Lanska Douglas J
VA Medical Center, Tomah, Wisconsin 54660, USA.
Semin Neurol. 2002 Dec;22(4):409-18. doi: 10.1055/s-2002-36763.
In the first half of the 19th century, European physicians-including Marshall Hall, Moritz Romberg, and Bernardus Brach-described loss of postural control in darkness of patients with severely compromised proprioception. Romberg and Brach emphasized the relationship between this sign and tabes dorsalis. Later, other neurologists evaluated the phenomenon, which is now known as Romberg's sign, in a broader range of neurologic disorders using a variety of simple but increasingly precise and sensitive clinical tests. In the late 19th century, neurologists also developed instruments to measure and record postural sway in patients with neurologic disease. Principal contributors included Philadelphia neurologist Silas Weir Mitchell and his trainees Morris Lewis and Guy Hinsdale. The efforts of these neurologists anticipated later physiologic studies and ultimately the development of computerized dynamic platform posturography.
在19世纪上半叶，包括马歇尔·霍尔、莫里茨·龙伯格和贝尔纳德斯·布拉赫在内的欧洲医生描述了本体感觉严重受损的患者在黑暗中姿势控制能力的丧失。龙伯格和布拉赫强调了这个体征与脊髓痨之间的关系。后来，其他神经学家使用各种简单但越来越精确和灵敏的临床测试，在更广泛的神经系统疾病中评估了这一现象，即现在所知的罗姆伯格征。在19世纪后期，神经学家还开发了仪器来测量和记录神经系统疾病患者的姿势摆动。主要贡献者包括费城神经学家西拉斯·韦尔·米切尔及其学员莫里斯·刘易斯和盖伊·欣斯代尔。这些神经学家的努力为后来的生理学研究以及最终计算机化动态平台姿势描记法的发展奠定了基础。
