GALS

GALS (Gait, Arms, Legs, Spine) is a quick screening tool used by medical professionals to assess the major anatomical areas of the musculoskeletal system. It is often used in routine clinical examinations, particularly in primary care settings.

Overview

The GALS screen is a simple, rapid, and effective method for identifying significant musculoskeletal abnormalities. It is not intended to replace a comprehensive musculoskeletal examination, but rather to identify patients who require further evaluation.

Procedure

The GALS screen consists of three parts: observation of the patient's gait, examination of the arms, and examination of the legs and spine. The patient is asked to walk a short distance, perform a series of simple movements with their arms, and then perform a series of movements with their legs and spine.

Gait

The patient is observed walking a short distance. The examiner looks for asymmetry, limping, or other abnormalities in the gait.

Arms

The patient is asked to perform a series of simple movements with their arms. These include flexion and extension of the wrists and elbows, and abduction and adduction of the shoulders.

Legs and Spine

The patient is asked to perform a series of movements with their legs and spine. These include flexion and extension of the knees and hips, and flexion, extension, and rotation of the spine.

Limitations

While the GALS screen is a useful tool for identifying significant musculoskeletal abnormalities, it is not a comprehensive examination. It may miss subtle abnormalities, and it is not designed to diagnose specific conditions. Patients with positive or questionable findings on the GALS screen should be referred for a more detailed musculoskeletal examination.

See also

• Musculoskeletal examination
• Physical examination

GALS Resources
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