So ɛtɔ mmere bi a wote nka sɛ worehwere wo kari pɛ bere a wugyina hɔ anaa wonantew no? So wote nka sɛ wo ho ayɛ wo yaw anaasɛ woreyɛ ahwe ase? Sɛ saa a, ɛnnɛ yɛbɛka sɔhwɛ a ɛnyɛ den a ebetumi aboa wo ma woahu nea enti a ɛte saa ho asɛm. Wɔfrɛ eyi Romberg Sɔhwɛ. Mma ɛnhaw wo, ɛnyɛ sɔhwɛ a ɛyɛ den.
So wunim nea Romberg Sɔhwɛ no yɛ?
Sɛ yɛbɛka no tiawa a, Romberg Sɔhwɛ yɛ nipadua mu sɔhwɛ tiawa a ɛhwɛ sɛ ebia nsɛm a ɛkari pɛ wɔ hɔ, titiriw nea ɛfa wo nkate a ɛfa sɛnea wote nka ho . Oh, afei ebia woresusuw nea proprioception yɛ ho. Ma menkyerɛkyerɛ ɛno nso mu. Ɛyɛ tumi a wutumi te wo nipadua no kankyee, wo gyinabea. Sɛ yɛbɛka no pɛpɛɛpɛ a, sɛ wokata w’ani mpo a, wubetumi ate baabi a wo nsa wɔ, baabi a wo nan wɔ, ɛno ne nea ɛfa ho.
Romberg Sɔhwɛ no hwɛ titiriw sɛ ebia dorsal column pathway , w’amemene ne w’akyi berɛmo fã bi a ɛhwɛ proprioception so no reyɛ adwuma yiye anaa.
Wɔyɛ sɔhwɛ no saa: Wɔbɛka akyerɛ wo sɛ gyina hɔ a wo nan abɔ mu na wo nsa abɔ wo nkyɛn anaasɛ woabobɔw wo moma so. Ɛsɛ sɛ wudi kan ma w’ani da hɔ, afei woto mu. Wo duruyɛfo bɛhwɛ wo wɔ saa bere yi mu na wahyɛ sɛnkyerɛnne biara a ɛkyerɛ sɛ wowosow anaasɛ worenkari pɛ no nsow.
Wɔde Moritz Romberg, afeha a ɛto so 19 Europa ntini ho ɔbenfo bi a odii kan de ɔkwan no bae, titiriw sɛnea ɛbɛyɛ a obehu nnipa a wɔyɛ den a wɔwɔ akisikuru a ɛto so abiɛsa/awiei no din too sɔhwɛ yi so.
Yɛbɛyɛ dɛn akura kari pɛ wɔ yɛn nipadua mu ankasa?
Kari pɛ yɛ tumi a obi tumi ma ne nipadua mu duru kari pɛ, gyina hɔ gyina hɔ, na otu kɔ baabiara. Susuw ho hwɛ, ɛyɛ saa kari pɛ yi nti na yɛnhwe ase bere a yɛnantew, tu mmirika, anaa mpo yegyina hɔ ara kwa no.
Yɛn nipadua nam nhyehyɛe ahorow a ɛyɛ den a wɔfrɛ no sensorimotor control systems so ma ɛkari pɛ yi kɔ so. Eyinom bi ne:
- Nkate mu nsɛm a efi anisoadehu mu ba: Yɛn amemene no gyina nea yehu so tumi te sɛnea yɛte ne sɛnea nneɛma a atwa yɛn ho ahyia no te ase.
- Proprioception: Sɛnea yɛadi kan aka no, yɛte yɛn nipadua akwaa ahorow no gyinabea ne sɛnea ɛkɔ so no nka.
- Vestibular system a ɛwɔ aso a ɛwɔ mu no mu: Eyi ne nea ɛma amemene no nya yɛn kankyee, kari a yɛkari pɛ, ne sɛnea yɛkɔ baabiara ho nsɛm. Sɛ wo ho yɛ wo yaw a, ebia biribi asɛe wɔ nhyehyɛe yi ho.
- Saa nkate mu nsɛm yi, amemene no boaboa ano yiye na ɛte ase.
- Nea ɛne eyi hyia no, motor output a wɔde ma aniwa ne ntini ahorow no.
