Musculoskeletal Screening Examination: Difference between revisions

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The GALS (Gait-Arms-Legs-Spine) is a screening examination of the musculoskeletal system.   
The GALS (Gait-Arms-Legs-Spine) is a screening  
[[:Category:Examination|examination]] of the musculoskeletal system.   


==Screening Questions==
==Screening Questions==
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==Examination==
==Examination==


=== Gait ===
=== [[Gait]] ===
Look for symmetry, smoothness of movement, stride length, pelvic tilt, arm swing, heel strike, stance, toe-off, swing through, and turning. Note specific gait features such as Trendelenburg, antalgic, hemiplegic, Parkinsonian, etc.
Look for symmetry, smoothness of movement, stride length, pelvic tilt, arm swing, heel strike, stance, toe-off, swing through, and turning. Note specific gait features such as Trendelenburg, antalgic, hemiplegic, Parkinsonian, etc.



Revision as of 20:59, 4 March 2022

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The GALS (Gait-Arms-Legs-Spine) is a screening

examination of the musculoskeletal system.  

Screening Questions

  • Do you have any pain or stiffness in your arms, legs, or back?
  • Do you have any trouble getting up and down stairs or steps?
  • Can you dress yourself completely without difficulty?

Examination

Gait

Look for symmetry, smoothness of movement, stride length, pelvic tilt, arm swing, heel strike, stance, toe-off, swing through, and turning. Note specific gait features such as Trendelenburg, antalgic, hemiplegic, Parkinsonian, etc.

Arms, Legs and Spine Inspection

  • From behind
    • Spinal and pelvic alignment
    • Paraspinal, shoulder, and gluteal muscle bulk
    • Popliteal, foot, or hindfoot swelling.
  • From the side
    • Spinal curvature
    • Schobers test
  • From the front
    • Shoulder, and quadriceps muscle bulk and symmetry
    • Knee swelling
  • Mid or hindfoot deformity

Arms, Legs, Spine Palpation and Movement

  • Skin roll over the trapezius
  • Cervical spine movement
  • Thoracic spine movement
  • Lumbar spine movement
  • Temporomandibular joint movement
  • Sterno-clavicular, gleno-humeral, and acromio-clavicular joint movement
  • Elbow extension

Wrist and finger deformity or restricted range of motion

  • Inspection
  • Pronation, and supination
  • Grip strength
  • Fine precision - finger to thumb opposition
  • Metacarpal squeeze

Supine position

  • Leg length discrepancy
  • Knee movement
  • Hip joint movement
  • Foot inspection
  • Metatarsal squeeze

External Links