PGALS ȘI PREMS - ÎN EVALUAREA COPILULUI CU BOALĂ REUMATOLOGICĂ.

Introduction: pGALS (Pediatric Gait, Arms, Legs and Spine) is a method of examining the gait, upper and lower limbs and spine in order to evaluate the joints. pREMS (regional examination of the musculoskeletal system) refers to the regional examination of the musculoskeletal system in children. Rheumatological disorders are sometimes difficult to identify, thus prolonging the diagnostic time. Scope: The presentation of the pGALS and pREMS examination and the study of the literature in order to assess the need to introduce the pGALS and pREMS examination methods as part of the clinical examination of the child in the current practice of family physician and pediatrician for an earlier diagnostic of rheumatological disorders. Material and method: We synthesized literature data on this topic, both for rheumatological and other aetiology. Results: We identified 14 international papers with reference to pGALS in the international database search. The pGALS application time was between 2.9 and 4.5 minutes. Up to 97% of patients did not experience discomfort during pGALS examination. The analyzed materials recommended the use of pGALS as a method of identifying rheumatologic disorders. Conclusions: pGALS and pREMS have been shown to be effective in diagnosing patients with rheumatologic conditions. Applying these methods is easily accepted by children and parents. We consider it useful to introduce pGALS and pREMS as a screening in the clinical assessment of the pediatric patient. [ABSTRACT FROM AUTHOR]