How is the Romberg exam conducted in the evaluation of dizziness, vertigo, and imbalance?

Updated: Mar 13, 2017
  • Author: Hesham M Samy, MD, PhD; Chief Editor: Robert A Egan, MD  more...
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To conduct the Romberg examination, ask the patient to stand with the heels together, first with eyes open, then with eyes closed. Then, ask the patient to stand on a high-compliance surface and note any excessive postural swaying, either posteroanteriorly or to one side.

After Romberg examination, ask the patient to step in place for 30 seconds and observe poststepping position drift from midline. If positive, it reflects an uncompensated unilateral vestibular hypofunction.

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