Romberg ratio in quiet stance posturography—Test to retest reliability

作者：Fredrik Tjernström, Måns Björklund, Eva-Maj Malmström · 发表于：Gait & Posture · 年份：2014 · DOI：10.1016/j.gaitpost.2014.12.007 · 被引用次数：87 · 研究领域：Balance, Gait, and Falls Prevention、Vestibular and auditory disorders、Scoliosis diagnosis and treatment

UNLABELLED: We investigated test to retest reliability and intraindividual variability of Romberg ratios in quiet stance posturography. Thirty-six healthy young adults (17 males, 19 females aged 15-38 years) were divided into 3 groups with different time-intervals between consecutive trials (20 min, 3h and 24h respectively). Each group performed 5 posturography recordings in a randomized order of eyes open (EO) or closed (EC)+once after 3 months. We measured the torque variance in posturography and calculated Romberg ratios. Total postural sway as well as sway above and below 0.1Hz was analyzed. RESULTS: Test to retest reliability was found to be poor for Romberg ratios (intraclass correlation coefficients (ICC) <0.4) despite that the individual EO and EC posturography recordings were consistent. For sway >0.1Hz the Romberg ratios were found to be more consistent (fair to good, ICC 0.49-0.71). The variation between two consecutive tests (absolute difference (%)) was high when using the traditional Romberg ratio (EC/EO), but became less varied if an alternate formula that includes the total postural sway was used ((EC-EO)/(EC+EO)×100). CONCLUSION: In healthy young adults the evaluation of ratios from repeated quiet stance posturography show great intraindividual inconsistency. This questions the Romberg ratio as being a reliable tool for evaluation of postural performance and determination of sensory preference in postural control, at least in healthy controls. Whether test-re...