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The locomotor system is extensive and locomotor problems are common. The most efficient and effective way to examine the locomotor system is to perform a screening examination, the GALS (gait, arms, legs, spine) screen, followed by a more detailed examination of any abnormal findings. This detailed, regional examination of individual joints follows the principles of ‘look, feel, move, function’.
Rheumatological diseases include conditions that affect only limited regions of the locomotor system and also conditions that can have widespread systemic effects. The rheumatological history must reflect both of these aspects. The main symptoms of joint disease are pain, stiffness, swelling and deformity. It is also important to enquire about functional impairment and resultant disability. Systemic...
Rheumatological diseases include conditions which affect limited regions of the locomotor system only and also conditions which can have widespread systemic affects. The rheumatological history must reflect both of these aspects. The main symptoms of joint disease are pain, stiffness, swelling and deformity. Functional impairment and resultant disability must also be inquired about. Systemic diseases...
The locomotor system is extensive and locomotor problems are common. The most efficient and effective way to examine the locomotor system is to perform a screening examination, the GALS (gait, arms, legs, spine) screen, followed by a more detailed examination of any abnormal findings. This detailed, regional examination of individual joints follows the principles of ‘look, feel, move, function’.
A wide range of diseases may affect the musculoskeletal system, from minor regional soft tissue conditions (e.g. tennis elbow), to life-threatening systemic connective tissue diseases (e.g. systemic lupus erythematosus, SLE). The taking of a rheumatological history must therefore be flexible. Appropriate information must be gathered to make a quick diagnostic hypothesis, and time and understanding...
The locomotor system can be difficult to examine because it involves many different anatomical structures. A full examination is time-consuming and seldom necessary. Most rheumatologists perform a short screening examination followed by a more detailed assessment of the affected structures, with additional examination of other systems if indicated. Variations in examination technique reflect individual...
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