title: Acceptability and practicality of musculoskeletal examination in acute general pediatric assessment.
abstract: OBJECTIVE
  To evaluate the practicality and the acceptability of pGALS (pediatric Gait, Arms, Legs and Spine) screening, a simple pediatric musculoskeletal screening examination, when performed as part of an acute pediatric assessment.
  
  
  METHODS
  Consecutive school-aged children attending an acute pediatric assessment unit were assessed with the addition of pGALS to the routine clinical examination. Practicality (ie, time taken, degree of completion) and patients/parent-assessed acceptability (ie, time taken, discomfort caused) were recorded.
  
  
  RESULTS
  Fifty consecutive school-aged children (median age 8 years) were evaluated by pGALS. Median time taken was 3 minutes (range 1.2-5.3), and examination was completed in 47/50 (96%) children. Acceptability of pGALS was deemed high: time taken was "about right" (98% children, 94% parents) and caused no or little discomfort (72% of children, 92% of parents). Abnormalities on pGALS examination were common, with most (17/50, 34%) explained by confirmed musculoskeletal disease, and 6 of 50 (12%) had non- musculoskeletal disease.
  
  
  CONCLUSIONS
  PGALS is practical and acceptable to perform in acute pediatric assessment performed by a non expert in musculoskeletal medicine. Abnormal musculoskeletal findings are common as part of the pGALS examination but need to be interpreted in the global clinical context and assessment.
authors.affiliation: Northumbria Healthcare NHS Foundation Trust, Newcastle upon Tyne, United Kingdom. iaingoff@hotmail.com
authors.forename: Iain
authors.initials: I
authors.lastname: Goff
authors.forename: Belinda
authors.initials: B
authors.lastname: Bateman
authors.forename: Andrea
authors.initials: A
authors.lastname: Myers
authors.forename: Helen
authors.initials: H
authors.lastname: Foster
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006297:Health Services Accessibility; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D009140:Musculoskeletal Diseases / Q000175:diagnosis* / Q000453:epidemiology; D010808:Physical Examination / Q000379:methods*; D015995:Prevalence; D015203:Reproducibility of Results; D006113:United Kingdom / Q000453:epidemiology