What is the Beighton Score test? (diagnosing hEDS)
Beighton score is a test that detects joint hypermobility syndrome. The test uses a nine-point scoring system that measures the flexibility of certain joints. A positive Beighton score means you likely have joint hypermobility syndrome.
How it is conducted:
Passive Dorsiflexion of Little Fingers (Each side):
The individual is asked to bend the little finger backward beyond 90 degrees. Each side is assessed separately.
Passive Apposition of Thumbs to Forearm (Each side):
The individual is asked to touch the thumb to the forearm. Again, this is assessed for each side independently.
Hyperextension of Elbows (Each side):
The person is assessed for the ability to hyperextend the elbow beyond 10 degrees.
Hyperextension of Knees (Each side):
The individual is checked for the ability to hyperextend the knee beyond 10 degrees.
Forward Bending While Standing:
The person bends forward at the waist, attempting to place the palms of the hands flat on the floor without bending the knees.
Each positive finding scores one point, and the maximum score is 9 (4 for the fingers, 4 for the thumbs, and 1 for either elbow or knee hyperextension). A higher score indicates greater joint hypermobility.
The Beighton score is part of a broader clinical assessment, which may include a detailed medical history, physical examination, and, if necessary, additional diagnostic tests. It's important to note that a high Beighton score alone does not diagnose a specific condition; it is used in conjunction with other clinical information to guide the diagnosis of joint hypermobility syndrome or related disorders.
Individuals with hypermobility may not always experience symptoms, and joint hypermobility alone does not necessarily indicate a medical problem. However, when hypermobility is associated with pain, joint instability, or other symptoms, further evaluation by a healthcare professional is recommended.
