The Beighton Score | Generalized Joint Hypermobility (Laxity)
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- เผยแพร่เมื่อ 8 ก.ย. 2016
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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. The Beighton score is a valid measurement for generalized joint hypermobility.
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Ok, we’re all here because we think we’re hypermobile so now we *NEED* to confirm it
Couldnt be more true
No i do its ran in my family on my mum's side from her to me
Yup i think so but It's also because I fit other things like dyspraxia and i'm diagnosed witha adhd,HSP and Hp and those can be comorbid also i had a dance teacher that told me I'm hypermobile in My hips + i get injured wayyy more easily than other people
Nah I know I’m hypermobile was diagnosed when I was 12 I’m just turning 18 now checking if I still have it
@@alicia1636 Mind telling us your social security number too?
My physical therapist was so amazed seeing the way my body can bend. Apparently it’s why my spine hurts 😂
This is a very over-simplified explanation to a complex thing like pain.
ZhiZa
Oof same
Same. Was your P.T able to help you? I just started going about a month ago.
LOL saame, my PT said he thinks I’m hypermobile throughout my entire body, and that’s half of why I have spine issues too! I have lumbar spine retrolisthesis (idk if I spelled that correctly), and according to my PT, “significant lordosis” among other issues. And oh the muscle tightness and pain......
I’m not “flexible”. In fact, I have really rigid muscles. So it was a surprise to know I’m hyper mobile.
Funny to know that all my muscles aches, mobility restrictions and inability to stretch came from my ligaments not being able to properly function and my muscles doing most of the work, as my doctor said (and depression). He was amazed lol 😂
Several therapy sessions later, I’m stretchy stretchy.
Also worth noting that depression and anxiety (and several other conditions) are highly positively correlated with hypermobility, so the causality could run the other way.
For everybody scoring 8-9 and now off to become contortionists, please be careful. The reason why you can easily do this can be because your joints or connective tissues are more fragile than other people's - it also means things can dislocate or break a lot easier. So please see a physio or doctor for a proper assessment and diagnosis first.
Yup!! Personally i've injured myself every years from stuff My classmates for eg don't get injured wwith,esp My ankles and wrists tajt är also very Skinny No matter how much I weigh (i gain veeeeryy litle around My ankles esp so It's even more strainubg in Them when I go Up 😀)
But I've never broken a bone in my body nor injured myself
@@yasminmattock3960 Good news.
I feel like my connective tissues are stronger than the average person because of hyper extending joints multiple times in sports and never getting injured as a result
@@Yabas00 Good to hear
I scored 7, that explains why my friend told me that it isnt normal to stand that way. The only thing I cannot do are the elbows.
same but I didn't even try to do elbows cause that's freeeeakkyyyyy and if they can bend backwards I surely do not want to know lol
@@GlobalSingeing mine can but it's fine
I got 7 too, just couldn’t do the elbows as well
I was diagnosed with EDS at age 16. The only thing I can’t do (very well) is touch the floor without bending my knees.
I would like a recommendation to a Specialist in my Area who will perform a Complete EDS battery of tests. Wayne, NJ USA is my Town
I can do everything except the last. The thumb thing was a favorite of mine to scare classmates as a child 😂
Same :)
That's my party trick lol 😛🤣
i would scare my classmates with my weird elbows, i remember we did a math measuring that used our arms and everyone was like "why does your arm do that???"
The thumb! I do that even now to scare my colleagues XD
if you have hypermobility and pain research ehlers danlos syndrome : )
My physio diagnosed this. I scored 6. (I’m 43 and female).
Most of my joints are the opposite of hypermobile. However, my fingers and hands definitely are! occasionally, my wrists/hands or feet will partially sublux, even though my feet aren’t hypermobile.
So I could have been a contortionist all this time 😭😭 I got a 9
If you truely did you need to get tested for EDS, it's no joke, it is a serious illness that has alot of serious complications and pain
@GalaxyEclipse , I don't quite know what you mean exactly, but I do know about EDS type 3 hypermobility because I have it, it does affect your organs significantly and all forms of EDS are painful but I believe type 1 and 3 are the most physically debilitating in literature
EDSh, is EDS 3 hypermobility Type, but some people can be hypermobile without it being a genetic collagen disorder, though symptoms will not affect the organs if that is what you meant
crap I also got 9 and I’ve been doing research on EDS hypermobile type and I have most of the symptoms. Yikes. But I don’t know how I could even get diagnosed. What type of doctor would I even go to? Also because I am overweight most medical professionals dismiss all my symptoms as related to that. They’ll say I need to eat better and exercise, even though I am a dancer and work out everyday 😩.
Elsa Figueroa, eating clean will most likely get rid of that fat. You can work out all you want and you’ll still never burn it off if you’re eating like shit.
