Romberg's Test for Proprioception
History: First described in the 19th century in patients with tabes dorsalis (later associated with syphilis)
Meaning: Positive test (Romberg's sign) → Proprioceptive loss
How to perform: 
  1) Patient stands with eyes open
  2) Observe when patient closes the eyes
  3) Observe for a difference between standing balance with eyes open and closed
  Positive test → Increased Sway, Step, Fall
Pearls:
 • Cerebellar disease: standing can be difficult even with the eyes open
 • Unilateral vestibular disease: tendency to fall toward the side of the lesion

By Dr. Gabriela Figueiredo Pucci @gabifpucci @neudrawlogy

#Rombergs #Test #neurology #diagnosis #proprioception #physicalexam