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Nineteenth-Century Contributions to the Mechanical Recording of Postural Sway
Douglas J. Lanska, MD, MS, MSPH
Arch Neurol. 2001;58:1147-1150.
In the first half of the 19th century, European physicians, including
Marshall Hall, Bernardus Brach, and Moritz Romberg, described loss of postural
control in darkness by patients with severely compromised proprioception.
Late 19th-century neurologists developed instruments to measure and record
postural sway in patients with neurologic disease. Principal American contributors
were the neurologist Silas Weir Mitchell from Philadelphia, Pa, 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.
From the Veterans Affairs Medical Center, Great Lakes VA Healthcare
System, Tomah, Wis, and Department of Neurology, University of Wisconsin,
Madison.
Corresponding author: Douglas J. Lanska, MD, MS, MSPH, Chief of Staff,
Veterans Affairs Medical Center (11), Great Lakes VA Healthcare System, 500
E Veterans St, Tomah, WI 54660 (e-mail: Douglas.Lanska{at}med.va.gov).
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