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Revisiting the Instrumented Romberg Test: Can Today's Technology Offer a Risk-of-Fall Screening Device for Senior

Michele Gallamini^1,2, Giorgio Piastra³, Simonetta Lucarini⁴

¹Eng. Freelance MD Consultant, Sal. Maggiolo di Nervi, 16167 Genoa, Italy.

Life (Basel, Switzerland)

|March 6, 2021

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This summary is machine-generated.

This study introduces a new instrumental method to screen for fall risk in older adults. The automated test efficiently identifies balance deficits and their causes, aiding in early intervention for elderly fall prevention.

Area of Science:

Gerontology
Biomechanics
Neurology

Background:

Risk of fall (ROF) is a significant global health issue in the elderly, linked to motor, sensory, and cognitive decline.
Current balance assessment methods often rely on subjective performance evaluations, highlighting a need for objective screening tools.
The instrumented Romberg test with a force plate is a validated method for assessing balance performance.

Purpose of the Study:

To propose an innovative instrumental method for identifying balance deficits in older adults.
To assess the severity of these balance deficits.
To provide an automated indication of the most likely etiological factors contributing to the deficits.

Main Methods:

An innovative instrumental method was applied to the instrumented Romberg test.

Keywords:

Romberg test balance force plate postural control risk-of-fall unperturbed upright stance

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Force plate data were collected from 551 female participants aged over 65 involved in adapted physical activity.

The method analyzed data to identify balance deficits and their potential origins.

Main Results:

The method successfully identified 145 subjects with balance deficits.
The likely origins were categorized as: 21 central, 5 vestibular, 9 visual, 59 proprioceptive (musculoskeletal), and 51 functional.
Preliminary findings indicate the test's effectiveness in differentiating deficit etiologies.

Conclusions:

The proposed instrumental method offers an efficient and cost-effective tool for mass screening of fall risk in the elderly.
The procedure is rapid, non-invasive, and has no apparent contraindications.
This automated approach can aid in identifying individuals at risk of falling and guiding targeted interventions.