Beyond pGALS: the need for a multifaceted musculoskeletal decision making tool (‘pGALSplus’) in community based clinical practice

Vicky Mercer*, Nicola Smith, Sharmila Jandial, Michela Guglieri, Simon A Jones, Helen E. Foster

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

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Musculoskeletal (MSK) problems in children are common, and health-care professionals must identify those requiring onward referral. Paediatric gait, arms, legs and spine (pGALS) is an MSK assessment to discern abnormal joints. We aimed to identify MSK assessments to add to pGALS (pGALSplus) to facilitate decision-making in the context of exemplar conditions representing a spectrum of MSK presentations, namely JIA, mucopolysaccharidoses, muscular dystrophy and developmental co-ordination disorder. A literature review identified 35 relevant articles that focused on clinical assessments [including questionnaire(s), physical examination and functional tests] used by health-care professionals in the context of the exemplar conditions. We provide a description of these assessments and the rationale regarding how they, or components of such tools, might be useful within pGALSplus. This process provides a foundation for further work to develop and validate pGALSplus.
Original languageEnglish
Article numberrkae004
Pages (from-to)1-7
Number of pages7
JournalRheumatology Advances in Practice
Issue number1
Early online date23 Jan 2024
Publication statusPublished - 23 Jan 2024

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