención." Salud & Sociedad Uptc 9, no. 2 (2024): 53–66. http://dx.doi.org/10.19053/uptc.2744953x.18290.
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Antecedentes: La prueba de Romberg modificada es útil en la medición de la propiocepción de los adultos aún con su limitada aplicación en la actualidad por falta de consenso y uniformidad entre las diferentes pruebas. Sin embargo, esta es una prueba rápida, fiable, reproducible y económica. Objetivo: evaluar mediante la prueba de Romberg modificada, el impacto sobre la propiocepción cuando se implementa un programa de ejercicios de entrenamiento, en población universitaria. Materiales y Métodos: Estudio observacional, cuasiexperimental, de intervención antes-después, sin grupo control. Muestra de 53 estudiantes de medicina de la UPTC - Tunja en el periodo 2022-2.Se realizó una intervención de entrenamiento para estimular la propiocepción, cuyo impacto se evaluó mediante el test de Romberg modificado antes y después del entrenamiento. La información se tabuló y analizó en el software Epi-Info7, con técnicas de estadística descriptiva para las variables cuantitativas y para las variables categóricas se diseñaron tablas de contingencia. Resultados: se encontró un aumento del promedio del resultado final respecto al inicial para ambas lateralidades y en el mismo sentido se encontró una diferencia positiva, entre el resultado promedio final y el inicial, con un promedio inicial para la pierna derecha de 17 segundos y final de 21,6 segundos; para la pierna izquierda fueron de 16,6 segundos inicialmente y 21,4 segundos al final. La diferencia promedio de la pierna derecha fue de 5,09 segundos, siendo esta mayor que la diferencia de 4,75 segundos de la pierna izquierda. Conclusión: La prueba de Romberg modificada es útil en la medición de la propiocepción; El punto de corte de esta prueba es de 20 segundos, los resultados inferiores a este se considera un déficit propioceptivo y superiores indican el estado propioceptivo; La propiocepción es un sentido poco estudiado, ejercitado y evaluado que necesita más investigación y aplicación en la clínica, para prevenir lesiones.
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Castillo-Daza, Carlos A., Jhonatan C. Peña-Ibagon, and Luis Eduardo Rodríguez Cheu. "Stabilometric Characteristics of the Skateboarding Athlete from the Romberg Test." International Journal of Human Movement and Sports Sciences 9, no. 6 (2021): 1284–90. http://dx.doi.org/10.13189/saj.2021.090623.
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Gorgy, O., J. L. Vercher, F. Buloup, and T. Coyle. "6.15 Postural sway during lateral perturbation of tandem romberg test." Gait & Posture 21 (June 2005): S37. http://dx.doi.org/10.1016/s0966-6362(05)80127-4.
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Tjernström, Fredrik, Måns Björklund, and Eva-Maj Malmström. "Romberg ratio in quiet stance posturography—Test to retest reliability." Gait & Posture 42, no. 1 (2015): 27–31. http://dx.doi.org/10.1016/j.gaitpost.2014.12.007.
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Majeed, Shahid, Samina Farooqi, and Anum Jamshed. "Vestibular Disorders and Their Impact on Balance and Mobility." Pakistan Journal of Medical and Health Sciences 17, no. 3 (2023): 686–88. http://dx.doi.org/10.53350/pjmhs2023173686.
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Background: Our sense of balance and spatial orientation is reliant on intricate network of structures in the inner ear called the vestibular system. Any disruption or damage to this system can result in various vestibular disorders that significantly affect an individual's balance and mobility. Objectives: The study highlighted the impact of vestibular disorders on balance and mobility of the body, its importance of early detection and outcome. Methods: The research was conducted at Mufti Mehmood Memorial Teaching Hospital, Dera Ismail Khan, from September 2021 to December 2022, comprising 86 participants having trouble in body balance and mobility diagnosed with vestibular disorders. They were investigated though a balance questionnaire including questions about their history of dizziness and falls for 01 year and a balance test through modified Romberg Test. Results: Mean age of patients was 54.22+10.47 years. It was seen that out of 86 patients, 17 had a history of falling (19.76%), 23 (26.74%) reported experiencing dizziness, 63 (73.26%), 8 (9.3%) patients reported having a history of fainting, while 38 (44.18%) reported mild vertigo, 13 (15.11%) reported moderate vertigo, and 7 (8.13%) reported severe vertigo. The impact of vestibular disorders on balance and mobility measured through Modified Romberg Test revealed that only 15 (17.44%) patients passed Romberg Test and 71 (82.55%) were failed and ranked positive cases for loss of body balance and mobility. Practical implication: Overall, research on vestibular disorders and their impact on balance and mobility has important practical implications for healthcare providers and patients. Early detection, targeted interventions, education, assistive devices, and a multidisciplinary approach can all help improve balance and mobility and reduce the risk of falls. Conclusion: Vestibular disorders can have a significant impact on an individual's balance and mobility. The presence of vestibular dysfunction significantly raises chances of falls, which are among the most debilitating and expensive health conditions affecting elderly individuals. Keywords: Fall injuries; Romberg test; Vertigo; Vestibular dysfunction.
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Yvon, C., A. Najuko-Mafemera, and R. Kanegaonkar. "The D+R Balance application: a novel method of assessing postural sway." Journal of Laryngology & Otology 129, no. 8 (2015): 773–78. http://dx.doi.org/10.1017/s0022215115000912.
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AbstractBackground:Postural sway can be assessed clinically using the Romberg test, or quantified using dynamic posturography. We assessed the potential use of a novel iPhone application as a method of quantifying sway.Methods:Fifty healthy volunteers performed the Romberg and tandem Romberg tests on a hard floor and on foam in soundproofed and normal clinic rooms. Postural sway was recorded using the D+R Balance application and data were compared using pairedt-tests.Results:Significantly more postural sway was noted in participants when standing with their eyes closed and feet in the ‘tandem’ positionvsfeet together; standing with their eyes closed on foamvson the floor; and standing with their eyes closed on foam with feet in the tandem positionvson the floor with feet together.Conclusion:This feasibility study suggests that the iPhone D+R Balance application deserves further investigation as a means of assessing postural sway and may provide an alternative to current dynamic posturography systems.
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Marciniak, Katarzyna, Janusz Maciaszek, Magdalena Cyma-Wejchenig, Robert Szeklicki, and Rafał Stemplewski. "The Effect of Nordic Walking Training with Poles with an Integrated Resistance Shock Absorber on the Body Balance of Women over the Age of 60." Healthcare 9, no. 3 (2021): 267. http://dx.doi.org/10.3390/healthcare9030267.
