caa a22 4500 606184996 CHVBK 20210128100829.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00405-014-3273-2 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3273-2 Clinical efficacy of the Romberg test using a foam pad to identify balance problems: a comparative study with the sensory organization test [Elektronische Daten] [Sung Hong, Joo Park, Sae Kwon, Ji-Soo Kim, Ja-Won Koo] The modified Romberg test using a foam pad ("MRuFP”) as a bedside examination has been used to assess the function of the complex sensory input needed for upright stance. The objective of this study was to assess its clinical valuedetecting vestibular falls in comparison with the sensory organization test (SOT), the gold standard. In total, 80 patients who had undergone the MRuFP, SOT, and bithermal caloric tests were included in this study. The MRuFPs were performed on two (height 12cm, MRu2FP) or three (18cm, MRu3FP) layers of foam pads. The odds ratios of falling on SOT were calculated. Iterative algorithms were used for linear curve fitting between the balance time on the MRuFP and SOT equilibrium score (ES). The diagnostic performance of MRuFP under different conditions was poor, with low sensitivity (0.07-0.63), when the results of SOT were used as the gold standard. However, the odds ratios of failing SOT condition5 were 6.78 (95% CI=1.26-36.50) for patients with abnormal findings on eyes closed (EC)-MRu2FP and 10.91 (95% CI=2.58-46.11) for those on the EC-MRu3FP in patients without caloric weakness. In patients with caloric weakness, the odds ratio of failing SOT condition5 for patients with abnormal findings on EC-MRu2FP was 7.0 (95% CI=0.69-70.74, p>0.05), and 32.0 for those on EC-MRu3FP (95% CI=2.81-364.7). A linear equation was presented as the model fit (adjusted R 2=0.355) predicting the SOT condition5ES according to the balance time on EC-MRu3FP. In conclusion, the EC-MRu3FP, as a bedside examination, correlated well with SOT condition5 as an objective measure. Springer-Verlag Berlin Heidelberg, 2014 Romberg test nationallicence Screening nationallicence Posture nationallicence Vertigo nationallicence Hong Sung Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University Sacred Heart Hospital, Chuncheon, South Korea aut Park Joo Department of Otorhinolaryngology-Head and Neck Surgery, Dongguk University Ilsan Hospital, Goyang, South Korea aut Kwon Sae Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University Sacred Heart Hospital, Chuncheon, South Korea aut Kim Ji-Soo Department of Neurology, Seoul National University Bundang Hospital, Seongnam, South Korea aut Koo Ja-Won Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-Gu, 463-707, Seongnam, South Korea aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/10(2015-10-01), 2741-2747 0937-4477 272:10<2741 2015 272 405 https://doi.org/10.1007/s00405-014-3273-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3273-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hong Sung Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University Sacred Heart Hospital, Chuncheon, South Korea aut NATIONALLICENCE 700 1- Park Joo Department of Otorhinolaryngology-Head and Neck Surgery, Dongguk University Ilsan Hospital, Goyang, South Korea aut NATIONALLICENCE 700 1- Kwon Sae Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University Sacred Heart Hospital, Chuncheon, South Korea aut NATIONALLICENCE 700 1- Kim Ji-Soo Department of Neurology, Seoul National University Bundang Hospital, Seongnam, South Korea aut NATIONALLICENCE 700 1- Koo Ja-Won Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-Gu, 463-707, Seongnam, South Korea aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/10(2015-10-01), 2741-2747 0937-4477 272:10<2741 2015 272 405