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Although MSK exams are primarily performed by rheumatologists or other MSK specialists, expanding their use in primary health care may improve the detection of MSK conditions allowing for earlier treatment. The primary goal of this study was to evaluate the use of the GALS locomotor screen in primary care by comparing the results of assessments of family physicians with those of rheumatologists. The secondary goal was to examine the incidence of MSK disorders and assess the frequency with which new diagnoses not previously documented in patients' charts were identified. GALS scores were compared between physicians with the proportion of observed P obspositive P pos and negative P neg agreement being the primary outcomes.

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A GALS screen is an examination used by doctors and other healthcare professionals to detect locomotor abnormalities and functional disability relating to gaitarmslegs and the spine. Observation: looking for symmetry, smoothness of movement, normal stride length, pelvic tilt, arm swing, normal heel strike, stance, toe-off, swing through and ability to turn with ease. Note any antalgictrendelenburghemiplegic or parkinsonian gait features.

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Check out the GALS mark scheme here. Ask the patient to walk to the end of the room, turn around and come back whilst you observe:. Assessing gait in this way screens for pathology in the anklessubtalarmidtarsal and small joints of the feet and toes.

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