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The aim of this study was to assess the changes in the balance of healthy, elderly women as a result of Nordic walking training using of two types of poles: classic poles, and poles with an integrated resistance shock absorber. Thirty-four women completed the experiment (Age = 66.8 ± 4.1 years). They were randomly assigned into the experimental group—training with poles with an integrated resistance shock absorber—EG (n = 17), and the control active group—training with classic poles—CG (n = 17). Body balance was measured with Romberg sharpened test and using the AccuGait ™ force platform before and after an intervention lasting for 8 weeks (2 training sessions × 75 min per week). In ANOVA analysis, the Romberg sharpened test showed a statistically significant effect of “time” (F = 18.62, p < 0.001, ɳ2 = 0.37). No interaction effect or clear “time” effect was observed in the ANOVA analysis for the results of posturographic tests (p > 0.05). The lack of pre-post differences in posturographic tests indicates that further research is necessary, where, e.g., there are extended intervention times and more difficult examination tasks are performed. In the case of the Romberg test, both groups improved their results, which may indicate an improvement in perception and processing of sensory information, regardless of the type of training applied.
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LaCoste, Lucien. "On: “Evaluation of the BGM-3 sea gravity meter system onboard R/V Conrad by Robin E. Bell and A. B. Watts (GEOPHYSICS, 51, 1480–1493, July 1986.)." GEOPHYSICS 52, no. 5 (1987): 697. http://dx.doi.org/10.1190/1.1442337.
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I would like to comment on Bell and Watt’s interesting article. First, the following statement is incorrect, “Of the new generation of axially symmetric sea gravity systems, only the Bodenseewerk KSS-30 and the Bell Aerospace BGM-3 systems are presently available.” Actually, LaCoste and Romberg Gravity Meters, Inc., owns U.S. Patent No. 3,717,036 which describes the axially symmetric sea gravity meter being built and sold by LaCoste and Romberg. The actual gravity meter is described in my article “LaCoste and Romberg straight‐line gravity meter” (LaCoste, 1983) Also, field tests of the first of these straight‐line gravity meters are described in Valliant (1983). In addition, a comparative sea test between the straight‐line sea gravity meter and the Bodensee KSS-30 has been made (Macnab et al., 1985). Since late 1985, we have had our straight‐line meters available for immediate sale, and they were available on order as early as 1983. Our straight‐line (axially symmetric) gravity meters are definitely available and proven.
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Zhong, Xuan, and William A. Yost. "Relationship between Postural Stability and Spatial Hearing." Journal of the American Academy of Audiology 24, no. 09 (2013): 782–88. http://dx.doi.org/10.3766/jaaa.24.9.3.
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Background: Maintaining balance is known to be a multisensory process that uses information from different sensory organs. Although it has been known for a long time that spatial hearing cues provide humans with moderately accurate abilities to localize sound sources, how the auditory system interacts with balance mediated by the vestibular system remains largely a mystery. Purpose: The primary goal of the current study was to determine whether auditory spatial cues obtained from a fixed sound source can help human participants balance themselves as compared to conditions in which participants use vision. Research Design: The experiment uses modified versions of conventional clinical tests: the Tandem Romberg test and the Fukuda Stepping test. In the Tandem Romberg test, participants stand with their feet in a heel-to-toe position, and try to maintain balance for 40 sec. In the Fukuda Stepping test, a participant is asked to close his or her eyes and to march in place for 100 steps. The sway and angular deviation of each participant was measured with and without vision and spatial auditory cues. An auditory spatial reference was provided by presenting a broadband noise source from a loudspeaker directly in front of the participant located 1–2 m away. Study Sample: A total of 19 participants (11 women and 8 men; mean age = 27 yr; age range = 18 ˜ 52 yr), voluntarily participated in the experiment. All participants had normal vision, hearing, and vestibular function. Intervention: The primary intervention was the use of a broadband noise source to provide an auditory spatial referent for balance measurements in the Tandem Romberg test and Fukuda Stepping test. Conditions were also tested in which the participants had their eyes opened or closed. Data Collection and Analysis: A head tracker recorded the position of the participant's head for the Tandem Romberg test. The angular deviation of the feet after 100 steps was measured in the Fukuda Stepping test. An average distance or angle moved by the head or feet was calculated relative to the head or feet resting position for each test. The average head sway or angular deviation was measured in an eyes-open condition (no sound), eyes-closed condition (no sound), and an eyes-closed condition with sound. Repeated-measures analysis of variance was used for both tests. Results: The results showed a significant benefit in postural stability in both experiments when spatial auditory cues were present (p < .01). For the Tandem Romberg test, the benefit from spatial auditory cues alone is a 9% reduction in mean sway, as compared to 44% from visual cues alone. For the Fukuda Stepping test, the benefit from spatial auditory cues alone is a 76% reduction in mean body sway, as compared to 98% from visual cues alone. Conclusions: The current study demonstrated a connection between spatial hearing and balance. The experiments showed that a single fixed sound source can provide sufficient spatial cues for the central nervous system to better control postural stability. The compensation effect that the vestibular system receives from the auditory cues, however, is weaker than that received from visual cues.
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Kaloti, Zaid, Kendall Bell, Mowyad Khalid, and Diane Levine. "Cerebellar ataxia a unique initial presentation of Legionnaires’ disease." BMJ Case Reports 13, no. 3 (2020): e230710. http://dx.doi.org/10.1136/bcr-2019-230710.
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We present a case of Legionnaires’ disease complicated by cerebellar ataxia. A 60-year-old man was diagnosed with Legionnaires’ disease by urine antigen after presenting to the hospital with a main problem of headache and gait instability. He also had a productive cough, as well as nausea, vomiting and diarrhoea. Initial physical examination revealed a positive Romberg test, positive pronator drift, severely unsteady gait and bilateral upper extremity resting tremors with the remainder of cranial nerves and neurological examination being unremarkable. The patient had a prolonged hospital course requiring endotracheal intubation and mechanical ventilation. He received 14 days of levofloxacin with resolution of the pneumonia. On repeat assessment prior to discharge, the patient’s neurological symptoms improved; however, he still had mild residual gait instability, dysdiadokinesia and difficulty with fine motor tasks such as writing. Romberg test remained positive.
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Sarda, ShardaAjay, and Amit Patil. "Usefulness of modified Romberg test in screening persons with vestibular dysfunction." Indian Journal of Otology 25, no. 2 (2019): 66. http://dx.doi.org/10.4103/indianjotol.indianjotol_56_18.
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Adriztina, Indri, Adlin Adnan, Siti Hajar Haryuna, Parluhutan Siagian, and Sorimuda Sarumpaet. "Gangguan Pendengaran dan Keseimbangan pada Penderita Tuberkulosis yang Mendapat Pengobatan Antituberkulosis Kategori 1 dan 2." Kesmas: National Public Health Journal 8, no. 8 (2014): 430. http://dx.doi.org/10.21109/kesmas.v8i8.416.
