Beighton-Score

Screening method for recording hypermobility.

The Beighton score can be used to measure hypermobility without the need for additional equipment. During the examination, 9 selected joints are each tested in one plane of movement according to the all-or-nothing principle. It is quick to perform, but the score does not have very high sensitivity and specificity. Nevertheless, the Beighton score is currently used as a screening method. It is the best known and, unlike other scores, is validated.

A maximum of 9 points can be achieved on 9 joints. The cut-off value for generalized hypermobility depends on age. Generalized hypermobility is present in 20- to 50-year-olds from ≥ 5 points, in prepubertal children from ≥ 6 points, in adults over 50 years from ≥ 4 points. In extended screening, testing is carried out with angle measurement in all three degrees of freedom using the neutral zero method. For greater clarity, only one degree of freedom is shown. The maximum possible deflection of a joint is not normally distributed. An empirical limit value is therefore given, which lies above the "normal" maximum extent of movement. © Grotz

The threshold value is determined according to age. One speaks of generalized hypermobility if 5 of the 9 joints tested are hypermobile (in 20- to 50-year-olds). After a longer history of suffering, a secondary acquired restriction of movement (due to pain or surgery) can reduce the extent of the initial hypermobility again.