Musculoskeletal screening examination (pGALS) for school-age children based on the adult GALS screen

Arthritis Care and Research

Volumn 55, Issue 5, 2006, Pages 709-716

  Foster, H E ^a,d   Kay, L J ^a   Friswell, M ^b   Coady, D ^a   Myers, A ^a,c  

^a NEWCASTLE UNIVERSITY   (United Kingdom)

^b NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST   (United Kingdom)

^c NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST   (United Kingdom)

^d NEWCASTLE UNIVERSITY   (United Kingdom)

Author keywords

Barriers to care; Children; Clinical skills; GALS; Juvenile arthritis; Medical education; Musculoskeletal; Pediatric; pGALS; Screening examination

Indexed keywords

ADOLESCENT; ANKLE; ARTICLE; CHILDHOOD DISEASE; CLINICAL EDUCATION; CLINICAL EXAMINATION; FEMALE; FOOT DISEASE; GAIT ARMS LEGS AND SPINE SCORE; HUMAN; JUVENILE RHEUMATOID ARTHRITIS; MAJOR CLINICAL STUDY; MALE; MEDICAL EDUCATION; MEDICAL SPECIALIST; MUSCULOSKELETAL DIAGNOSIS; MUSCULOSKELETAL DISEASE; PARENT; PARENTAL ATTITUDE; PATIENT ATTITUDE; PATIENT REFERRAL; PRESCHOOL CHILD; QUESTIONNAIRE; RHEUMATOLOGY; SCHOOL CHILD; SCORING SYSTEM; SCREENING TEST; SENSITIVITY AND SPECIFICITY; TEMPOROMANDIBULAR JOINT DISORDER; VALIDATION STUDY; VALIDITY;

ADOLESCENT; AGE FACTORS; ARTHRITIS, JUVENILE RHEUMATOID; CHILD; CHILD, PRESCHOOL; EDUCATION, MEDICAL; FEMALE; HUMANS; JOINT DISEASES; MALE; MASS SCREENING; MUSCULOSKELETAL DISEASES; MUSCULOSKELETAL SYSTEM; PHYSICAL EXAMINATION; REPRODUCIBILITY OF RESULTS; RHEUMATIC DISEASES; SENSITIVITY AND SPECIFICITY; SEVERITY OF ILLNESS INDEX;

EID: 33750343645     PISSN: 21514658     EISSN: 15290131     Source Type: Journal    
DOI: 10.1002/art.22230     Document Type: Article

References (43)

