Neurologic Screening for Cerebellar Impairment or Brain Dysfunction

Rhomberg's Test

This maneuver is performed in two stages. Initially the individual is requested to stand with their feet together and their arms at their side (observe for a swaying motion). Then they are requested to close their eyes. This can initiate a proprioceptive deficit and result in the individual staggering or falling. Therefore, never perform this maneuver unless you are prepared to support their weight. Should they perform this successfully you would next perform the Test for Drift. However loss of balance, staggering or falling is indicative of a positive Romberg’s sign and cerebral disorders. This test should be performed anytime you suspect head trauma or organic dysfunction of the central nervous system.

Test for Drift

If the individual does not lose their balance during the Romberg’s test, request the individual to extend their arms to shoulder level and turn their palms upward, while closing their eyes and maintaining this position. Observe for either downward or pronation rotation of the affected extremity as well as swaying or staggering. Positive concomitance infers possible central nervous system involvement.

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