When the eyes are closed, the patient must rely on proprioception and vestibular function.When the person is standing with the eyes open, visual, proprioceptive, and vestibular information is used to maintain postural stability.The Romberg test, tests the function of: Dorsal Column Medial Lemniscal Pathway, the neural pathways by which sensory information from the peripheral nerves is transmitted to the cerebral cortex. It has been used in clinic for 150 years Purpose It is also proven to be sensitive and accurate means of measuring the degree of disequilibrium caused by central vertigo, peripheral vertigo and head trauma. Examples of conditions include:Subacute combined degeneration of spinal cord ( Vitamin B12 deficiency) Posterior cord syndrome (Posterior spinal artery infarction) Hemisection of spinal cord ( Brown Sequard syndrome) The Romberg test is an appropriate tool to diagnose sensory ataxia (a gait disturbance caused by abnormal proprioception involving information about the location of the joints). Specifically, the test assesses the function of the dorsal column of the spinal cord (the dorsal column is responsible for proprioception). The Romberg test is a test that measures a persons sense of balance.
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