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Volume 14
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10.3390/pediatric14020028
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Article

Acceptability and Practicality of a Quick Musculoskeletal Examination into Sports Medicine Pre-Participation Evaluation

by
Stefano Palermi
1,
Giada Annarumma
1,
Alessandro Spinelli
1,
Bruno Massa
1,
Alessandro Serio
1,
Marco Vecchiato
2,
Andrea Demeco
3,
Erica Brugin
4,
Felice Sirico
1,
Franco Giada
4 and
Alessandro Biffi
5,*
1
Public Health Department, University of Naples Federico II, 80131 Naples, Italy
2
Sports and Exercise Medicine Division, Department of Medicine, University of Padova, 35100 Padova, Italy
3
Unit of Physical and Rehabilitative Medicine, Department of Medical and Surgical Sciences, University of Catanzaro Magna Graecia, 88100 Catanzaro, Italy
4
Cardiovascular Rehabilitation and Sports Medicine Service, Cardiovascular Department, Noale Hospital, 30033 Noale, Italy
5
Med-Ex, Medicine & Exercise, Medical Partner Scuderia Ferrari, 00118 Rome, Italy
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2022, 14(2), 207-216; https://doi.org/10.3390/pediatric14020028
Submission received: 7 April 2022 / Revised: 26 April 2022 / Accepted: 30 April 2022 / Published: 3 May 2022
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Abstract

Background: Child musculoskeletal (MSK) diseases are common and, even if often benign, sometimes can lead to significant impairment in the future health of children. Italian pre-participation evaluation (PPE), performed by a sports medicine physician, allows for the screening of a wide range of children every year. Therefore, this study aims to evaluate the feasibility and the acceptability of pGALS (pediatric Gait, Arms, Legs and Spine) screening, a simple pediatric MSK screening examination, when performed as part of a routine PPE. Methods: Consecutive school-aged children attending a sports medicine screening program were assessed with the addition of pGALS to the routine clinical examination. Practicability (time taken) and patient acceptability (discomfort caused) were recorded. Results: 654 children (326 male, mean age 8.9 years) were evaluated through pGALS. The average time taken was 4.26 min (range 1.9–7.3 min). Acceptability of pGALS was deemed high: time taken was “adequate” (97% of parents) and caused little or no discomfort (94% of children). Abnormal MSK findings were common. Conclusions: pGALS is a practical and acceptable tool to perform in sports medicine PPE, even if performed by a non-expert in MSK medicine. Although common, abnormal MSK findings need to be interpreted in the global clinical context and assessment.
Keywords: musculoskeletal evaluation; pre-participation screening; children; sport medicine musculoskeletal evaluation; pre-participation screening; children; sport medicine

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MDPI and ACS Style

Palermi, S.; Annarumma, G.; Spinelli, A.; Massa, B.; Serio, A.; Vecchiato, M.; Demeco, A.; Brugin, E.; Sirico, F.; Giada, F.; et al. Acceptability and Practicality of a Quick Musculoskeletal Examination into Sports Medicine Pre-Participation Evaluation. Pediatr. Rep. 2022, 14, 207-216. https://doi.org/10.3390/pediatric14020028

AMA Style

Palermi S, Annarumma G, Spinelli A, Massa B, Serio A, Vecchiato M, Demeco A, Brugin E, Sirico F, Giada F, et al. Acceptability and Practicality of a Quick Musculoskeletal Examination into Sports Medicine Pre-Participation Evaluation. Pediatric Reports. 2022; 14(2):207-216. https://doi.org/10.3390/pediatric14020028

Chicago/Turabian Style

Palermi, Stefano, Giada Annarumma, Alessandro Spinelli, Bruno Massa, Alessandro Serio, Marco Vecchiato, Andrea Demeco, Erica Brugin, Felice Sirico, Franco Giada, and et al. 2022. "Acceptability and Practicality of a Quick Musculoskeletal Examination into Sports Medicine Pre-Participation Evaluation" Pediatric Reports 14, no. 2: 207-216. https://doi.org/10.3390/pediatric14020028

APA Style

Palermi, S., Annarumma, G., Spinelli, A., Massa, B., Serio, A., Vecchiato, M., Demeco, A., Brugin, E., Sirico, F., Giada, F., & Biffi, A. (2022). Acceptability and Practicality of a Quick Musculoskeletal Examination into Sports Medicine Pre-Participation Evaluation. Pediatric Reports, 14(2), 207-216. https://doi.org/10.3390/pediatric14020028

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