What is the essential feature of a positive Romberg’s sign?

Romberg’s sign is a test used to assess balance and proprioception. During the test, the patient stands with feet together and eyes closed. A positive Romberg’s sign occurs when the patient becomes more unsteady or topples over with eyes closed. It indicates impaired proprioception, which can result from conditions like tabes dorsalis. Swaying with eyes closed may be seen in healthy people and in patients with anxiety with no proprioception impairment. Remember to use caution and assistance when performing this test on larger patients!