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Tuberkulosis merupakan masalah yang serius di masyarakat. Pada tahun 2010, World Health Organization mencatat jumlah penderita tuberkulosis di Indonesia menurun ke posisi empat dengan meningkatnya keberhasilan pengobatan obat antituberkulosis (OAT). Namun, pemberian OAT jangka panjang dapat menyebabkan efek samping ototoksik berupa gangguan pendengaran dan keseimbangan. Penelitian ini dilakukan untuk mengetahui efek ototoksik pada penderita tuberkulosis paru dengan pemberian OAT di RSUP H. Adam Malik Medan. Penelitian ini bersifat deskriptif dengan pendekatan potong lintang. Analisis univariat dilakukan dengan tabel frekuensi distribusi sedangkan analisis bivariat dilakukan dengan menggunakan uji t dan Fisher’s exact test. Didapatkan 35 penderita tuberkulosis yang memenuhi kriteria inklusi, 22 orang dengan pengobatan tuberkulosis kategori 1 dan 13 orang tuberkulosis kategori 2. Dilakukan pemeriksaan audiometri nada murni dan tes keseimbangan. Tiga orang (33,3%) penderita tuberkulosis kategori 1 dan 6 orang (66,7%) penderita tuberkulosis kategori 2 mengalami gangguan pendengaran (p < 0,05). Hasil tes keseimbangan menunjukkan perbedaan yang signifikan yaitu 7 orang (100%) tuberkulosis kategori 2 dengan positif tes Romberg dan 11 orang (100%) tuberkulosis kategori 2 positif tes tandem Romberg. Gangguan pendengaran dan keseimbangan pada penderita tuberkulosis paru dengan OAT ditemukan lebih tinggi pada kategori 2 dibandingkan dengan kategori 1 dengan perbedaan yang signifikan.Tuberculosis remains a serious problem in the community. In 2010, World Health Organization report that Indonesia’s ranking decrease to fourth position due to success of antituberculosis treatment. But the long term administration of antituberculosis treatment may cause ototoxic effect like hearing and balance impairment. The aim of this study was to describe ototoxic effect of subjects who were given tuberculosis treatment in H. Adam Malik General Hospital. This is a descriptive study with cross sectional approach. Univariat analysis was done by frequency distribution table, meanwhile bivariat analysis was done by t-test and Fisher’s exact test. Thirty five pulmonary tuberculosis patients met the inclusion criteria. Twenty two patients with 1st category, and 13 patients with 2nd category tuberculosis treatment. Pure tone audiometric and balance examination was evaluated. Three patients (33.3%) of 1st category tuberculosis and 6 (66.7%) patients of 2nd category tuberculosis have hearing loss with significant difference (p<0.05). Balance test showed 7 people (100%) of 2nd category tuberculosis having positive Romberg test and 11 people (100%) of 2nd category tuberculosis having positive tandem Romberg test. Hearing and balance impairment found higher in patients with 2nd category antituberculosis treatment with significantly different.
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Stratiy, Nataliia, Ludmila Sychova, Iryna Kachailo, and Vitaliy Gargin. "Complex Physical Rehabilitation of Women of Reproductive Age with Stage I Hypertensive Heart Disease." Physical Education Theory and Methodology 23, no. 1 (2023): 103–9. http://dx.doi.org/10.17309/tmfv.2023.1.15.
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Background. Hypertensive heart disease (HD) is a chronic abnormality that affects various systems of the body and is especially unfavorable for women of reproductive age. The purpose of the study was to develop a comprehensive program of physical rehabilitation for young women suffering with stage I hypertensive heart disease at the outpatient stage of rehabilitation and evaluate its effectiveness. Materials and methods. 42 young women with a diagnosis of HD were randomly divided into two groups: one performing traditional physical rehabilitation (control group) and the other following a method based on the Pilates system. Questionnaire, Martinet-Kushelevsky test, modified Romberg test, and Deshin test were performed. Results. Questionnaire and examination for determination of therapeutic tasks in the application of physical rehabilitation show improvement due to the use of the suggested methodology. Indicators of Martinet-Kushelevsky test improved from 2.46 points to 5.48 points (p<0.01) which is better (p<0.05) than in the case of the traditional methodology where they changed from 2.44 to 4.61 (p<0.01). Kotov-Deshin test results show improvement in both groups evenly but the test results of the women of the main group improved from “unsatisfactory” to “good”, and those of the women of the control group improved from “unsatisfactory” to “satisfactory” with significantly better results in the main group (p<0.05). Distribution of the Romberg test results show improvement of vestibular stability in all participants of the main group. Conclusions. The proposed program of complex physical rehabilitation of patients with stage I hypertensive heart disease using the Pilates method proved to be effective. Due to this program, there was a significant decrease in heart rate, systolic and diastolic pressure, an improvement in the response of the cardiovascular system to the Martinet-Kushelevsky functional test as well as in the state of the respiratory and nervous systems, as evidenced primarily by the indicators of hypoxic tests, spirometry, clino- and orthostatic tests, with the Romberg and Deshin methods.
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kaya, Serhat. "The relationship between balance and flu-like symptoms: a medical condition that needs attention." Annals of Medical Research 30, no. 3 (2023): 1. http://dx.doi.org/10.5455/annalsmedres.2023.01.039.
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Objective: In general, while upper respiratory tract viruses cause flu-like complaints, balance problems associated with these viruses are often overlooked. It has been a long time since the first appearance of Covid-19, but unfortunately, there is still no fully effective treatment for this disease. Along with balance manifestations, especially several vestibular symptoms such as dizziness, vertigo, and tinnitus are described as common clinical manifestations in COVID-19. In our study, we investigated the effects of Covid-19 on the balance system with routine balance tests and we tried to localize a possible disorder in the balance system. Materials and Methods: Volunteers were divided into two groups. The number of volunteers in each group was thirty. The first group consisted of SARS-CoV-2-positive patients and the second group consisted of healthy people. Spontaneous nystagmus determination, Romberg test, Fukuda stepping test (FST), head thrust test (HTT), head shake test (HST), finger-nose test, and tandem walking test were applied. Results: The lateral fall in the Romberg test, rotation in the FST, and nystagmus in the HST are significant in Group 1 (p<0.001), (p<0.001), (p<0.03). The relationship between the fall side in the Romberg test and the direction of rotation in the FST were found to be significant in Group 1 (p<0.001). Similarly, the relationship between the direction of rotation in the FST and the nys-tagmus direction in the HST, and the direction of the saccadic correction in the HTT were found to be sig-nificant (p<0.026), (p<0.010). Conclusion: In SARS-CoV-2 positive patients, the balance system, especially the peripheric vestibular system, may be affected even if the patients do not have obvious complaints about balance. Routine balance tests that can be performed quickly in the outpatient clinic can be used effectively for the evaluation of balance.
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Nesen, O., and E. Lyuchkova. "Changes in balance indicators of taekwondo players under the influence of using exercises on unstable support." Єдиноборства, no. 4(26) (November 1, 2022): 54–62. http://dx.doi.org/10.15391/ed.2022-4.06.
