Assessing Balance With The Romberg Test - Clinical Skills By Dr. Gill
Balance Assessment Test - Romberg's Test - Clinical Skills - Dr Gill
The Romberg test is typically performed on patients reporting issues with balance and vertigo who may have been experiencing falls
The Romberg's test allows a clinician to narrow down to cause of imbalance to either a vestibular issue or a problem with proprioception.
The Romberg's test would be positive in conditions affecting the dorsal columns, as such it is a clinical skill often performed in neurological examinations.
As Romberg's sign or a positive rombergs test may be seen in both vestibular and proprioceptive issues it may occur in many conditions - which would include:
Parkinson’s disease.
Friedreich’s ataxia.
- Tertiary syphilis.
- Wernicke’s syndrome.
- Ménière’s disease.
- Vitamin B12 deficiency.
- Posterior cord artery infarction syndrome.
- certain cerebellar issues
#ASMR #Rombergs #drgill
Some people have found this video useful for ASMR
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...
00:00 - Introduction
00:41 - Forward and Backward Walking
00:51 - Initial Standing Balance Test
01:35 - Balance Test with Eyes Closed
02:45 - Final Thoughts
Пікірлер: 63
This will involve doing a couple of manoeuvres for us. *patient does a 3 point turn and parallel parks himself*
@DrJamesGill
Жыл бұрын
🤣🤣🤣 perfect
@stickstories2750
Жыл бұрын
As a freedom-loving American, whats a parallel park?
@Amnigaggh
Жыл бұрын
@@DrJamesGill how tall are you doctor James in cm ? Guessing around 181 cm ?
@tim1444
9 ай бұрын
@@stickstories2750 Parking in between two cars vertically
Used to come mostly for the ASMR but have been picking up the medical stuff along the way. Your videos have definitely been very interesting and also helped me understand some other unintentional ASMR videos I watched. Happy new year and keep up the good work !
@ilovesunny8887
8 ай бұрын
people watch this for ASMR ?
@flaviovms
2 ай бұрын
@@ilovesunny8887 haha, dude's voice is perfect for that
I cannot thank you enough for helping normalise positive consent, but especially for doing so in the context of a doctor/patient dynamic where patients may not feel comfortable speaking up.
@gennarocastiello6950
3 күн бұрын
Yeah i agree, but often it is viceversa: too many questions make the patient uncomfortable, and they say yes but not really understand, they're often elderly. So we usually tend to explain the test before, because during it, we practitionares keep it simple
I had this test carried out just today in Oncology Physio. Passed 😁
@DrJamesGill
Жыл бұрын
That’s great news!
As someone with proprioception issues as a result of sensory processing disorder I sometimes have problems losing my balance and/or tripping over my own feet, especially if the pressure/fluid in one of my ears is off a bit, it once caused me to have motion sickness for 4-5 hours after getting off of a very rocky boat from Ellis island in New York City and I was never so grateful to see the land stop moving up and down on me as I was that night when my body finally readjusted itself back to normal, walking around the city on foot all afternoon while dealing with that was really difficult. Great test!
happy New Year Dr Gill! here's to another year of your soothing voice and peaceful naps
Happy New Years 🎊🎉 Dr. Gill. Great video as always. Practicing the test with my fellow RNs, right now. Thank you, from Texas 👍
@DrJamesGill
Жыл бұрын
Happy new year! I hope this is helpful. There are a couple of other bits that neuro can add on for decompression induced brain insure, but I didn’t think that was appropriate here.
happy birthday to the patient!🎂🎂
Sometimes the silence is the best part
@flaviovms
2 ай бұрын
Yep. This english accent kills me. Silence is better
Useful video as always!
@DrJamesGill
Жыл бұрын
Glad you think so!
So excited 😍
I'm no medical student but I appreciate your work. I'm here for the ASMR. You should open a second channel just for ASMR doc. No explanations, just the medical exam. You'll see it skyrocket quickly.
@lighthollander6468
Жыл бұрын
Cringe
@donttalktomebye
Жыл бұрын
i think youre very late to the party. he's pretty sky high and started doing the medical explanations cause we all asked lol. also hes too busy teaching tomorrows doctors to dedicate time to an ASMR channel
@Tyonicle
Жыл бұрын
@@donttalktomebye real
Happy New Year Dr. Gill 🎉
That was quick!
@DrJamesGill
Жыл бұрын
It’s only a short skill
I cannot get over how terrified the patient looks lol
2:24 me trying to give someone a hug
Again congrats on your wedding........ 🤙🤙😏😏😏 by the way thanks for the book references gives me something to read on my lunch time
@DrJamesGill
Жыл бұрын
My pleasure!!
Curious, is your intro music royalty free music or did you have it custom made?
Nice video
@DrJamesGill
Жыл бұрын
Thanks
If Dr. Gill was a US Police Officer conducting a DUI 😂…so polite everyone he stopped wouldn’t even ask for a supervisor
With those fingers, I can see why you're getting married. Many congratulations Doc, wishing you every happiness together x
Thanks for posting this; it was very helpful. That said, for patient confidentiality, I highly suggest not having the patient provide the name and birthdate on a shared video. With all of the identify theft, this could inadvertently create a huge problem for the patient.
0:55 And now please, Wakanda forever.
Dr . Gill . Can this test be used to determine if someone has had a stroke and in the evaluation of a patient that is post stroke ?
@DrJamesGill
Жыл бұрын
It can’t identify something like that - as it is not a specific test in that sense for diagnosis
For some reason my mind read the title as Rube Goldberg’s test. Now I want to see a fascinating but ultimately pointless test 😅
Not even British here. Take good care of the NHS as if it were your eyes
@DrJamesGill
Жыл бұрын
Unfortunately that’s a government and media thing. All I can do is hope
How do I get this test done by my doc
@DrJamesGill
Жыл бұрын
It would be done if you have balance and gait disturbances
@mutilatedhatred4868
Жыл бұрын
@@DrJamesGill what if I feel my spinal fluid is that weird ? I have odd symptoms .Sometimes balance issues
@DrJamesGill
Жыл бұрын
I don’t understand what you mean that can you can’t feel your spinal fluid If there is a balance issue, I would advise speaking to your GP
@mutilatedhatred4868
Жыл бұрын
@@DrJamesGill I know it sounds strange but I can hear it and feel it .I will thank you Doctor
SUPPORT THE NHS THE POLITICIANS DON'T
James McGill aka Saul Goodman?
@DrJamesGill
3 ай бұрын
I’m not sure that’s a flattering comparison!! 😂
wakanda forever😄
I don’t why you need to record the DoB of that model in the video. It’s so unnecessary. I hope that’s not his real DoB
@DrJamesGill
3 ай бұрын
Any test on a patient you need to confirm ID
@paddyolten4031
3 ай бұрын
@@DrJamesGill I know but the WORLD doesn’t need to know their DoB… and I am pretty sure it is private information … instead of asking them to say their DoB, you can simply remind student to ID their patient before any examination…. I am pretty sure it is well understood
@DrJamesGill
3 ай бұрын
@paddyolten4031 or it could be a fake DOB…
I still struggle to accept that fully grown humans - nay Doctors - can be born in 2000 🤦🏼♀️ I’m officially OLD 😆
@ria7470
Жыл бұрын
As a 1996 Doctor; I can confirm.