Yebetumi anya opira, nyarewa bi, aniwa mu haw, nnuru bi, na bere a yɛrenyin no, saa nneɛma yi mu biako anaa nea ɛboro saa betumi ayɛ mmerɛw. Ɛno ne bere a ɔhaw ahorow a ɛfa kari pɛ ho sɔre.
Romberg Sɔhwɛ no boa ma wohu sɛ ebia wo kari pɛ ho haw ahorow no fi ɔhaw bi a ɛfa proprioception ho anaa.
Dɛn ne proprioception yi?
Momma yɛnka proprioception ho asɛm kakra. Eyi ne tumi a yɛn nipadua no tumi te n’ankasa kankyee ne ne gyinabea wɔ ahunmu (nneɛma a atwa yɛn ho ahyia) nka.
Dorsal column-medial lemniscus pathway (DCML) , anaasɛ dorsal column kɛkɛ , yɛ nkate kwan a ɛwɔ yɛn mfinimfini ntini nhyehyɛe no mu —kyerɛ sɛ, amemene ne akyi berɛmo mu. Ɛnam saa kwan yi so na yehu nkate a ɛyɛ anifere a ɛfa nsa a yɛde ka yɛn ho, wosow, ne gyinabea a efi ntini ahorow a ɛwɔ yɛn honam ani, ntini, ne yɛn nkwaa mu no mu.
Ɛmfa ho sɛnea yɛbɛkanyan yɛn ho no, nkate mu nneɛma a ɛwɔ yɛn honam ani, yɛn ntini, ne yɛn nkwaa mu no fa saa akyi adum yi mu kɔ amemene no mu. Saa nsɛm yi a wɔde aniwa hu ne nsɛm a ɛfa kari pɛ ne kankyee a efi vestibular system a ɛwɔ aso a ɛwɔ aso no mu no ka ho no kyerɛ amemene no baabi a yɛn nipadua no wɔ ne sɛnea ɛte.
Romberg Sɔhwɛ no hwehwɛ sɛ woyi mmoa a ɛma wohu ade no fi hɔ bere a wɔato aniwa no mu no. Wobetumi de eyi adi dwuma de ahu sɛnea proprioception reyɛ adwuma yiye na ama wɔakari pɛ. Eyi betumi aboa ma wɔahu sɛ ntini mu yare bi a ɛka proprioception wɔ hɔ.
Bere bɛn na Romberg Sɔhwɛ no ho hia?
Nnuruyɛfo taa yɛ Romberg Sɔhwɛ yi:
- Wɔn a wɔwɔ kari pɛ ho haw, adwenemhaw, ne wɔn a wɔtaa hwe ase no fam.
- Wɔyɛ eyi nso sɛ ntini mu nhwehwɛmu a wɔyɛ daa no fã .
Saa sɔhwɛ yi ho wɔ mfaso kɛse wɔ ntini mu tebea ahorow a wohu na wɔhwehwɛ mu. Nhwɛso kakraa bi ni:
- Parkinson yare a ɛma obi nya yare
- Friedreich a ɔyare a ɛma obi ntumi nkɔ nipadua no mu
- Vitamin B12 a enni nipadua mu
- Syphilis a ɛto so abiɛsa/awiei
- Normal pressure hydrocephalus (NPH) a ɛba nkwakoraa ne mmerewa a wɔtaa hwe ase mu
- Wernicke yare a ɛma obi nya ɔyare no
- Ménière yare no
- Brown-Sequard yare a ɛma obi nya ɔyare no
- Akyi nhama mu yare
Nanso kae sɛ, tebea afoforo a ɛfa w’anisoadehu ne w’anom ntini ho nso betumi de ɔhaw ahorow a ɛfa kari pɛ ho aba.
Hena na ɔyɛ Romberg Sɔhwɛ no?
Akwahosan ho ɔyaresafo biara a onim Romberg Sɔhwɛ no betumi ayɛ dwoodwoo. Nanso esiane sɛ ɛyɛ ntini mu nhwehwɛmu nti, ntini ho animdefo na wɔtaa yɛ .
Ɔkwan bɛn so ankasa na wɔyɛ Romberg Sɔhwɛ no?