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Рurpose: of the study is to track changes in the balance indicators of taekwondo players aged 13-14 under the influence of exercises on unstable support. Material and methods. 8 taekwondo athletes aged 13-14 (4th year of training) participated in the study. To implement the tasks of our research, the following methods were used: to establish the relevance of the topic and select appropriate tests, an analysis of scientific and methodical literature was conducted; to determine balance indicators, Romberg's test was performed on the right and left leg, with eyes open and closed, and a test according to the Yarotskiy method; in order to check the effectiveness of exercises on an unstable support, a pedagogical study was organized and the obtained indicators were analyzed by methods of statistical information processing. Pedagogical testing was conducted remotely through the zoom virtual conference platform for each individual athlete in a separate conference session. Results: indicators of balance development of taekwondo players aged 13-14 have been established at a sufficient level. There was no difference between the performance of balance test exercises on the left and right leg in athletes (at p˃0,05). Performance indicators of the Romberg test while standing on one leg with eyes open are significantly higher than performance of this task with eyes closed (at p˂0,01). After the conducted pedagogical study, the balance indicators of young athletes in almost all test exercises underwent positive changes: the performance indicators of the Romberg test on the right and left leg with open eyes improved by 10,1 % and 7,6 %, respectively (at p˂0,05); with eyes closed improved by 11,6 % when performing the test on the right leg and by 14 % on the left leg (at p˂0,05). The results of the Yarotskiy test in our study had an improvement of 10,8 %, but did not have reliability (at p˃0,05) Conclusions. The suggested exercises of an imitative nature, which are performed on a non-sticky support, have a positive effect on the development of coordination abilities of taekwondo players, in particular, balance. Keywords: taekwondo player, coordination, balance, development, sports training, unstable support.
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Lee, Hyunwook, Seunguk Han, and Jon Ty Hopkins. "Altered Visual Reliance Induced by Stroboscopic Glasses during Postural Control." International Journal of Environmental Research and Public Health 19, no. 4 (2022): 2076. http://dx.doi.org/10.3390/ijerph19042076.
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Little is known about how disrupted vision affects visual reliance during postural control. postural control. Twenty-four physically active adults volunteered to participate in the study. Static postural control was quantified with center of pressure measures during a one-legged balance test with four different visual inputs (eyes-open (EO), high frequency of strobe vision (HSV), low frequency of strobe vision (LSV), and eyes-closed (EC)) and on two different surfaces (firm and foam). Dynamic postural control was calculated by the dynamic postural stability index and the Y-Balance test for three different visual inputs (EO, HSV, and LSV) and the two different surfaces. Romberg ratios (HSV/EO, LSV/EO, and EC/EO) were then calculated and used for statistical analysis to assess visual contribution during postural control. In the results, Romberg ratios were higher when people were on the foam surface than the firm surface in center of pressure total path in medial-lateral and anterior-posterior directions (p < 0.05, both directions). Similarly, Romberg ratios were higher on the foam surface than the firm surface in dynamic stability index in medial-lateral and anterior-posterior directions (p < 0.05, both directions). Stroboscopic glasses could alter visual reliance when the somatosensory system is disturbed by a foam pad during both static and dynamic postural control. Clinicians could use the glasses to manipulate visual reliance during dynamic balance training for patients with musculoskeletal injuries.
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Kapounková, Kateřina, Ivan Struhár, and Jitka Kopřivová. "Závislost hypermobility na výskytu lehkých mozečkových dysfunkcí u závodnic v moderní gymnastice." Studia sportiva 10, no. 1 (2016): 96–102. http://dx.doi.org/10.5817/sts2016-1-9.
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The aim of the study was to ascertain information upon the occurrence of hypermobility as well as the symptoms of light brain dysfunction in rhythmic gymnasts and to prove their relationship. The research sample consisted of 78 girls from rhythmic gymnastics teams from the Czech Republic with average age 12,81 ± 2,47. The study used deliberate selection on the basis of chosen criteria: women, age 10 – 18 years, at least 5 let of specialised training in rhythmic gymnastics, week load at least 10 hours. The diagnostics of hypermobility used the method of measuring joint range with the aid of goniometer. The range of the movement of hip joint was measured and Janda test. The diagnostics of mild brain dysfunction diagnostics used orientation brain tests. It is the test of tax, which is aimed upon the proper aiming of movement, test of diadochokinesis, which is aimed at the ability to perform alternating movements, and the test of stability using Romberg pose on a balance platform with open eyes. The results of the goniometric measurement showed a significant flexibility of the gymnasts, mainly in the area of their hip joint (flexe right hip joint 161,09 °; ± 14,78 and flexe left hip joint 158,54 ° ± 14,05). When diagnosing mild brain dysfunction using tax, in both the upper and the lower extremities, no pathology was ascertained, on the contrary, however dysdiadochokinesis was found in 7 gymnasts. The results of the Romberg pose on the balance platform were mildly above the norm (compared with general population), nonetheless, the 7 people with dysdiadochokinesis showed results under the values of the general population. The people with dysdiadochokinesis, also showed worse results in the Romberg pose on the balance platform, as well as the symptoms of hypermobility, which where proved by goniometric examination.
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Miziara, Otávio Corrêa, Vanessa Rossato de Oliveira, Andréa Licre Pessina Gasparini, et al. "Virtual reality in vestibular rehabilitation: a pilot study." International Journal of Therapy and Rehabilitation 26, no. 7 (2019): 1–13. http://dx.doi.org/10.12968/ijtr.2018.0056.
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Background/AimsWe evaluated the efficacy of using virtual reality with specific games for vestibular rehabilitation to treat patients with benign paroxysmal positional vertigo.MethodsThe Activity-Specific Balance Confidence Scale (ABC Scale), Dizziness Handicap Inventory, Tinnitus Handicap Inventory, Berg Balance Scale, Balancim, Romberg and Dix-Hallpike tests were used to evaluate 10 participants (5 males and 5 females; mean age 38.5 ± 14.7 years) with benign paroxysmal positional vertigo, who played 3 specific games of Nintendo Wii console (Snowboard Slalom, Tightrope Walk, Rhythm Parade) for 10 minutes twice a week for 4 weeks.ResultsThe intervention resulted in significant increases in Activity-Specific Balance Confidence Scale score (d de Cohen >0.50), decreases in Dizziness Handicap Inventory (P<0.05 in t test for all dimensions and total score) and Tinnitus Handicap Inventory (P<0.05 in Wilcoxon test for all dimensions and total score), and improvement in balance shown on Romberg test, Berg Balance Scale (P<0.05 in t test for all dimensions and total score) and Balancim (d de Cohen >0.80).ConclusionsVirtual reality with the selected games seemed to be effective on benign paroxysmal positional vertigo treatment, improving scores of tests and scales used in the assessment.
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Enache, Raluca, Dorin Sarafoleanu, and Codrut Sarafoleanu. "Original study. The clinical value of foam posturography in assessing patients with peripheral vestibular dysfunction – our experience." Romanian Journal of Rhinology 7, no. 26 (2017): 93–101. http://dx.doi.org/10.1515/rjr-2017-0010.
