The Modified Romberg Sign assesses balance with eyes closed for 10 seconds, which can be used in the assessment of lumbar spinal stenosis.
De Schepper et al. (2013) performed a systematic review on the diagnostic accuracy of tests used to diagnose lumbar spinal stenosis. They concluded that the diagnosis should be mainly based on patient history taking, while physical examination tests have not been found to be useful. However, a more recent systematic review by Cook et al. (2019) found that a couple of physical tests can actually be useful to confirm the diagnosis. One of them is the modified Romberg test like described by Katz et al. (1995). With a sensitivity of 40% and a specificity of 91%, this test is moderate to confirm, but not exclude lumbar spinal stenosis.
As neurogenic claudication due to lumbar spinal stenosis is related to activity, it makes sense to use functional tests in order to provoke symptoms. To conduct the modified Romberg test, have a patient stand with their feet together and eyes closed for 10 seconds.
The test is considered positive if compensatory movements were required to keep the feet planted. Originally, the Romberg Test is used devised to differentiate between cerebellar and sensory ataxia. If eye closure leads to a significant decrease in stability the Romberg sign 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.
21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE
Other common tests for lumbar spinal stenosis are:
What customers have to say about the Assessment E-Book
The Assessment E-Book This book helped me in my studying for my exam and in assessing my first patients. Awesome! Also for beginners!
The Assessment E-Book It’s an amazing Compilation! Congrats to all the work you have put in there. You’ll propably find all the test’s you’ve been looking for with propper explaination and source to doublecheck for you self. definetly a must have for every student, but it will also help an experienced practioner. Im looking forward to the lifelong updates on the topics.
Great work, guys
The Assessment E-Book A must-have for all physiotherapists, osteopaths and manual therapists. The authors conducted an extensive research on assessment tests in manual therapy. I find it very easy to read. The more I read the more I learn. Thank you!
The Assessment E-Book This book is great! It is very structured and detailed. It works extremely well on my Macbook and iPad.
The Assessment E-Book The best way to spend 80euros. Totally worth it. The amount of work you put behind this must have been absolutely huge. Every physical or physiotherapist should own it.
Congrats guys you’ve done an incredible job.
I’ve learnd a lot of new things and my approach to therapy in general have totally changed.
In one word: amazing. Keep going guys ! Best wishes from france.
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
The technical storage or access that is used exclusively for statistical purposes.The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.