Eyi yɛ nipadua mu nhwehwɛmu. Wo duruyɛfo bɛma wo akwankyerɛ na wahwɛ sɛnea woreyɛ. Anamɔn a wobɛfa so ayɛ no ni:
1. Wɔbɛka akyerɛ wo sɛ yi wo mpaboa na gyina hɔ a wo nan abɔ mu.
2. Wɔka sɛ fa wo nsa to fam wɔ w’afã, anaasɛ fa twa wo moma so.
3. Nea edi kan no, ɛsɛ sɛ wugyina hɔ tẽẽ a wunhinhim bɛyɛ sikɔne 30 a w’ani abue . Oduruyɛfo no bɛhwɛ sɛnea wo nipadua no keka ne sɛnea ɛkari pɛ.
4. Afei, ɛsɛ sɛ wugyina gyinabea koro no ara na wokata w’ani . Ɛsɛ sɛ wotra hɔ saa bɛyɛ sikɔne 30 anaa simma biako. Oduruyɛfo no bɛsan ahwɛ sɛnea wo kankyee ne sɛnea wokari pɛ.
Romberg Sɔhwɛ no nkyerɛase ahorow a wɔayɛ mu nsakrae wɔ hɔ. Wɔde di dwuma de hwɛ sɛnea ɛkari pɛ wɔ tebea horow mu. Nhwɛso abien ne:
- Sharpened Romberg test (SRT): Wɔde eyi hwɛ sɛ ataxia (nkitahodi a asɛe) wɔ nnipa a wɔrenya ahoɔden afi decompression yare mu (e.g., tebea a ɛba wɔ asuguarefo mu). Nea ɛnte sɛ Romberg sɔhwɛ a wɔyɛ no daa no, eyi de nan no si nhama mu, na nan biako nan ase ka foforo nansoaa.
- Single-legged Stance Test (SLST): Wɔde eyi hwɛ sɛnea wɔn a wɔn mfe akɔ anim ne wɔn a wɔwɔ Parkinson yare no gyina hɔ pintinn . Nea ɛka ho ne sɛ wɔbɛsɔ bere tenten a onipa no betumi agyina ne nan biako so a n’ani abue no ahwɛ. Wɔde simma biako wie sɔhwɛ no. Wɔsɔ nan biara hwɛ mprɛnsa.
Dɛn na ɛsɛ sɛ yɛhwɛ kwan wɔ sɔhwɛ no mu?
Romberg Sɔhwɛ no yɛ sɔhwɛ a ɛyɛ ntɛm na ɛnyɛ den yiye. Sɛ woyɛ eyi a, obiara renkura wo mu anaasɛ ɔremmoa wo mma wokari pɛ.
Nanso mma ɛnhaw wo! Wo duruyɛfo anaa onipa a ɔreyɛ nhwehwɛmu no bɛtena wo nkyɛn ahwɛ wo yiye. Sɛ wohu sɛ worebɛhwe ase a, wɔbɛkyere wo ntɛm na amma woanhwe ase. Afei nso, wɔayi nneɛma biara a ebetumi ama obi ahwe ase no afi baabi a atwa beae a wɔsɔɔ hwɛ no ho.
So eyi hwehwɛ sɛ wɔyɛ ahosiesie titiriw bi?
Dabi, ɛho nhia sɛ woyɛ biribi titiriw biara ansa na woayɛ Romberg Sɔhwɛ no.
So asiane ahorow bi wɔ sɔhwɛ yi mu?
Sɛ oduruyɛfo anaa akwahosan ho ɔbenfo a wɔatete no yɛ sɔhwɛ yi wɔ ɔkwan a ahobammɔ wom so a, asiane anaa nsɛnnennen biara nni hɔ a wonim.
Bere tenten ahe na egye ansa na wɔahu nea efi sɔhwɛ no mu ba?
Sɛ wowie nhwehwɛmu no wie a, oduruyɛfo no betumi aka akyerɛ wo sɛ wo Romberg Nhwehwɛmu no yɛ papa anaasɛ ɛnyɛ papa.
Nanso kae ade biako. Romberg Sɔhwɛ no nkutoo ntumi nkyerɛ wo nea ɛde wo kari pɛ ho haw no reba anaa nea enye wɔ w’akyi adum no ho ankasa. Ɛho behia sɛ wo duruyɛfo yɛ nhwehwɛmu foforo de hu nea ɛde ba ankasa.
