GALS Exam
GALS Exam
Please assess the student performing a GALS MSK screening exam. This examination should take less than 10 minutes.
Student's Email:

GENERAL - Observe the student doing the following:

Washes hands
       
Introduces self and exam to patient
           

INSPECTION - The student should comment on the following:

Inspects gait

Comments on smoothness of gait, antalgic gait, symmetry, ability to turn

               
Inspects spine posteriorly

Comments on scoliosis, shoulder symmetry, pelvic symmetry

               
Inspect spine laterally

Comments on curvatures (cervical lordosis, thoracic kyphosis, lumbar lordosis)

               
Inspects patient anteriorly

Comments on shoulder muscle bulk, quadriceps bulk, knee alignment/swelling, forefoot alignment. Can also be done with patient supine

               

RANGE OF MOTION - The student should ask the patient to do the following:

Forward flexion

Asks patient to bend forward. Comments on hip/spine movement

               
Cervical spine lateral flexion

Asks patient to touch ear to shoulder

               
Shoulder screen

Asks patient to put their hands behind their head (abduction + external rotation)

               
Elbow screen

Asks patient to extend arm at the elbow

               
Arm supination

Asks patient to supinate arms (so palm is up - holding soup). Comments on ability to supinate, muscle bulk, thenar/hypothenar eminences

               

SPECIAL TESTS - Observe the student performing the following manoeuvers:

Grip strength

Asks patient to grip your finger. Comments on power

               
Finger opposition

Asks patient to touch thumb to each finger. Comments on precision

               
Squeezes across MCP joints for pain
               

SUPINE EXAM - Observe the student performing the following manoeuvers with the patient supine:

Inspects leg/knee alignment

Comments on quadriceps bulk, knee alignment/swelling

               
Palpates knee for warmth/effusion

Effusion tests include bulge sign/patellar tap/ballottement (do not have to do all)

               
Hip/knee active flexion

Asks patient to actively flex hip and knee

               
Passive hip rotation

Rotate hip (internal/external rotation). Femur should be 90 degrees to bed

               
Inspects ankles and feet

Includes soles of feet

               
Palpates for MTP pain

Palpates across the MTP joints. Observe the patient's face for pain