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Check out the GALS mark scheme here. Ask the patient to walk to the end of the room, turn around and come back whilst you observe:. Assessing gait in this way screens for pathology in the anklessubtalarmidtarsal and small joints of the feet and toes. Ask the patient to stand in the anatomical position whilst you inspect from the front, side and behind for any abnormalities.
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Skip to search form Skip to main content. Coady and Andrea R. METHODS Adult GALS was tested in consecutive school-age children attending pediatric rheumatology clinics and was compared with an examination conducted, on the same day, by a pediatric rheumatologist who classified children as having abnormal or normal joints.
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Although MSK exams are primarily performed by rheumatologists or other MSK specialists, expanding their use in primary health care may improve the detection of MSK conditions allowing for earlier treatment. The primary goal of this study was to evaluate the use of the GALS locomotor screen in primary care by comparing the results of assessments of family physicians with those of rheumatologists. The secondary goal was to examine the incidence of MSK disorders and assess the frequency with which new diagnoses not previously documented in patients' charts were identified.
A brief screening examination, which takes 1—2 minutes, has been devised for use in routine clinical assessment. This has been shown to be highly sensitive in detecting significant abnormalities of the musculoskeletal system. It involves inspecting carefully for joint swelling and abnormal posture, as well as assessing the joints for normal movement.