GALS Screen

The Routine

Questions

• "Pain or stiffness in your muscles joints or back?" 
• "Dress yourself completely without any difficulty?" 
• "Walk up & down stairs without any difficulty?”

Gait

• Symmetry, smooth movement, arm swing, no pelvic tilt, normal stride length, ability to turn quickly

Arms

• Raise arms out sideways & up above your head: 180 degree elevation through abduction without wincing.
• Touch the small of your back: Touches above T10 with both hands.
• Straighten your elbows right out: Elbows extend to 0 degrees or slightly beyond (females) symmetrically.
• Place hands together as if to pray, with elbows right out: 90 degrees wrist extension & straight fingers. The same with hands back to back: 90 degrees wrist flexion.
• Place both hands out in front, palms down, fingers out straight: No wrist/finger swelling/deformity, 90 degrees pronation MCP cross compression: No tenderness.
• Turn hands over: 90 degrees of supination. No palmar swellings, wasting or erythema.
• Make a fist & hide your nails: Can hide fingernails.
• Pinch index, middle finger & thumb together: Can do.

Spine

• Inspection: No scoliosis, symmetrical paraspinals, normal shoulder & gluteal muscle bulk & symmetry, level iliac crests, normal cervical & lumbar lordosis
• Movement
• Bend forward & touch toes: Finger to floor distance less than 15cm, lumbar expansion.
• Place your ear on your shoulder: Ear touches acromion
  

Legs

• Standing:
• Inspect front & back: No knee deformity, anterior or popliteal swelling, no muscle wasting, no hindfoot swelling or deformity
• Lying: 
• Flex hip & knee, holding knee: No bony crepitus, 140 degrees knee flexion.
• Passively rotate hips: 90 degrees total pain free rotation.
• Bulge test/patellar tap: No detectable fluid.Palpate popliteal fossa: No swelling.
• Inspect feet: No deforminty, callosities or forefoot widening (daylight sign).
• Test subtalar & ankle movement: Pain free calcaneal mobility at STJ, dorsiflexion beyond plantigrade & 30 degrees plantarflexion