Purpose: The Static Standing Balance Test assesses an individual’s balance in various stationary, standing positions. This test includes Romberg stance, Sharpened Romberg stance, and single leg stance.
Summary: The Romberg and Sharpened Romberg are performed with eyes open and eyes closed. Single leg stance is then assessed with eyes open. The goal is to be able to hold each position for 30 seconds.
Equipment: Stopwatch
ICF Category: Activity
According to the ICF model, this outcome measure is classified as an impairment level measure, specifically looking at balance/falls. Neuro PT Edge is unable to recommend (2/4) the use of this outcome measure in any setting. It may be especially inappropriate for the skilled nursing facility. Also, the Static Standing Balance Test is not able to be recommended (2/4) for EDSS levels of 7.5 and below. It is not recommended (1/4) for those with an EDSS level greater than 7.5. While these tests have high clinical utility in general, there is limited psychometric data pertaining to their use in individuals with MS. Students should learn to administer this tool, however, it has not been validated for use in the MS population.
Currently, there are very minimal psychometrics for the MS population and the Static Standing Balance Test. In one study, no significant difference was found when The Static Standing Balance Tests were administered in the morning vs. the afternoon. In the same study, there was no significant difference between people with MS and control subjects for feet apart and feet together for 30 seconds. Significant differences were found between right and left tandem stance and right and left single leg stance. Much more research is still needed regarding the use of this outcome measure with the MS population. However, this is a very universal and basic standing balance assessment that can reveal information about potential balance concerns with any individual.