What is the primary use of the Romberg test during a physical assessment?

The primary use of the Romberg test during a physical assessment is to evaluate balance and vestibular function. This test primarily assesses an individual's proprioception and ability to maintain postural stability when standing upright. During the assessment, the patient is asked to stand with their feet together and eyes closed; if they begin to sway or lose balance, it indicates potential issues with the vestibular system or proprioceptive pathways.

The focus on balance and vestibular function is crucial because it helps identify underlying neurological disorders or abnormalities in the inner ear that could affect equilibrium. While other tests may contribute to overall assessments of vision, hearing, or reflexes, the Romberg test specifically targets the coordination between sensory input and motor output related to maintaining balance.