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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’.
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