Board of Certification for the Athletic Trainer (BOC) Practice Test

A positive Romberg test indicates a deficiency in which area?

1. Vision

2. Strength

3. Motor function

4. Balance

The correct answer is: Balance

A positive Romberg test indicates a deficiency in balance, specifically in the body's ability to maintain equilibrium with eyes closed. This test assesses proprioception, which is the sense of body position and movement, by having the individual stand with their feet together and eyes closed. If a person sways significantly or loses their balance during this test, it suggests that their proprioceptive inputs, primarily from the lower limbs and their vestibular system, may be compromised. While vision also plays a critical role in maintaining balance, a positive test predominantly points to an issue with postural stability when visual input is removed, highlighting a balance deficiency. Balancing tasks rely on the integration of various sensory information, so if balance is disrupted, it implies that the individual may not be effectively using their proprioceptive or vestibular feedback.