GALS screen

GALS screen is a medical examination used by doctors to detect problems in the general areas of Gait, Arms, Legs, and Spine. It is a quick and effective method of identifying musculoskeletal abnormalities and functional disabilities.

Overview

The GALS screen is a simple, quick, and systematic method for identifying significant musculoskeletal abnormalities. It is an acronym for Gait, Arms, Legs, and Spine, which are the key areas examined during the screening. The GALS screen is often used in primary care settings and is particularly useful in identifying early signs of rheumatic and musculoskeletal diseases.

Procedure

The GALS screen consists of three parts: observation of the patient's gait, examination of the arms, legs, and spine, and a brief functional assessment.

Gait

The patient is asked to walk a short distance while the doctor observes their gait. The doctor looks for any abnormalities such as limping, stiffness, or difficulty walking.

Arms

The doctor examines the patient's arms for any signs of muscle weakness, joint abnormalities, or pain. This includes checking the range of motion in the shoulders, elbows, wrists, and hands.

Legs

The doctor examines the patient's legs, checking for any signs of muscle weakness, joint abnormalities, or pain. This includes checking the range of motion in the hips, knees, ankles, and feet.

Spine

The doctor examines the patient's spine for any signs of abnormal curvature, stiffness, or pain. This includes checking the range of motion in the neck and lower back.

Functional Assessment

The functional assessment involves asking the patient about their ability to perform daily activities. This includes questions about their ability to dress, eat, use the toilet, and perform other basic tasks.

Limitations

While the GALS screen is a useful tool for identifying musculoskeletal abnormalities, it is not a substitute for a comprehensive musculoskeletal examination. It is also not designed to identify specific diseases or conditions, but rather to identify patients who may need further evaluation.

See Also

• Musculoskeletal examination
• Rheumatic diseases
• Functional assessment

GALS screen Resources
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