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Related Experiment Video

Updated: Jun 23, 2026

Screening People on Standing Balance with Romberg Testing and Walking Balance with Tandem Walking
06:28

Screening People on Standing Balance with Romberg Testing and Walking Balance with Tandem Walking

Published on: September 1, 2023

Does walking change the Romberg sign?

Gordon F G Findlay1, Birender Balain, Jayesh M Trivedi

  • 1Walton Centre for Neurology and Neurosurgery NHS Trust, Lower Lane, Fazakerley, Liverpool, UK.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
|April 24, 2009
PubMed
Summary

The walking Romberg sign effectively detects proprioceptive deficits in cervical myelopathy patients, proving more sensitive than the traditional Romberg test. Combining it with Hoffman

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Sit-to-stand-and-walk from 120% Knee Height: A Novel Approach to Assess Dynamic Postural Control Independent of Lead-limb

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Area of Science:

  • Neurology
  • Clinical Neuroscience
  • Gait Analysis

Background:

  • The Romberg sign assesses postural control, but lacks standardized application and interpretation in clinical neurology.
  • Proprioception deficits are key indicators of neurological impairment, particularly in conditions like cervical myelopathy.

Purpose of the Study:

  • To evaluate the clinical utility of a modified walking Romberg sign in patients with cervical myelopathy.
  • To compare the diagnostic relevance of the walking Romberg sign against traditional neurological examination methods.

Main Methods:

  • Prospective evaluation of 50 consecutive cervical myelopathy patients.
  • Assessed the walking Romberg sign (5m walk eyes open vs. closed) and compared it with the traditional Romberg test and Hoffman's reflex.
  • Measured gait speed (30m walk time) in relation to test results.

Main Results:

  • The walking Romberg sign was positive in 74.5% of patients, significantly higher than the traditional Romberg test (positive in 34% of patients).
  • The combination of Hoffman's reflex and the walking Romberg sign detected deficits in 96% of patients.
  • Slower walking times were observed in patients with positive traditional or walking Romberg tests.

Conclusions:

  • The walking Romberg sign is a more sensitive indicator of proprioceptive gait deficits in cervical myelopathy than the traditional Romberg test.
  • The combination of Hoffman's reflex and the walking Romberg sign shows promise as a valuable screening tool for clinically significant cervical myelopathy.