Abstract
The locomotor system is complex and difficult to examine. A selective clinical process to detect important locomotor abnormalities and functional disability could prove valuable. A screen based on a tested 'minimal' history and examination system is described, together with a simple method of recording. The screen is fast and easy to perform. As well as providing a useful introduction to examination of the locomotor system, the screen includes objective observation of functional movements relevant to activities of daily living. Its inclusion in the undergraduate clerking repertoire could improve junior doctors' awareness and recognition of rheumatic disease and general disability. It could also provide a valuable screening test for use in general practice.
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- Ahern M. J., Soden M., Schultz D., Clark M. The musculo-skeletal examination: a neglected clinical skill. Aust N Z J Med. 1991 Jun;21(3):303–306. doi: 10.1111/j.1445-5994.1991.tb04694.x. [DOI] [PubMed] [Google Scholar]
- Doherty M., Abawi J., Pattrick M. Audit of medical inpatient examination: a cry from the joint. J R Coll Physicians Lond. 1990 Apr;24(2):115–118. [PMC free article] [PubMed] [Google Scholar]
- Hoffbrand B. I. Away with the system review: a plea for parsimony. BMJ. 1989 Mar 25;298(6676):817–819. doi: 10.1136/bmj.298.6676.817. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jones A., Ledingham J., Regan M., Doherty M. A proposed minimal rheumatological screening history and examination. The joint answers back. J R Coll Physicians Lond. 1991 Apr;25(2):111–115. [PMC free article] [PubMed] [Google Scholar]
- Robine J. M., Ritchie K. Healthy life expectancy: evaluation of global indicator of change in population health. BMJ. 1991 Feb 23;302(6774):457–460. doi: 10.1136/bmj.302.6774.457. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Spencer M. A., Dixon A. S. Rheumatological features of patients admitted as emergencies to acute general medical wards. Rheumatol Rehabil. 1981 May;20(2):71–73. doi: 10.1093/rheumatology/20.2.71. [DOI] [PubMed] [Google Scholar]
- Wright V. The epidemiology of disability. J R Coll Physicians Lond. 1982 Jul;16(3):178-9, 182-3. [PMC free article] [PubMed] [Google Scholar]