1. Goodman JE, McGrath PJ, The epidemiology of pain in children and adolescents: a review. Pain 1991;46:247-64.
2. Symmons DP, Jones M, Osborne J, Sills J, Southwood TR, Woo P. Pediatric rheumatology in the United Kingdom: data from the British Pediatric Rheumatology Group National Diagnostic Register. J Rheumatol 1996;23:1975-80.
3. De Inocencio J. Epidemiology of musculoskeletal pain in primary care. Arch Dis Child 2004;89:431-4.
4. Foster HE, Everett S, Myers A. Rheumatology training in the UK: the trainees' perspective [letter]. Rheumatology (Oxford) 2005;44:263-4.
5. McGhee JL, Burks FN, Sheckels JL, Jarvis JN. Identifying children with chronic arthritis based on chief complaints: absence of predictive value for musculoskeletal pain as an indicator of rheumatic disease in children. Pediatrics 2002;110:354-9.
6. Eltringham ME, Myers A, Friswell M, Abinun MA, Kay LJ, Foster HE. Referral delays for children with juvenile idiopathic arthritis [abstract]. Clin Exp Rheumatol 2003;21:532.
7. White PH, McPherson M, Levinson JE. Community programs for children with rheumatic diseases. Pediatr Clin North Am 1986;33:1239-49.
8. Levinson JE, Wallace CA. Dismantling the pyramid. J Rheumatol Suppl 1992;33:6-10.
9. Wallace CA, Levinson JE. Juvenile rheumatoid arthritis: outcome and treatment for the 1990s. Rheum Dis Clin North Am 1991;17:891-905.
10. Sherry DD, Stein LD, Reed AM, Schanberg LE, Kredich DW. Prevention of leg length discrepancy in young children with pauciarticular juvenile rheumatoid arthritis by treatment with intraarticular steroids. Arthritis Rheum 1999;42:2330-4.
11. Flato B, Aasland A, Vinje O, Forre O. Outcome and predictive factors in juvenile rheumatoid arthritis and juvenile spondyloarthropathy. J Rheumatol 1998;25:366-75.
12. Hudson B, Clarke M, Strong N, Abinun M, Craft AW, Foster HE. An audit of screening for chronic anterior uveitis in juvenile chronic arthritis [abstract]. Br J Rheumatol 1997;36 Suppl 1:17.
13. Cabral DA, Petty RE, Malleson PN, Ensworth S, McCormick AQ, Shroeder ML. Visual prognosis in children with chronic anterior uveitis and arthritis. J Rheumatol 1994;21;2370-5.
14. Arthritis and Musculoskeletal Alliance. Standards of care for people with inflammatory arthritis. URL: http://www.arma. uk.net/pdfs/ia_b&w.pdf.
15. Manners PJ. Delay in diagnosing juvenile arthritis. Med J Aust 1999;171:367-9.
16. Myers A, McDonagh JE, Gupta K, Hull R, Barker D, Kay LJ, et al. More 'cries from the joints': assessment of the musculoskeletal system is poorly documented in routine paediatric clerking. Rheumatology (Oxford) 2004;43:1045-9.
17. Glazier RH, Dalby DM, Badley EM, Hawker GA, Bell MJ, Buchbinder R. Determinants of physician confidence in the primary care management of musculoskeletal disorders. J Rheumatol 1996;23:351-6.
18. Hergenroeder AC, Chorley JN, Laufman L, Fetterhoff AC. Pediatric residents' performance of ankle and knee examinations after an educational intervention [abstract]. Pediatrics 2001;107:E52.
19. Bonds DE, Mychaleckyj JC, Watkins R, Palla S, Extrom P. Ambulatory care skills: do residents feel prepared? Med Educ Online [serial online] 2002;7:7. URL: http://www.med-ed-online.org/pdf/res00037.pdf.
20. Dubey SG, Roberts C, Adebajo AO, Snaith ML. Rheumatology training in the United Kingdom: the trainees' perspective. Rheumatology (Oxford) 2004;43:896-900.
21. Lanyon P, Pope D, Croft P. Rheumatology education and management skills in general practice: a national study of trainees. Ann Rheum Dis 1995;54:735-9.
22. Kay LJ, Deighton CM, Walker DJ, Hay EM, and the Arthritis Research Campaign Undergraduate Working Party of the ARC Education Sub-committee. Undergraduate rheumatology teaching in the UK: a survey of current practice and changes since 1990. Rheumatology (Oxford) 2000;39:800-3.
23. Kay LJ, Baggott G, Coady DA, Foster HE. Musculoskeletal examination for children and adolescents: do standard textbooks contain enough information? Rheumatology (Oxford) 2003;42:1423-5.
24. Foster HE, Kay LJ. Examination skills in the assessment of the musculoskeletal system in children and adolescents. Curr Paediatr 2003;13:341-4.
25. Lillicrap MS, Byrne E, Speed CA. Musculoskeletal assessment of general medical in-patients: joints still crying out for attention. Rheumatology (Oxford) 2003;42:951-4.
26. General Medical Council. Good Medical Practice. URL: http://www.gmc-uk. org/guidance/good_medical_practice/index.asp.
27. Coady D, Walker D, Kay L. Regional Examination of the Musculoskeletal System (REMS): a core set of clinical skills for medical students. Rheumatology (Oxford) 2004;43:633-9.
28. Jones A, Ledingham J, Regan M, Doherty M. A proposed minimal rheumatological screening history and examination: the joint answers back. J R Coll Physicians Lond 1991;25:111-5.
29. Doherty M, Dacre J, Dieppe P, Snaith M. The 'GALS' locomotor screen. Ann Rheum Dis 1992;51:1165-9.
30. Kramer MS, Feinstein AR. Clinical biostatistics. LIV. The biostatistics of concordance. Clin Pharmacol Ther 1981;29:111-23.
31. Kramer MS, Boivin JF. Directionality, timing, and sample selection in epidemiologic research design. J Clin Epidemiol 1989;42:827-8.
32. Delbecq A, Gustafson D. Group techniques for programme planning: a guide to nominal group and Delphi processes. Glenview (IL): Scott, Foresman and Co; 1975.
33. Myers A, Kay LJ, Friswell M, Foster HE. Application of the adult GALS screening examination in school age children [abstract]. Rheumatology 2003;39 Suppl 1:103.
34. Dyet L, Pilkington C, Raffles A. A novel presentation of juvenile idiopathic arthropathy. Arch Dis Child 2003;88:1015-6.
35. Fox R, Dacre JE, Clark CL, Scotland AD. Impact on medical students of incorporating GALS screen teaching into the medical school curriculum. Ann Rheum Dis 2000;59:668-71.
36. Plant MJ, Linton S, Dodd E, Jones PW, Dawes PT. The GALS locomotor screen and disability. Ann Rheum Dis 1993;52:886-90.
37. Guillaume S, Prieur AM, Coste J, Job-Deslandre C. Long-term outcome and prognosis in oligoarticular-onset juvenile idiopathic arthritis. Arthritis Rheum 2000;43:1858-65.
38. Huemer C, Malleson PN, Cabral DA, Huemer M, Falger J, Zidek T, et al. Patterns of joint involvement at onset differentiate oligoarticular juvenile psoriatic arthritis from pauciarticular juvenile rheumatoid arthritis. J Rheumatol 2002;29:1531-5.
39. Beresford MW, Cleary GA. Evaluation of a limping child. Curr Paediatr 2005;15:15-22.
40. Walton AG, Welbury RR, Foster HE, Thomason JM. Juvenile chronic arthritis: a dental review. Oral Dis 1999;5:68-75.
41. Broomfield D, Humphris GM. Using the Delphi technique to identify the cancer education requirements of general practitioners. Med Educ 2001;35:928-37.
42. Ruperto N, Ravelli A, Murray KJ, Lovell DJ, Andersson-Gare B, Feldman BM, et al. Preliminary core sets of measures for disease activity and damage assessment in juvenile systemic lupus erythematosus and juvenile dermatomyositis. Rheumatology (Oxford) 2003;42:1452-9.
43. Guzman J, Burgos-Vargas R, Duarte-Salazar C, Gomez-Mora P. Reliability of the articular examination in children with juvenile rheumatoid arthritis: interobserver agreement and sources of disagreement. J Rheumatol 1995;22:2331-6.