PGALS

Y Uziel MD MSc

Pediatric Rheumatology

Meir Medical Center

pGALS

pediatric Gait, Arms, Legs, Spine

• Screening examination on MSK system in

children

• By Helen Foster- UK

• Evidence based- validated in school age

children

• Take 2 minutes to perform

pGALS

pediatric Gait, Arms, Legs, Spine

• MSK problems in pediatrics are common

• Primary care physicians are the gate keeper

• When to perform pGALS

• When to refer to specialist

• How urgent

Anamnesis

3 Screening questions

• 1-Do you (or your child) have any pain or

stiffness in your joints, muscles, or back?

• 2-Do you…difficulty getting dressed without

help?

• 3-Do you… problems going up and down

stairs?

Schoeber Test

Abnormal pGALS screening

Hyper mobility

Think of hand function!!!

Psoriatic arthritis

Psoriasis – Nail Pits

Enthesitis

Enthesitis

Childhood problems related to

hypermobility

Prevalence of Joint hypermobility associated

with other musculoskeletal conditions

פרטי קשר -ספי עוזיאל' פרופ

•uziely@clalit.org.il

•0522656622