Well, I scored a 9...
Quite a few people are classified as hypermobile according to the Beighton score. No need to worry thought, just something that a physio could take into account when he is examining you.
Three Cheers for the Black Bullet Days look up Eds
If you did the test correctly you are hypermobile, I am and I got an 8, but I can also touch the back of my arm with my thumb
MCRRR
What does 'quite a few' means? What is your source?
Well i perfected the test.....
I took a Brazilian Jiu Jitsu Class for 3 months. Once, another woman had me in an armlock (armstretching to the point it hurts so much you have to give up), and she was extremely confused as to why I didn't give up, although she had my arm in a pretty abnormal position. Well, the reason is my elbows are hypermobile😏
I used my elbows to not have to play volleyball at school. Okay, one technique did kinda hurt in my elbows, so it's probably for the best if I don't play it. Apart from that I don't have any problems, even though I have a slight hypermobility in several joints. Especially in my elbows and knees.
But how does the "touching the floor" thing relate to hypermobility? Everyone can learn that. I can do it easily, but before I started stretching, my hands were a foot above the floor in forward fall.
I can confirm it is a huge advantage in BJJ if you're opponent isn't able to get a very deep submission on you
@@Yabas00 Well, the woman was shocked and told me that if I didn't give up when someone did this, they will end up hurting my arm. But I only took this class for 3 months and never went back, so idk😅
The touching the floor test is for people to do before they’ve warmed up and stretched. If you’re not warmed up and stretched out you usually can’t touch the floor. So if you can touch the floor with flat palms before stretching out you’re hips are hyper mobile. And not everyone can touch the floor before warming up and stretching. Some people can barely reach passed their knees. They are immobile which also causes joint issues.
@@AnneLund80 The trouble with this part of the test is it is very reliant on hamstring extensibility, and less-so on joint laxity. Particularly in older, sedentary, or injured people this factor is not well-correlated with hypermobility… rather flexibility or the amount they stretch.
Thanks so much for posting this! Curious though, the tests were all done with passive movement, i.e. having someone move them for you. I personally test negative on passive, but can actively move them myself beyond 15· ROM fort the major joints, and beyond 100· for pinky fingers.
It's decribed as a passive assessment, which usually achieves more ROM than during active ROM.
Taking your other hand to move your joints is basically the same as PROM already, if you meant that.
I was told by trainers and physiotherapists that I was very flexible. It turned out I am hypermobile, and so is my daughter. I don't think it is necessary a good thing because at 40, i have been getting so many injuries while doing yoga and working out. I don't realize that I have gone too far until the next day. I am relearning how to use certain muscles in their normal range and not extend too far like I used to at a young age.
I went to see an ortopedist for back pain, i never thought this was not normal untill i saw my family try to do these things and they could not, my ortopedist confirmed it and explained why i could never pop my back
I can do all of those things, although I can't measure the degree that my elbows and knees bend backwards. It's noticeable though, so by eyeballing it I think it is more than 10 degrees
There are a lot of people who score more than 4 points on the Beighton scale.
We only speak of hyperlaxity syndrome with joint pain in more than 4 joints for more than 3 months like defined in the Brighton criteria
Oh okay, thank you! I don't have any joint pain, so that doesn't apply to me.
What rehabilitation exercises whould you recomend for someone who has injured shoulder with hypermobility? Thanks
Hello Physiotutors,
Is there a article that studied the cut-off level for generalized joint hyper mobility in adults between 20-50 years old? Most articles tested the cut-off with children.
Good informational video's
Thanks :)
In the original article, Beighton et al ( www.ncbi.nlm.nih.gov/pmc/articles/PMC1006136/pdf/annrheumd00017-0018.pdf ) describe mobility scores for different age groups. The study was conducted in the african population so there might be limitations in cross-cultural validity for these cut-off scores.
a recent australian study recommends: A cut-off of ⩾4 was only found to be appropriate for females aged 40-59 years and males aged 8-39 years ( www.ncbi.nlm.nih.gov/pubmed/28340003 )
My story is long:
I have my hyper mobility joint syndrome diagnosed by a professional.
My symptoms were ignored by my pediatrician for years. My right femur can dislocate if I move it a certain way, and would do it on its own if my snow crippled wrong. It was so painful. He had one hand on my hip to feel the joint and one on my knee, making my leg extend and twist only to tell me "it's your knee popping, you're fine." I could feel the bone pop out on the inside of my hip joint.
My foot arches had falled flat and the muscles would seize due to the loose ligaments and growing. They still do, but only when I over do it with walks. My ankles would cripple dozens of times a day, falling and giving out and making me trip. They would bend at a near 90 degree angle. And that hurt so bad. It made me fall down star cases all the time.
