Modified Romberg Test

Execution:

  1. The patient stands upright with the feet placed together
  2. The patient is asked to close their eyes for 10 seconds

 

Positive Outcome: Compensatory movements were required to keep the feet planted

Study Reliability Sn Sp LR+ LR-
Cook et al. (2019) NA 40 91 4.06 0.68
Comment: This test is moderately useful to confirm but not to exclude lumbar spinal stenosis. Originally, the Romberg Test is used to differentiate between cerebellar and sensory ataxia. If eye closure leads to a significant decrease in stability the Romberg signs is scored positive and is indicative of sensory dysfunction. A negative Romberg sign speaks for cerebellar disease as the cause of ataxia. Cerebellar ataxia is not, or hardly, ameliorated by additional visual feedback. This is true of cerebellar limb ataxia as well