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Assessing Joint Hypermobility

Check your JH score: Assess Joint Hypermobility using the Beighton Scale

Joint hypermobility, defined as a more-than-normal range of movement (ROM) in a joint, is either localized (increased ROM of a single joint) or generalized. Joint hypermobility depends on age, gender, family and ethnic background. A score of 5/9 or greater defines hypermobility. The total score is obtained by:

  1. Forward flexion of the trunk with knees fully extended so that the palms of the hand rest flat* on the floor – one point
  2. Hyperextension of the elbows beyond 10 degrees* – one point for each elbow
  3. Hyperextension of the knees beyond 10 degrees* – one point for each knee
  4. Passive apposition of the thumbs to the flexor aspect of the forearm* – one point for each hand
  5. Passive dorsiflexion of the little fingers beyond 90 degrees* – one point for each hand

 

*Note: Picture may indicate a degree of hypermobility not required by the diagnostic criteria.

Beighton Criteria

An important landmark was passed in July 2000 with the publication in the Journal of Rheumatology (2000; 27: 1777-1779) of the Brighton Diagnostic criteria for the Joint Hypermobility Syndrome (JHS).

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