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Abstract BACKGROUND. Computerized dynamic posturography is the most important battery test designed to assess the ability to use visual, vestibular and proprioceptive cues in the maintenance of posture. Foam posturography reduces the availability of proprioceptive inputs, which makes more difficult the balance control. OBJECTIVE. The objective of the study was to assess the clinical use of foam posturography in evaluating peripheral vestibular dysfunction. MATERIAL AND METHODS. We evaluated 41 patients with vestibular disorders and 41 normal patients by using the sensory organization test in eyes opened, eyes closed and mislead vision conditions with and without the foam. We measured several parameters: the position of the center of pressure, the displacement in the center of pressure in anteroposterior and mediolateral planes and Romberg’s ratio on static and foam rubber. RESULTS. The values of all parameters were significantly higher in patients with peripheral vestibular disorders than in the control group (p<0.05). Also. comparing the Romberg test results, the foam surface used by the patient was larger than the static one. CONCLUSION. Foam posturography can be a reliable test in assessing patients with peripheral vestibulopathy, being also able to identify the visual and proprioceptive dependence levels.
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Howell, David R., Morgan N. Potter, Michael W. Kirkwood, Pamela E. Wilson, Aaron Provance, and Julie C. Wilson. "CLINICAL PREDICTORS OF SYMPTOM RESOLUTION FOR CHILDREN AND ADOLESCENTS WITH SPORT-RELATED CONCUSSION." Orthopaedic Journal of Sports Medicine 7, no. 3_suppl (2019): 2325967119S0000. http://dx.doi.org/10.1177/2325967119s00007.
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Background: Early prognosis of expected recovery duration after a sport-related concussion is a challenging task for sports medicine clinicians, as various pre-morbid, injury characteristic, and functional factors have been identified to help predict recovery. The purpose of this investigation was to determine which variables obtained as a part of a routine concussion clinical evaluation were independently associated with symptom resolution time among pediatric patients evaluated after sport-related concussion by a sports medicine physician. Methods: We conducted an analysis of data collected from a prospective clinical registry of children with concussion. Patients included in the current investigation were seen for care at a pediatric sports medicine concussion clinic between January 1, 2015 to August 31, 2017, were less than 19 years of age, evaluated within 10 days of a sport-related concussion, and followed until they no longer reported symptoms. The primary outcome variable was the number of days from injury until symptom resolution. The predictor variables included those assessed during the initial clinical evaluation. They were obtained via a medical history form (pre-injury history of attention-deficit/hyperactivity disorder, learning disability, anxiety, depression, and migraine or headaches), the Health and Behavior Inventory (HBI) symptom frequency questionnaire, headache severity rating (rated on a scale from 0-10), sleep disturbance questionnaire, and performance on a set of balance, vestibular, and oculomotor function tests (Balance Error Scoring System, Romberg, tandem gait, gaze stability, and near point of convergence). Tests were considered abnormal if patients could not maintain balance or demonstrated exaggerated upper body movement (Romberg/tandem gait tests), if they reported symptom provocation after test administration (gaze stability), or if the near point of convergence was greater than 5 cm from the tip of the nose. To identify the independent factors associated with symptom resolution time, we first constructed univariate Cox proportional models with time to symptom resolution as the outcome and each clinical variable as a separate predictor variable. Predictor variables with a univariate significance level of p < 0.05 were then used to construct a multivariate Cox proportional hazards model where total duration of concussion symptoms remained the outcome variable. Results: We examined data from 351 children and adolescents (mean age= 14.6±2.2 years, 33% female, evaluated 5.6±2.6 days after concussion) who required a median of 11.5 [interquartile range= 7-21] days for symptom resolution. One hundred and sixty-three (46%) of patients reported a prior history of concussion, while other pre-injury health conditions were reported less often (Table 1). The most commonly endorsed symptoms by patients at the initial visit were headaches, difficulty paying attention, difficulty concentrating, and getting distracted easily (Table 2). The most common abnormal vestibular or oculomotor test was symptom provocation brought on by gaze stability testing, while 20% of patients had an abnormal Romberg test, 15% demonstrated abnormal tandem gait, and 15% had abnormal near point of convergence (Table 3). Results from univariate Cox proportional hazards models indicated headache severity, headache frequency, confusion, forgetfulness, attentional difficulties, trouble remembering, getting tired often, getting tired easily, dizziness, and an abnormal Romberg test were associated with a longer symptom duration (Tables 2 and 3). The multivariate Cox proportional hazard model indicated that an abnormal Romberg test was independently associated with a longer symptom duration after adjusting for the effect of all other covariates included in the model (Table 4 and Figure 1). Headache frequency and “being tired easily” were not included in the final model due to collinearity with headache severity and “being tired a lot”, respectively. Conclusions: For adolescent and child patients assessed within 10 days of concussion, an abnormal Romberg test was independently associated with longer symptom duration during recovery. This is in line with other recent studies investigating early predictors of symptom resolution, demonstrating that postural instability appears to provide valuable prognostic information for sports medicine clinicians. [Table: see text]
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Du, Ran. "Impact of Caryolanemagnolol on Gait and Functional Mobility on Individuals with Huntington’s Disease." Tropical Journal of Pharmaceutical Research 14, no. 9 (2015): 1713–17. http://dx.doi.org/10.4314/tjpr.v14i9.24.
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Purpose: To highlight the impact of caryolanemagnolol on gait measures in forward walking, balance and mobility measures, as well as in hand and forearm function measures.Methods: Twenty patients with Huntington’s disease (HD) on stable doses of caryolanemagnolol were evaluated after medication and again following resumption of medication. The improvement in spatiotemporal gait parameters was measured by GAITRite, balance and/or mobility using Tinetti mobility test (TMT), five times sit-to-stand test (5TSST), and six-condition Romberg tests, as well as the function of the hand and forearm by finger tapping and Luria tests on Huntington's disease rating scale (UHDRS) motor scale.Results: The results demonstrated significant improvement in the unified UHDRS motor scores, Tinetti mobility test (TMT) total and balance subscale scores, and the five times sit-to-stand test when oncaryolanemagnolol compared to off-caryolanemagnolol. Spatiotemporal gait measures, the six condition Romberg test, and UHDRS hand and forearm function items remained unaffected on caryolanemagnolol treatment. Improved TMT and 5TSST performance when on drug indicates that caryolanemagnolol use may improve balance and functional mobility in individuals with HD.Conclusions: Caryolanemagnolol improves chorea and functional mobility by improving dynamic balance in individuals without any negative impact on motor function in walking and transfers.Keywords: Huntington's disease, Caryolanemagnolol, Gait measures, Choreic movements, Mobility tests
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Johnson, Brian G., Alex D. Wright, Margaret F. Beazley, Timothy C. Harvey, Peter Hillenbrand, and Christopher H. E. Imray. "The Sharpened Romberg Test for Assessing Ataxia in Mild Acute Mountain Sickness☆." Wilderness & Environmental Medicine 16, no. 2 (2005): 62–66. http://dx.doi.org/10.1580/pr02-04.1.
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Halmágyi, Gábor M., and Ian S. Curthoys. "Vestibular contributions to the Romberg test: Testing semicircular canal and otolith function." European Journal of Neurology 28, no. 9 (2021): 3211–19. http://dx.doi.org/10.1111/ene.14942.
