MUSCULOSKELETAL SYSTEM QUICK SCREEN = GALS

ITEM

(Bold = minimum to report)

Gait
Spine (standing)

Inspection
Inspection from behind

Trigger point
tenderness
Inspection from the side

Arms (sitting on couch)

Inspection from in front

Hands
Grip strength

Legs (lying on couch)

Elbows
Shoulders
Knees
Hips
Feet

COMMENTS / POSSIBILITIES
Symmetry and smoothness of movement, Normal stride length, Ability to turn normally
Scoliosis,
Symmetrical muscle bulk,
Level iliac crests,
(No popliteal swelling),
(Normal hindfoot alignment)
Pressure over mid supraspinatus
Kyphosis, accentuated lumbar lordosis/loss of lumbar lordosis
Normal flexion with fingers on adjacent lumbar spinous processes (touch your toes)
Normal cervical lateral flexion (touch your ear on your shoulder)
Wrist/finger swelling/deformity
Squeeze across 2nd 5th metacarpals (tenderness indicates synovitis of metacarpophalangeal joints),
Turn hands over (inspect for muscle wasting, assess normal pronation/supination of forearm)
Power grip (make a tight fist)
Precision grip (put fingers on thumb)
Full extension (arms out straight)
Abduction and external rotation of the shoulders (hands behind your head)
Knee swelling/deformity Quadriceps muscle bulk Check for knee effusion Crepitus during passive knee flexion
Check internal rotation of hips
Squeeze across metatarsals (tenderness indicates synovitis of metatarsophalangeal joints), Check for callouses