The sensitivity, specificity and reliability of the GALS (gait, arms, legs and spine) examination when used by physiotherapists and physiotherapy students to detect rheumatoid arthritis

作者: Karen A. Beattie , Norma J. MacIntyre , Jessica Pierobon , Jennifer Coombs , Diana Horobetz

DOI: 10.1016/J.PHYSIO.2010.11.008

关键词:

摘要: Abstract Objective To evaluate the sensitivity, specificity and reliability of gait, arms, legs spine (GALS) examination to detect signs symptoms rheumatoid arthritis when used by physiotherapy students physiotherapists. Methods Two two physiotherapists were trained perform GALS viewing an instructional DVD attending a workshop. rheumatologists familiar with also participated in All healthcare professionals performed on 25 participants recruited through rheumatology practice 23 without any arthritides from primary care centre. Each participant was assessed one rheumatologist, physiotherapist student. Abnormalities spine, including their location description, recorded, along whether or not diagnosis suspected. Healthcare understood study's objective be agreement findings unaware that half had arthritis. Sensitivity, likelihood ratios calculated determine ability screen for Results Using rheumatologists’ study day as standard comparison, sensitivity 71 86% 69 93%, respectively. Positive ranged 2.74 10.18, while negative 0.21 0.38. Conclusions The may useful tool rule out direct access setting. Differences duration type experience each professional contribute variation results. merits introducing into curricula should explored.

参考文章(25)
Leigh F Callahan, Joanne Marie Jordan, Arthritis and its impact: challenges and opportunities for treatment, public health, and public policy. North Carolina medical journal. ,vol. 68, pp. 415- 421 ,(2007) , 10.18043/NCM.68.6.415
Stephen May, Ken Chance-Larsen, Chris Littlewood, Dave Lomas, Mahmoud Saad, Reliability of physical examination tests used in the assessment of patients with shoulder problems: a systematic review. Physiotherapy. ,vol. 96, pp. 179- 190 ,(2010) , 10.1016/J.PHYSIO.2009.12.002
Dina Brooks, Paul Stratford, Pilot studies and their suitability for publication in physiotherapy Canada. Physiotherapy Canada. ,vol. 61, pp. 66- 66 ,(2009) , 10.3138/PHYSIO.61.2.66
Iain Goff, Belinda Bateman, Andrea Myers, Helen Foster, Acceptability and Practicality of Musculoskeletal Examination in Acute General Pediatric Assessment The Journal of Pediatrics. ,vol. 156, pp. 657- 662 ,(2010) , 10.1016/J.JPEDS.2009.10.047
Lawrence H. Brent, Inflammatory arthritis: an overview for primary care physicians. Postgraduate Medicine. ,vol. 121, pp. 148- 162 ,(2009) , 10.3810/PGM.2009.03.1987
Karen A Beattie, Raja Bobba, Imaan Bayoumi, David Chan, Inge Schabort, Pauline Boulos, Walter Kean, Joyce Obeid, Ruth McCallum, George Ioannidis, Alexandra Papaioannou, Alfred Cividino, Validation of the GALS musculoskeletal screening exam for use in primary care: a pilot study. BMC Musculoskeletal Disorders. ,vol. 9, pp. 115- 115 ,(2008) , 10.1186/1471-2474-9-115
Axel Finckh, Early inflammatory arthritis versus rheumatoid arthritis. Current Opinion in Rheumatology. ,vol. 21, pp. 118- 123 ,(2009) , 10.1097/BOR.0B013E3283235AC4
Vikas Majithia, Stephen A. Geraci, Rheumatoid Arthritis: Diagnosis and Management The American Journal of Medicine. ,vol. 120, pp. 936- 939 ,(2007) , 10.1016/J.AMJMED.2007.04.005
H. E. Foster, L. J. Kay, M. Friswell, D. Coady, A. Myers, Musculoskeletal screening examination (pGALS) for school-age children based on the adult GALS screen. Arthritis Care and Research. ,vol. 55, pp. 709- 716 ,(2006) , 10.1002/ART.22230