Dɛn na ɛkyerɛ sɛ wɔbɛyɛ Romberg nhwehwɛmu a ɛkyerɛ sɛ obi anya bi?
Romberg sɔhwɛ a ɛyɛ papa ne bere a wohwere wo kari pɛ bere a woakata w’ani awie no. Ɛne sɛ, sɛ wo nipadua wosow pii, sɛ wode nan bi si w’anim wɔ baabi a worebɛhwe ase, anaasɛ sɛ worehwe ase ankasa a.
Sɛ wo Romberg nhwehwɛmu no yɛ papa a, wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu foforo na ama wɔahu nea ɛrema w’akyi adum no ntumi nyɛ adwuma yiye. Romberg nhwehwɛmu a ɛyɛ papa no betumi afi aduruyɛ mu tebea horow mu aba.
Dɛn na ɛkyerɛ bere a Romberg sɔhwɛ no yɛ nea enye no?
Romberg sɔhwɛ a enye ne bere a wubetumi akɔ so agyina pintinn a worenhinhim kɛse wɔ sɔhwɛ no mu.
Eyi kyerɛ sɛ ebia sɛnkyerɛnne ahorow a ɛfa wo vestibular system anaa proprioception ho no ne ɔhaw ahorow a ɛfa kari pɛ ho no nni abusuabɔ tẽẽ, anaasɛ ebetumi afi ade foforo a ɛde ba a wontumi mfa Romberg sɔhwɛ no nhu.
Sɛ wowɔ ɔhaw bi wɔ wo kari pɛ ho a, bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Kari pɛ ho haw ahorow betumi ayɛ nea asiane wom na ebetumi ama obi ahwe ase. Sɛ wowɔ saa sɛnkyerɛnne yi bi a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn:
- Nneɛma a entumi nnyina pintinn
- Adwene a ɛyɛ basaa
- Lightheadedness - (Sinhala: Wote nka sɛ wo tirim ayɛ hare, wote nka sɛ wo ho ayɛ hare) .
- Anisoadehu a ɛyɛ kusuu
- Wo kari pɛ a wobɛhwere na woahwe ase
- Sɛ́ wobɛte nka sɛ n’adwene atu afra
- Te nka te sɛ nea dan no redi akɔneaba, bere tiaa bi
- Te a wobɛte nka sɛ woretu bere a wunim sɛ woda so ara retu no
- Sɛ wote nka te sɛ nea worehwe ase
Momma yensua eyi ho ade kakra: Dɛn ne Modified Romberg Balance Test?
Eyi ne Modified Romberg kari pɛ sɔhwɛ.Ɛtɔ mmere bi a mmarahyɛ baguafo de di dwuma de hu sɛ ebia ofirikafo bi anom nsa anaa, nanso eyi nyɛ afuw mu sɔhwɛ a Ɔman Ɔkwan Kɛse so Kar Ahobammɔ Dwumadibea (NHTSA) apene so .
Sɛ woreyɛ eyi a, ɔsraani panyin no bɛka akyerɛ wo sɛ ma wo nan nkɔ so, dan wo ti kɔ akyi kakra, na mum w’ani. Afei, wɔ sikani 30 akyi no, wɔbɛka akyerɛ wo sɛ ka sɛ "gyae" bere biara a wobɛte nka.
Awiei koraa no, nkrasɛm a wode bɛkɔ fie:
Sɛ wokari pɛ na wote nka sɛ wo ho ayɛ wo hyew a, ebetumi ayɛ osuahu a ɛyɛ hu. Sɛ wote nka sɛ wuntumi nnyina anaasɛ worenkari pɛ bere a wugyina hɔ anaa wonantew a, yɛsrɛ wo kɔ oduruyɛfo nkyɛn. Wobetumi ayɛ sɔhwɛ ahorow te sɛ Romberg Sɔhwɛ de aboa wo ma woahu nea ɛde wo kari pɛ ho haw ahorow ba. Kae sɛ, sɛ obi hu yare no yiye a, ɛno ne ade a edi kan a ɛbɛma wanya ayaresa a ɛfata.
` Romberg sɔhwɛ, kari pɛ, proprioception, ntini nhyehyɛe, adwenemhaw, asehwe, ntini mu nyarewa











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