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Dehnavi, Mahboobeh, Heidar Sadeghi, and Mehdi Taghva. "Reliability of Functional Balance Tests and Their Correlation With Selected Anthropometric Parameters in Children Aged 7-10 Years." Journal of Sport Biomechanics 5, no. 4 (2020): 216–27. http://dx.doi.org/10.32598/biomechanics.5.4.2.
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Objective: The present study aimed to evaluate the reliability of functional balance tests and their correlation with selected anthropometric parameters in children aged 7-10 years. Methods: Participants were 80 students aged 7-10 (40 female and 40 male). Romberg Test and Sharpened Romberg Test were used for assessing static balance, while timed up and go test, tandem walk test, and Y-balance test were used for measuring dynamic balance. Selected anthropometric factors were body height, upper body length, lower body length, Foot length and body mass. Reliability was determined using intra-class correlation coefficient (ICC), and Pearson correlation was used for examining the relationship between balance tests and selected anthropometric parameters at a significance level of P≥0.05. Results: Static balance tests were not reliable, but dynamic tests were reliable. No significant correlation was found between anthropometric parameters and static and dynamic tests (P>0.05); except between lower body length and Y-balance test (r=0.53, P=0.01). Conclusion: It seems that at the age of 7-10 years, static balance tests are affected because the sensory systems related to balance are developing. Therefore, static balance tests, which require weighting of each of these systems with eyes closed and open, are not good criteria for examining the balance of this age group. Hence, it is better to use dynamic balance tests, especially the Y-balance test.
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Carpinella, Ilaria, Denise Anastasi, Elisa Gervasoni, et al. "Balance Impairments in People with Early-Stage Multiple Sclerosis: Boosting the Integration of Instrumented Assessment in Clinical Practice." Sensors 22, no. 23 (2022): 9558. http://dx.doi.org/10.3390/s22239558.
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The balance of people with multiple sclerosis (PwMS) is commonly assessed during neurological examinations through clinical Romberg and tandem gait tests that are often not sensitive enough to unravel subtle deficits in early-stage PwMS. Inertial sensors (IMUs) could overcome this drawback. Nevertheless, IMUs are not yet fully integrated into clinical practice due to issues including the difficulty to understand/interpret the big number of parameters provided and the lack of cut-off values to identify possible abnormalities. In an attempt to overcome these limitations, an instrumented modified Romberg test (ImRomberg: standing on foam with eyes closed while wearing an IMU on the trunk) was administered to 81 early-stage PwMS and 38 healthy subjects (HS). To facilitate clinical interpretation, 21 IMU-based parameters were computed and reduced through principal component analysis into two components, sway complexity and sway intensity, descriptive of independent aspects of balance, presenting a clear clinical meaning and significant correlations with at least one clinical scale. Compared to HS, early-stage PwMS showed a 228% reduction in sway complexity and a 63% increase in sway intensity, indicating, respectively, a less automatic (more conscious) balance control and larger and faster trunk movements during upright posture. Cut-off values were derived to identify the presence of balance abnormalities and if these abnormalities are clinically meaningful. By applying these thresholds and integrating the ImRomberg test with the clinical tandem gait test, balance impairments were identified in 58% of PwMS versus the 17% detected by traditional Romberg and tandem gait tests. The higher sensitivity of the proposed approach would allow for the direct identification of early-stage PwMS who could benefit from preventive rehabilitation interventions aimed at slowing MS-related functional decline during neurological examinations and with minimal modifications to the tests commonly performed.
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Delfa-de-la-Morena, José Manuel, Pedro Pinheiro Paes, Débora Priscila Lima de Oliveira, Juan-José Mijarra-Murillo, Frederico Camarotti Júnior, and Víctor Riquelme-Aguado. "Influence of physical activity on balance in children: a cross-sectional study." Retos 63 (December 31, 2024): 420–32. https://doi.org/10.47197/retos.v63.107203.
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Objective: The objective of this work is to evaluate differences in the balance of children who perform physical activity compared to those who do not. Methodology: A cross-sectional observational study was conducted in a child population (N=130). Two study groups were established: non-physical activity group (n=68) and physical activity group (n=62). Outcome measures were Romberg test (with eyes open and eyes closed), one-legged support test (with eyes open and eyes closed) and unstable surface test (with eyes open and eyes closed). The ability and the time that they held in balance were valued. A 95% confidence interval (95% CI) was employed, and all values with a p-value lower than 0.05 were considered to be statistically significant. Results: T-Student test revealed statistically significant results in favor of the group of children who performed physical activity for measures of the ability to perform the Romberg test with eyes closed (p<0.001); unstable surface ability with eyes open and eyes closed (p=0.03 and p<0.001 respectively); ability for the one-leg stand test with eyes open and with eyes closed (p<0.002 and p<0.001, respectively); and time in one-legged support with eyes closed (p<0.004). Conclusions: Children who perform physical activity have a better ability to maintain balance compared to children who do not perform physical activity.
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Khanjari, Y., and E. A. Ameri. "Effects of 8 Weeks Water Cure with Aquatic Devices on Static Balance and Velocity of Gait among Elderly Men." International Letters of Social and Humanistic Sciences 60 (September 2015): 137–42. http://dx.doi.org/10.18052/www.scipress.com/ilshs.60.137.
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Background: Aging is a stage of life that increases the risk of physical diseases, some of which are chronic and can affect different dimensions of life’s quality. Hydrotherapy is used to treat rheumatic, orthopedic and neurological disorders. It has been the subject of investigations regarding balance and gating recovery in elderly people. Objective: To evaluate the effect 8 weeks water cure program with aquatic devices on static balance and velocity of gait in elderly men.Methods: : Fifteen old men were chosen purposely by age mean and Std 58±6.5, length 167.12±7.35 cm, weight 75.64±7.64. . We used the Sharpened Romberg test (static balance with eyes open and close) and Timed Up & Go (for evaluating velocity of gait). we used a selected program in water with aquatic devices in 8 weeks. Water exercise session included of three parts warm up, main part of exercise, and cool down. we analyzed the achieved data by a correlated t-test at a meaningful level (p≤0.05).Results: Among the post-test and pre-test Romberg test ( p≤013) and the velocity of gait (p≤005) were recovered meaningfully after the program.Conclusions: The results showed that participating in an exercise in water program with aquatic devices on a regular basis can be considered as an effective and reliable method to increase balance, and it can promote quality and velocity of gait among these aged men.
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Howell, David R., Morgan N. Potter, Michael W. Kirkwood, Pamela E. Wilson, Aaron J. Provance, and Julie C. Wilson. "Clinical predictors of symptom resolution for children and adolescents with sport-related concussion." Journal of Neurosurgery: Pediatrics 24, no. 1 (2019): 54–61. http://dx.doi.org/10.3171/2018.11.peds18626.
