PGALS - paediatric Gait Arms Legs and Spine: A simple examination of the musculoskeletal system

Pediatric Rheumatology

Volumn 11, Issue 1, 2013, Pages

  Foster, Helen E ^a   Jandial, Sharmila ^a  

^a Newcastle Upon Tyne Hospitals NHS Foundation Trust   (United Kingdom)

Author keywords

Clinical skills; Education; Musculoskeletal assessment; pGALS

Indexed keywords

ARM; ARTHROPATHY; CHILD CARE; CLINICAL ASSESSMENT; GAIT; HUMAN; LEARNING; LEG; MEDICAL SPECIALIST; MUSCULOSKELETAL DISEASE; MUSCULOSKELETAL SYSTEM EXAMINATION; PATIENT REFERRAL; PEDIATRICS; PHYSICIAN; PRIORITY JOURNAL; REVIEW; SPINE; TEACHING;

EID: 84887357584     PISSN: None     EISSN: 15460096     Source Type: Journal    
DOI: 10.1186/1546-0096-11-44     Document Type: Review

References (27)

1. Goodman JE, McGrath PJ. The Epidemiology of Pain in Children and Adolescents - a Review. Pain 1991, 46(3):247-264. 10.1016/0304-3959(91)90108-A, 1758709.
2. Yeo M, Sawyer S. Chronic illness and disability. BMJ 2005, 330(7493):721-723. Epub 2005/03/26, 10.1136/bmj.330.7493.721, 555640, 15790645.
3. Jandial S, Myers A, Wise E, Foster HE. Doctors likely to encounter children with musculoskeletal complaints have low confidence in their clinical skills. J Pediatr 2009, 154(2):267-271. 10.1016/j.jpeds.2008.08.013, 18823907.
4. Bonds DE, Mychalecky JC, Watkins R, Palla S, Extrom P. Ambulatory care skills: Do residents feel prepared?. Med Educ Online 2002, 7(7).
5. 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(2):351-356.
6. Myers A, McDonagh JE, Gupta K, Hull R, Barker D, Kay LJ, Foster HE. More 'cries from the joints': assessment of the musculoskeletal system is poorly documented in routine paediatric clerking. Rheumatology 2004, 43(8):1045-1049. 10.1093/rheumatology/keh245, 15187245.
7. Jandial S, Rapley T, Foster H. Current teaching of paediatric musculoskeletal medicine within UK medical schools-a need for change. Rheumatology (Oxford) 2009, 48(5):587-590.
8. Lanyon P, Pope D, Croft P. Rheumatology education and management skills in general practice: a national study of trainees. Ann Rheum Dis 1995, 54(9):735-739. Epub 1995/09/01, 10.1136/ard.54.9.735, 1009989, 7495345.
9. Foster HE, Everett S, Myers A. Rheumatology training in the UK: the trainees' perspective. Rheumatology (Oxford) 2005, 44(2):263-264. author reply 4, 10.1093/rheumatology/keh454, 15637044.
10. Woodward AL, Harris ZL. Employment of a needs assessment survey to shape a novel web-based pediatric rheumatology curriculum for primary care providers. Pedia Rheum Online 2013, 11(1):26. Epub 2013/06/07.
11. Dubey SG, Roberts C, Adebajo AO, Snaith ML. Rheumatology training in the United Kingdom: the trainees' perspective. Rheumatology (Oxford) 2004, 43(7):896-900. Epub 2004/04/29, 10.1093/rheumatology/keh192, 15113994.
12. Foster HE, Kay LJ, Friswell M, Coady D, Myers A. Musculoskeletal screening examination (pGALS) for school-age children based on the adult GALS screen. Arthritis Rheum 2006, 55(5):709-716. Epub 2006/10/03, 10.1002/art.22230, 17013854.
13. Doherty M, Dacre J, Dieppe P, Snaith M. The 'GALS' locomotor screen. Ann Rheum Dis 1992, 51(10):1165-1169. 10.1136/ard.51.10.1165, 1012427, 1444632.
14. Goff I, Bateman B, Myers A, Foster HE. Acceptability and practicality of musculoskeletal examination in acute general pediatric assessment. J Pediatr 2010, 156(4):657-662. 10.1016/j.jpeds.2009.10.047, 20070975.
15. 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(2 Pt 1):354-359.
16. Smith E, Molyneux E, Heikens GT, Foster H. Acceptability and practicality of pGALS in screening for rheumatic disease in Malawian children. Clin Rheumatol 2012, 31(4):647-653. Epub 2011/12/21, 10.1007/s10067-011-1901-4, 22183175.
17. Goff I, Rowan A, Bateman BJ, Foster HE. Poor sensitivity of musculoskeletal history in children. Arch Dis Child 2012, 97(7):644-646. Epub 2012/04/17, 10.1136/archdischild-2011-300853, 22504732.
18. Foster HE, Kay L, May C, Rapley T. Pediatric regional examination of the musculoskeletal system: a practice- and consensus-based approach. Arthritis Care Res 2011, 63(11):1503-1510. Epub 2011/09/29.
19. 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(5):633-639. Epub 2004/04/01, 10.1093/rheumatology/keh138, 15054154.
20. Mayer ML, Brogan L, Sandborg CI. Availability of pediatric rheumatology training in United States pediatric residencies. Arthritis Rheum 2006, 55(6):836-842. 10.1002/art.22347, 17139658.
21. Tzaribachev N, Benseler SM, Tyrrell PN, Meyer A, Kuemmerle-Deschner JB. Predictors of delayed referral to a pediatric rheumatology center. Arthritis Rheum 2009, 61(10):1367-1372. 10.1002/art.24671, 19790121.
22. Shiff NJ, Abdwani R, Cabral DA, Houghton KM, Malleson PN, Petty RE, et al. Access to pediatric rheumatology subspecialty care in British Columbia, Canada. J Rheumatol 2009, 36(2):410-415. 10.3899/jrheum.080514, 19132779.
23. Foster HE, Rapley T, May C. Juvenile idiopathic arthritis: improved outcome requires improved access to care. Rheumatology 2009, kep347.
24. Foster HE, Eltringham MS, Kay LJ, Friswell M, Abinun M, Myers A. Delay in access to appropriate care for children presenting with musculoskeletal symptoms and ultimately diagnosed with juvenile idiopathic arthritis. Arthritis Rheum 2007, 57(6):921-927. 10.1002/art.22882, 17665486.
25. Foster H, Rapley T. Access to pediatric rheumatology care - a major challenge to improving outcome in juvenile idiopathic arthritis. J Rheumatol 2010, 37(11):2199-2202. Epub 2010/11/03, 10.3899/jrheum.100910, 21041261.
26. Dang-Tan T, Franco EL. Diagnosis delays in childhood cancer: a review. Cancer 2007, 110(4):703-713. 10.1002/cncr.22849, 17620277.
27. Mohamed K, Appleton R, Nicolaides P. Delayed diagnosis of Duchenne muscular dystrophy. Eur J Paediatr Neurol 2000, 4(5):219-223. 10.1053/ejpn.2000.0309, 11030068.