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Wilderness Environ Med. 2005 Summer;16(2):62-6.

The sharpened Romberg test for assessing ataxia in mild acute mountain sickness.

Author information

  • 1Chirk Surgery, Chirk, Wrexham, UK. a.wright@bmres.org.uk

Abstract

OBJECTIVE:

To evaluate the Sharpened Romberg Test (SRT) as a measure of ataxia in subjects with mild acute mountain sickness in order to determine its sensitivity and specificity.

METHODS:

The SRT was performed in 23 subjects during ascent to 5260 m.

RESULTS:

The SRT was more often abnormal than the traditional heel-to-toe test, and at the highest altitude it was related to higher median Lake Louise symptom scores with predictive values of 60% sensitivity and 89% specificity. Our evaluation of the SRT appears to agree with similar studies on ataxia showing a lack of correlation between ataxia and symptoms of acute mountain sickness at altitudes below 5260 m.

CONCLUSION:

The SRT was easy to perform and provided a quantitative assessment of truncal ataxia in the field without the need for specialized equipment.

PMID:
15974254
[PubMed - indexed for MEDLINE]
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