The Beighton Score as a measure of generalised joint hypermobility

Abstract

The Beighton Score (BS) is a set of manoeuvres in a nine-point scoring system, used as the standard method of assessment for Generalised Joint Hypermobility (GJH). It was originally developed as an epidemiological tool used in screening large populations for GJH, but later adopted as a clinical tool for diagnostic purposes. Its ability to truly reflect GJH remains controversial, as joints within the scoring system are predominantly of the upper limb and disregard many of the major joints, preventing a direct identification of GJH. Furthermore, a consistent finding in the literature whereby the BS failed to identify hypermobility in joints outside the scoring system suggests its use as an indirect indicator of GJH is also not viable. As such, the collective findings of this review demonstrate a need for a change in clinical thinking. The BS should not be used as the principle tool to differentiate between localised and generalised hypermobility, nor used alone to exclude the presence of GJH. Greater emphasis should be placed on a clinician’s judgement to identify or exclude GJH, according to its full definition.

The Relationship Between Generalised Joint Hypermobility and Autism Spectrum Disorder in Adults: A Large, Cross-Sectional, Case Control Comparison

“…To date, there is no gold standard test for classifying GJH, although the Beighton Scoring System (BSS) is often used as such ( 30 ). The current study used two independent assessment methods for GJH: a physical examination following the BSS and the five-part questionnaire (5PQ), a self-reported screening tool for hypermobility.…”

Joint Hypermobility Links Neurodivergence to Dysautonomia and Pain

“…A further limitation concerns the measurement of GJH as participants were not assessed as to whether they met diagnostic criteria for HSD or hEDS. There is considerable debate about categorization and measurement of GJH (58). Further work should focus on symptomatic hypermobility in neurodivergence as it is likely that these individuals will need more targeted interventions, as people with HSD/hEDS are more likely to experience pain and other physical symptoms which can negatively impact on quality of life.…”

Beyond the Musculoskeletal System: Considering Whole-Systems Readiness for Running Postpartum

“…56 In addition, generalized joint laxity has been shown to alter foot loading patterns and possibly injury risk in female athletes. 56 Therefore, it could be argued as part of a wider clinical evaluation, physical therapists could screen postpartum runners for hypermobility impairments using a standardized tool such as the Beighton Score, 9,57,58 especially in postpartum women with preexisting hypermobility conditions. 51 Physical therapists should be cognizant of the fact the Beighton Score predominantly tests upper limb joints, whereas the risk evaluation for running relates to lower limb joints.…”

“…51 Physical therapists should be cognizant of the fact the Beighton Score predominantly tests upper limb joints, whereas the risk evaluation for running relates to lower limb joints. 58 Consideration should also be given to the high caloric cost of breastfeeding 59 and the risk that this may pose to postpartum women developing RED-S, especially if adequate sleep, food, and fluid intake are not maintained. This is because both breastfeeding and running are energy demanding and understanding how to maintain their mutual benefits is important.…”