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Il pGALS: un sistema di valutazione dell’apparato muscolo-scheletrico nei bambini in età scolare
pGALS: a simple musculoskeletal assessment tool for school-aged children
Simone Lazzeri1, Gabriele Simonini2
1SOS di Ortopedia Traumatologica AOU Meyer, Firenze
2SODc di Reumatologia, AOU Meyer, Dipartimento Neurofarba, Università di Firenze
Settembre 2017 - pagg. 455 -459
Abstract
The pGALS is a simple and effective assessment tool used to identify school-aged children
with musculoskeletal pathology. The approach is aimed at the non-specialist in paediatric
musculoskeletal medicine as a basic clinical tool to be used in conjunction with
the knowledge of normal major motor milestones and features that warrant urgent referral
(red flags). The pGALS, which has already been validated in different clinical contexts,
is useful for the early recognition and a prompt and correct referral of children
with musculoskeletal disease.
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Bibliografia
1. Goodman JE, McGrath PJ. The epidemiology
of pain in children - a review. Pain 1991;
46(3):247-64.
2. Yeo M, Sawyer S. Chronic Illness and Disability.
BMJ 2005;330(7493):721-3.
3. El-Metwally A, Salminen JJ, Auvinen A, et
al. Prognosis of non-specific musculoskeletal
pain in preadolescents: a prospective 4-year
follow-up study till adolescence. Pain 2004;
110(3):550e9.
4. Mikkelsson M, Salminen JJ, Kautiainen H.
Non-specific musculoskeletal pain in preadolescents.
Prevalence and 1-year persistence.
Pain 1997;73(1):29e35.
5. Connelly M, Schanberg L. Evaluating and
managing musculoskeletal pain in primary
care. In: Walco G, Goldschneider K, Berde C
(Eds). Pain in children. Humana Press 2008:
185-99.
6. Schappert SM, Nelson C. National ambulatory
medical care survey: 1995-96 summary.
Vital Health Stat 1999;13(142):1-122.
7. Ziv A, Boulet JR, Slap GB. Utilization of
physician offices by adolescents in the United
States. Pediatrics 1999;104(1):35-42.
8. De Inocencio J. Epidemiology of musculoskeletal
pain in primary care. Arch Dis Child
2004;89(5):431e4.
9. Cooper C, Dennison EM, Leufkens HG,
Bishop N, van Staa TP. Epidemiology of
childhood fractures in Britain: a study using
the general practice research database. J Bone
Miner Res 2004;19(12):1976-81.
10. Tallen G, Bielack S, Henze G, et al. Musculoskeletal
pain: a new algorithm for differential
diagnosis of a cardinal symptom in Pediatrics.
Klin Padiatr 2014;226(2):86e98.
11. Riccio I, Marcarelli M, Del Regno N, et al.
Musculoskeletal problems in pediatric acute
leukemia. J Pediatr Orthop B 2013;22(3):
264e9.
12. Zombori L, Kovacs G, Csoka M, Derfalvi
B. Rheumatic symptoms in childhood leukaemia
and lymphoma e a ten-year retrospective
study. Pediatr Rheumatol Online J 2013; 11:20.
13. Arbeitsgemeinschaft der Wissenschaftlichen
Medizinischen Fachgesellschaften,
(AWMF) 025/032 - S2k-Leitlinie: Algorithmus
zur differentialdiagnostischen Abklärung
eines onkologischen Leitsymptoms:
Muskuloskelettale Schmerzen bei Kindern
und Jugendlichen. Available from: http://
www.awmf.org/leitlinien/detail/ll/025-
032.html.
14. Foster HE, Kay LJ, Friswell M, et al. Musculoskeletal
screening examination
(pGALS) for school-age children based on
the adult GALS screen. Arthritis Rheum
2006;55(5):709e16.
15. Arthritis Research UK. Paediatric gait
arms legs spine (pGALS) videos. 2015. Available
from: www.arthritisresearchuk.org/
health-professionals-and-students/video-resources/
pgals.aspx.
16. Smith E, Molyneux E, Heikens GT, Foster
H. Acceptability and practicality of pGALS in
screening for rheumatic disease in Malawian
children. Clin Rheumatol 2012;31 (4):647-53.
17. Moreno-Torres LA, Hernandez-Garduno
AG, Arellano-Valdes CA, et al. Cross-cultural
validation of the paediatric Gait, Arms, Legs,
Spine (pGALS) tool for the screening of musculoskeletal
disorders in Mexican children.
Rheumatol Int 2016;36(4):495-503.
18. Chan MO, Sen ES, Hardy E, et al. Assessment
of musculoskeletal abnormaliries in
children with mucopolysaccharidoses using
pGALS. Pediatr Rheumatol Online J 2014;
1:12:32.
19. Abernethy K, Jandial S, Hill L, et al. Acceptability
and practicality of a Spanish translation
of paediatric Gait Arms Legs and Spine
(pGALS) in Peruvian children. Pediatr
Rheumatol Online J. 2014;12:48.
20. Abujam B, Aggarwal A. Hypermobility is
related with musculoskeletal pain in Indian
school-children. Clin Exp Rheumatol 2014;
32(4):610-3.
21. Paediatric Musculoskeletal Matters. Paediatric
musculoskeletal matters website.
2015. Available from: http://www.pmmonline.
org/doctor.
22. Goff I, Bateman B, Myers A, Foster HE.
Acceptability and practicality of musculoskeletal
examination in acute general pediatric
assessment. J Pediatr 2010;156(4):657-62.
23. Foster HE, Jandial S. pGALS - paediatric
Gait Arms Legs and Spine: a simple examination
of the musculoskeletal system. Pediatr
Rheumatology 2013;11:44.
Corrispondenza: simo.lazzeri@gmail.com