Telemedicine in pediatric rheumatology: the video pediatric gait, arms, legs, and spine (v-pGALS)

Authors

ZEYNEP BALIKFollow
SEHER ŞENERFollow
YAĞMUR BAYINDIRFollow
MÜŞERREF KASAP CÜCEOĞLUFollow
EMİL ALİYEVFollow
ÖZGE BAŞARANFollow
YELDA BİLGİNERFollow
SEZA ÖZENFollow
EZGİ DENİZ BATUFollow

Author ORCID Identifier

ZEYNEP BALIK: 0000-0002-7685-7364

SEHER ŞENER: 0000-0003-1564-8996

YAĞMUR BAYINDIR: 0000-0001-5274-3285

MÜŞERREF KASAP CÜCEOĞLU: 0000-0002-9957-8894

EMİL ALİYEV: 0000-0002-3574-2982

ÖZGE BAŞARAN: 0000-0002-8534-0930

YELDA BİLGİNER: 0000-0002-6232-0072

SEZA ÖZEN: 0000-0003-2883-7868

EZGİ BATU: 0000-0003-1065-2363

DOI

10.55730/1300-0144.5874

Abstract

Background/aim: Video pediatric gait, arms, leg, and spine (v-pGALS) is a virtual application of pediatric gait, arms, leg, and spine (pGALS) examination performed by video. We aimed to verify the applicability, validity, and accuracy of the Turkish translation of the v-pGALS in a large pediatric patient cohort.Materials and methods: Children aged 4-18 years were included between May and June 2022. A hands-on physical examination and v-pGALS were performed. Demographics, active symptoms, physical examination findings, diagnosis, and v-pGALS findings were recorded. The acceptability of v-pGALS by the parent/patient was measured using a visual analog scale (VAS), in terms of additional distress and duration.Results: 102 patients (median age 12.41 years) were included. Juvenile idiopathic arthritis (JIA) was the most common diagnosis. The median duration of v-pGALS was 7 minutes. Abnormal v-pGALS was detected in 25 patients while the hands-on physical examination was abnormal in 27 patients. Scoliosis and pes planus were missed in v-pGALS. Both children and parents gave a median VAS score of 0 for additional discomfort and duration. That is, the duration of v-pGALS was acceptable for the majority of the patients/parents ≥98%, and ≥98% mentioned that it caused little/no discomfort. Video pGALS’s sensitivity and specificity were 92.6% and 100% for the detection of musculoskeletal (MSK) abnormalities, respectively.Conclusion: The v-pGALS is an applicable, accurate, and practical tool for evaluating MSK problems in children. The Turkish translation was also conveniently acceptable.

Keywords

Pediatric rheumatology, pGALS, telemedicine, video pGALS

First Page

963

Last Page

969

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Recommended Citation

BALIK, ZEYNEP; ŞENER, SEHER; BAYINDIR, YAĞMUR; KASAP CÜCEOĞLU, MÜŞERREF; ALİYEV, EMİL; BAŞARAN, ÖZGE; BİLGİNER, YELDA; ÖZEN, SEZA; and BATU, EZGİ DENİZ (2024) "Telemedicine in pediatric rheumatology: the video pediatric gait, arms, legs, and spine (v-pGALS)," Turkish Journal of Medical Sciences: Vol. 54: No. 5, Article 13. https://doi.org/10.55730/1300-0144.5874
Available at: https://journals.tubitak.gov.tr/medical/vol54/iss5/13