title: Acceptability and practicality of a Spanish translation of paediatric Gait Arms Legs and Spine (pGALS) in Peruvian children.
abstract: BACKGROUND
  The paediatric Gait, Arms, Legs and Spine (pGALS) musculoskeletal examination tool is validated for use in school-aged English Speaking children and shown to be practical and effective in acute paediatric practice in the UK and Malawi. Our aim was to assess the acceptability and practicality of a Spanish translation of pGALS in an acute paediatric setting in Peru.
  
  
  RESULTS
  Fifty-three school-aged children presenting to Hospital Regional de Loreto, Peru were recruited to undergo a pGALS examination using a Spanish translation of the instructions. The pGALS examination was completed in 92.5% (49/53), with the time taken (median 4.42 minutes) being acceptable to most parents (98.1%, 52/53). Most children (88.7%, 47/53), found the pGALS examination caused 'little' or 'no additional discomfort'. Using pGALS, significant findings were observed in 18/53 (34%) children; these related to fractures (4/18), hypermobility (4/18), infectious causes (5/18) and soft tissue trauma (5/18).
  
  
  CONCLUSIONS
  Using this Spanish translation, pGALS assessment was practical, acceptable and effective in detecting musculoskeletal changes in many children.
authors: Musculoskeletal Research Group, Institute of Cellular Medicine, Newcastle University, Newcastle, UK.
authors: Katrina
authors: K
authors: Abernethy
authors: Musculoskeletal Research Group, Institute of Cellular Medicine, Newcastle University, Newcastle, UK ; Great North Children's Hospital, Newcastle Hospitals NHS Foundation Trust, Newcastle, UK.
authors: Sharmila
authors: S
authors: Jandial
authors: School of Modern Languages, Newcastle University, Newcastle, UK.
authors: Lucy
authors: L
authors: Hill
authors: Hospital Regional de Loreto, Iquitos, Peru.
authors: Ernesto Salazar
authors: ES
authors: Sánchez
authors: Musculoskeletal Research Group, Institute of Cellular Medicine, Newcastle University, Newcastle, UK ; Great North Children's Hospital, Newcastle Hospitals NHS Foundation Trust, Newcastle, UK.
authors: Helen
authors: H
authors: Foster
mesh_terms: D000293:Adolescent; D001132:Arm; D002648:Child; D002675:Child, Preschool; D004632:Emergency Medical Services; D005260:Female; D005684:Gait; D006801:Humans; D007802:Language; D007866:Leg; D008297:Male; D009140:Musculoskeletal Diseases / Q000175:diagnosis*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010372:Pediatrics; D010568:Peru; D010808:Physical Examination / Q000379:methods*; D013030:Spain; D013131:Spine; D014177:Translations
keywords: Child; Clinical skills; Medical education; Musculoskeletal; Paediatrics; Spanish; pGALS