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OBJECTIVEThe goal of this study was to determine which variables assessed during an initial clinical evaluation for concussion are independently associated with time until symptom resolution among pediatric patients.METHODSData collected from a prospective clinical registry of pediatric patients with concussion were analyzed. The primary outcome variable was time from injury until symptom resolution. Predictor variables assessed within 10 days after injury included preinjury factors, Health and Behavior Inventory scores, headache severity, and balance, vestibular, and oculomotor test performances. The researchers used univariate Cox proportional models to identify potential predictors of symptom resolution time and constructed a multivariate Cox proportional hazards model in which total duration of concussion symptoms remained the outcome variable.RESULTSThe sample consisted of 351 patients (33% female, mean age 14.6 ± 2.2 years, evaluated 5.6 ± 2.6 days after concussion). Univariate Cox proportional hazards models indicated that several variables were associated with a longer duration of symptoms, including headache severity (hazard ratio [HR] 0.90 [95% CI 0.85–0.96]), headache frequency (HR 0.83 [95% CI 0.71–0.96]), confusion (HR 0.79 [95% CI 0.69–0.92]), forgetfulness (HR 0.79 [95% CI 0.68–0.92]), attention difficulties (HR 0.83 [95% CI 0.72–0.96]), trouble remembering (HR 0.84 [95% CI 0.72–0.98]), getting tired often (HR 0.86 [95% CI 0.76–0.97]), getting tired easily (HR 0.86 [95% CI 0.76–0.98]), dizziness (HR 0.86 [95% CI 0.75–0.99]), and abnormal performance on the Romberg test (HR 0.59 [95% CI 0.40–0.85]). A multivariate Cox proportional hazards model indicated that an abnormal performance on the Romberg test was independently associated with a longer duration of symptoms (HR 0.65 [95% CI 0.44–0.98]; p = 0.038).CONCLUSIONSFor children and adolescents evaluated within 10 days after receiving a concussion, abnormal performance on the Romberg test was independently associated with a longer duration of symptoms during recovery. In line with findings of other recent studies investigating predictors of symptom resolution, postural stability tests may provide useful prognostic information for sports medicine clinicians.
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Valliant, H. D. "Gravity meter calibration at LaCoste and Romberg." GEOPHYSICS 56, no. 5 (1991): 705–11. http://dx.doi.org/10.1190/1.1443089.
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An ideal gravity meter has a linear response so that its calibration is represented by a single scale factor. Microscopic variations in manufacturing lead to significant departures from this ideal. These variations from linearity are measured by observing the response of the gravity meter to the addition of a test mass to the gravity meter beam at various intervals throughout the meter’s range. This procedure measures the slope of the calibration curve at these points and therefore serves to define its shape. A compromise between accuracy, reading resolution, and cost needs to be reached. High accuracy requires a large mass difference which causes low resolution, requiring many overlapping observations which in turn leads to higher cost. The current procedure provides precision and resolution consistent with a precision of 10 μGals [Formula: see text] over short ranges. The resulting calibration curve is scaled to gravity units with repeated observations over a 241.9‐mGal gravity range at Cloudcroft, New Mexico. This gravity interval is now known to be too small by a few parts in 10 000, and updating it awaits absolute gravity measurements at the site. For consistency the old value will continue to be used until it can be replaced with a more accurate absolute value. Periodic calibration errors, referred to as circular errors, due to irregularities in manufacturing the measuring screw and gear train, are measured at three points along the travel of the screw. A screw is rejected if the peak‐to‐peak amplitude of the periodic error exceeds 40 and 8 μGals for model G and model D meters, respectively.
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Longridge, N. S., and A. I. Mallinson. "3.8 The “sloped” Romberg test — does it make officeassessment more sensitive and specific?" Gait & Posture 21 (June 2005): S15. http://dx.doi.org/10.1016/s0966-6362(05)80052-9.
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Gallamini, Michele, Giorgio Piastra, Simonetta Lucarini, et al. "Revisiting the Instrumented Romberg Test: Can Today’s Technology Offer a Risk-of-Fall Screening Device for Senior Citizens? An Experience-Based Approach." Life 11, no. 2 (2021): 161. http://dx.doi.org/10.3390/life11020161.
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Risk of fall (ROF) is a worldwide major concern for its prevalence and consequent dramatic outcomes in the elderly population. The growing age-related risk appears to be associated with increasing motor, sensory, and cognitive problems in the elderly population. There is a consensus on the need to screen for these balance dysfunctions, but the available methods are largely based on subjectively assessed performances. The instrumented Romberg test using a force plate represents a validated assessment process for the evaluation of balance performances. The purpose of this study is to propose an innovative instrumental method to identify balance deficits, assess their severity, and give an automated indication of the most likely etiology. The proposed new method was applied to the instrumented Romberg test, using force plate data recorded in a cohort of 551 females aged >65 participating in adapted physical activity courses. The method allowed us to identify 145 dysfunctional subjects and to determine the likely origin of their deficit: 21 central, 5 vestibular, 9 visual, 59 proprioceptive (musculoskeletal etiology), and 51 functional. Based on the preliminary findings of the study, this test could be an efficient and cost-effective mass screening tool for identifying subjects at risk of fall, since the procedure proves to be rapid, non-invasive, and apparently devoid of any contraindications.
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Moghaddam, Amir, Seyedeh Saba Fani Yazdi, and Mahdi Nabavinik. "Correlation Between the Scores of Common Balance Tests for Patients With Multiple Sclerosis." Scientific Journal of Rehabilitation Medicine 12, no. 3 (2023): 590–603. http://dx.doi.org/10.32598/sjrm.12.3.15.
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Background and Aims One of the neurological challenges of people with multiple sclerosis (MS) is balance. Different balance tests are used for this purpose. This study aims to measure the association between the scores of common balance tests for patients with MS. Methods In this descriptive retrospective study, participants were 41 patients with MS (27 females and 14 males) with an expanded disability status scale score of 4.5 or less (Mean= 4.02±0.61). The balance tests including Berg balance test (BBS), functional reach test (FRT), activities-specific balance confidence (ABC) scale, timed up & go (TUG) test, dynamic gait index (DGI), modified Romberg test-open eyes (RMTO), modified Romberg test-closed eyes (RMTC), and dizziness handicap inventory (DHI) were randomly performed in two days with sufficient rest interval between them. Pearson correlation test was used to measure the relationship between their scores. Results The DGI score had a high and significant correlation with the scores of ABC scale, BBS, and FRT (P<0.001). Also, there was a high and significant correlation between the scores of ABC scale and BBS (P<0.001). The correlation between the scores of BBS and FRT test was also high and significant (P<0.001). Conclusion The BBS score، as one of the most widely used balance tests in patients with MS and other balance diseases، has a high correlation with the scores of DGI، ABC scale، and FRT. These tests are suggested as supplementary tests for BBS. The findings can help therapists and neurologists to choose valid balance tests at different conditions and levels of MS.
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Ibáñez, Javier, José M. Alonso, Emilio Defez, Pedro Alonso-Jordá, and Jorge Sastre. "Computing the Matrix Logarithm with the Romberg Integration Method." Algorithms 16, no. 9 (2023): 434. http://dx.doi.org/10.3390/a16090434.
