Understand | diagnose | change

Whether you are looking to learn more about paediatric musculoskeletal problems, or are involved in the care of children, then PMM and PMM-Nursing will help you change your clinical practice for the better. PMM is free and open to all !


There are evidence based tools to support clinical practice and assessment of children with musculoskeletal concerns.  

pGALS (paediatric Gait, Arms, Legs, Spine) is simple approach to musculoskeletal assessment. 

pREMS (paediatric Regional Examination of the Musculoskeletal System) is a detailed examination of each joint, based on ‘look, feel, move, function’.

A free guide to pGALS and pREMS as an e-book from Versus Arthritis - this is helpful for the teaching and learning of musculoskeletal clinical assessment. 

It is noteworthy that pGALS, V-pGALS and pGALSplus tools are assessment aids to prompt further investigations or referrals. Other tools are there to support collection of consistent and important information to aid clinical decision making, such as pREMS or GALLOP (Gait and Lower Limb Observation of Paediatrics).

Further information about GALLOP is available and includes the GALLOP recording proforma

pGALSplus builds on pGALS and aims to help clinicians to determine if a child with a musculoskeletal problem will need specialist referral or not and if so whether to rheumatology,  orthopaedics or neurology/neurodisability. A Model of Care involving triage is called RightPath and further information is available and includes the triage guide: