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