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The matrix logarithm function has applicability in many engineering and science fields. Improvements in its calculation, from the point of view of both accuracy and/or execution time, have a direct impact on these disciplines. This paper describes a new numerical algorithm devoted to matrix logarithm computation and using the Romberg integration method, together with the inverse scaling and squaring technique. This novel method was implemented and compared with three different state-of-the-art codes, all based on Padé approximation. The experimental results, under a heterogeneous matrix test battery, showed that the new method was numerically stable, with an elapsed time midway among the other codes, and it generally offered a higher accuracy.
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Sulistyaningsih, Nunik, Mora Claramita, and I. Dewa Putu Pramantara. "Geriatric Assessment in Elderly People by Using ABCDE (Ability Balance Cognitive Diseases Emotion) Method at Posyandu for Elderly People." Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) 4, no. 3 (2021): 15. http://dx.doi.org/10.22146/rpcpe.33772.
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Background: Elderly populations have increased in line with the increased life expectancy. Currently, the balance of disease burden on the elderly has shifted towards chronic disease. Cardiovascular disease, diabetes, cognitive impairment and depression are chronic diseases that cause suffering and death in elderly populations. Therefore, it is necessary to conduct a comprehensive and multidimensional health assessment as a preventive effort to reduce morbidity in the elderly.Objective: The general objective of this research was to obtain a description of elderly health status at the Posyandu for the elderly using a geriatric assessment called the ABCDE (Ability, Balance, Cognitive, Diseases, Emotion) method.Methods: This research used a cross-sectional design. The subjects were elderly persons ≥ 60 years old who participated in the Posyandu for the elderly and who had fulfilled inclusion and exclusion criteria. The estimated minimum sample size was 242 selected using stratified random sampling. The statistical analysis in this research employed univariate, and bivariate analysis using Chi square tests.Results: Elderly participants had light dependency (34.2%) with average activities of daily living (ADL) value of 19.39 ± 1.32, positive Romberg test 3.7%, and Sharpened Romberg Test 50%. The prevalence of cognitive impairment was 43.4%, while the average score of Mini Mental State Examination was 23.31 ± 6.08, hypertension prevalence 73.14%, hypercholesterolemia 13.22%, and diabetes mellitus 10.33%. Elderly who had depression and probable depression were 12.81%, consisting of mild depression 11.57% and moderate depression 1.24%. Balance disorders had a statistically significant correlation with ADL (p = 0.012; Ratio Prevalence (RP) = 1.422: 95% CI), cognitive impairment (p = 0.039; RP = 1.31: 95% CI), and depression (p = 0.034; RP = 1.63: 95% CI).Conclusion: The prevalences of hypertension, cognitive impairment, and balance disorder on sharpened Romberg test were high. There were statistically significant correlations between balance disorder and ADL, cognitive function, and depression. These findings support the application of geriatric assessment by using ABCDE which can be applied in primary care setting for elderly people.
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Cohen, Helen S., and Haleh Sangi-Haghpeykar. "Differences in Responses on the Modified Clinical Test of Sensory Interaction and Balance on Medium Firm and Medium Density Foam in Healthy Controls and Patients with Vestibular Disorders." Biomedicine Hub 5, no. 1 (2020): 1–8. http://dx.doi.org/10.1159/000507180.
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Purpose: To determine whether foam density affects modified Romberg balance test performance. Materials and Methods: Controls and patients with vestibular disorders performed Romberg tests on medium and medium firm foam, with their eyes closed and the head still and moving in yaw and pitch. The trial duration and number of head movements were measured. Results: Subjects aged >60 years performed longer and with more head movements on medium firm foam than on medium foam. Older controls did not differ between medium firm and medium foam. Older patients had higher scores on head-still and head-yaw trials on medium firm foam versus medium foam but pitch trials did not differ. Females, controls, and patients had longer trial durations and more head movements on medium firm foam than on medium density foam; male controls did not differ by foam density. Male patients differed in yaw trials. Conclusion: Foam density affects scores. Clinical decision-making may be adversely affected if the clinician uses foam of a density that is not the same as that of the foam that was used in the studies that developed descriptive statistics, sensitivity, and specificity.
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Uimonen, Seija, Kyösti Laitakari, Heikki Kiukaanniemi, and Martti Sorri. "Does Posturography Differentiate Malingerers from Vertiginous Patients?" Journal of Vestibular Research 5, no. 2 (1995): 117–24. http://dx.doi.org/10.3233/ves-1995-5203.
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Voluntary, simulated vertigo and acute vertigo due to vestibular neuritis were examined by means of static posturography in 81 tests to evaluate the extent to which intentional malingering can be detected. Thirty healthy, normal subjects were first instructed to stand as still as possible on a static force platform and then to simulate dizziness. The true cases consisted of 21 patients with vestibular neuritis. The parameters analyzed included body sway velocity (BSV), body sway area of ellipse (BSE), and the Romberg quotient. Both the simulated and pathological posturographic BSV and BSE values differed from normal values under all test conditions, but they did not differ from each other, whereas the simulated values could be differentiated from the pathological ones with the Romberg quotient based on BSV. Five staff members of our audiological department were able to differentiate between the simulations and pathological cases quite well, with a median sensitivity of 0.77 and a specificity of 0.71 in a blinded test. A posturographic measurement, even performed once, can be useful to some extent for detecting simulation, but more investigation and development of the analysis system is required to obtain more specific results. For the present, the results obtained by trained observation of the subject in the test situation are at least as reliable as those obtained through the analysis of statistical measurements.
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Strupp, Michael, Katharina Feil, and Andreas Zwergal. "Diagnose und Differenzialdiagnose von peripheren und zentralen Schwindelsyndromen." DMW - Deutsche Medizinische Wochenschrift 144, no. 12 (2019): 821–29. http://dx.doi.org/10.1055/a-0746-4425.
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AbstractThe diagnosis of the various peripheral and central vestibular disorders is mainly based on the patient history (time course, type of symptoms, modulating factors, and accompanying symptoms) and a systematic clinical examination of the vestibular, ocular motor, and cerebellar systems (examination for nystagmus, head impulse test, positional maneuvers, Romberg test and examination for central ocular motor signs). The two most important laboratory tests are the “video-head impulse test” and caloric irrigation. Fortunately, the diagnosis of vestibular disorders has become easier and more precise as a result of the very clinically oriented diagnostic criteria of the Bárány Society (www.jvr-web.org/ICVD.html).
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V., Deepthi R., Seema Pavanam, Vijaya Shenoy, and Siddarth S. Joshi. "FRIEDREICH ATAXIA – A CASE REPORT." Journal of Health and Allied Sciences NU 04, no. 02 (2014): 133–35. http://dx.doi.org/10.1055/s-0040-1703782.
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Abstract:Friedreich ataxia is an autosomal recessive disorder, due to expansion of trinucleotide repeat in Frataxin gene which presents with ataxic gait, absent tendon reflexes, extensor plantar response and positive Romberg test. We present a child who came with complaints of progressive ataxia of gait since the age of 10 years and was diagnosed to have Friedreich ataxia. They have associated cardiomyopathy and endocrine abnormality like diabetes and hypothyroidism.