It was ignored, so I learned to work with it and catch myself.
I almost broke my thumb as a young child, but my ligaments we're to flexible that instead the joint is permanently hyper extended when I make a thumbs up. Doesn't hurt though. And my right shoulder grinds. It thunks, it grinds, it cracks and pops and shifts inside if I move it in any way other than slow perfect circles, and that one still hurts.
But, at 15, I was diagnosed. The pain was getting worse and I had fallen down a massive staircase at my school, badly bruising my shin. Nothing broken, but the problem was getting worse. So we sought help. With tests and explanations at a children's hospital, I got x rays for my shoulder and walking tests for my ankles.
Being diagnosed made me cry with relief. Finally having an answer after being told nothing was different, that I was imagining these things was such a wonderful feeling.
On a happy note, I was in physical therapy and I'm going to be staying up my exercises again. On and off for the rest of my life's i don't mind. I like my flexibility. It's nice to have an answer.
And a funny note: I had a chiropractor with my first round of physical therapy as a child. And he was my mom's too (how we knew him). She is naturally just flexible. But I am far more bendy. So I ended up startling my doctor, haha. It took him two visits to guage how far I can bend so that he could adjust properly. I find it funny that me just being naturally me scared my doctor on the first visit.
For those who have hyper mobility joint syndrome and feel nervous or ashamed, I know the feeling and I promise there is nothing wrong with you. You are not broken, you are not faulty. You are you, you are perfect, and all you need is a little help to figure out your own body.
You have no idea how much I needed to hear what you just said God bless you. Nobody listens to me. I keep telling my regular doctor good grief could you please just look at my chart, I’ve been told I have a hyper mobile pelvis are hyper mobile sacrum hyper mobile feet hyper mobile ankles hyper mobile knees hyper mobile toes fingers wrists- everything and yet nobody has put two and two together and they always order a separate test for this or separate PT for that nobody has ordered something from head to toe and I’ve been begging for 10 years. At age 59 without ovaries, I already am challenged when it comes to connective tissue and collagen, I can’t believe how dumb doctors are these days, or maybe it’s not dumb maybe they just don’t care. Thanks again for this story of yours!
Is it ok to exercise normally in the gym like the others or does it need special exercises ?
I got 9 damn, explains why I do so well in flexibility tests in school
I have hypermobility and I'm suffering from pain
I only was able to do the one with the thumb on both sides
I scored 5.
I'm going to see a rheumatologist in a few months for an EDS assessment. I hope they take me seriously because I'm in pain, I've had knee problems for over half my life and I've been constantly told they're growing pains. I can't even get physio until I've had an EDS assessment.
The most frustrating thing is there's some cool museums near me I want to visit but there's no point because I can't stand long enough to enjoy them.
Update: the rheumatologist diagnosed me with hEDS.
@@KoshVader Considering hEDS is a clinical diagnosis and not a genetic diagnosis, it's always dificult to come to suchs a diagnosis. Do you live in the Netherlands? May I ask to which rheumatologist you went to?
@@TheHadesShade I live in the UK. I can't remember her name but she's based at James Cook University Hospital.
This is crazy bc I've ALWAYS had joint pain for my entire life and every time I bring them up to the doctor it's just "growing pain" wellllll now I'm not growing anymore and all that pain has only gotten worse, not better. I think I may be hypermobile but idk how to bring that up to my physician
@@sisypheanmxe8774 Mine came about when I tried to get physio and the physio said he didn't want to start any work until I've been assessed for EDS due to symptoms. I had to really fight for a referral though. I even had to change GP.
I got a 9 and I have shoulder hypermobility too..like I can dislocate the ball and socket joint without pain if I want to too
good
9 Also. My elbow joints are so flexible that when I rest on my arm it looks my arm is about to snap
Same.
Same!!! Its so funny to see the faces of people who see it.
My phiso took one look at the way I stand and was like "you have lax joints". This is what she meat I guess. I scored between a 6 and a 9... So this is why my joint ache...
omgg i scored 5 !! i have hypermobility in my spine as of what my physical therapist told me but also in my knees and elbow, and fingers....
what about tests for hyper mobile hip joint or foot?
I am hyper mobile and have Tourette’s syndrome. It is literally the most awful combination because my tics take full advantage of my mobility and move my body in crazy ways and I easily am injured and constantly in massive amounts of pain.
To add to your point, there is increasingly good evidence that neurodiversity and hypermobility conditions are often closely linked, so your Tourette's and hypermobility together don't surprise me.
Please keep an eye out for this, everyone. 👍
@@PeppermintPatties “neurodiversity” 🤡🤡 you clowns really think mental illnesses are quirks
I'm almost 30 and I can do all these things and I have a very hypermobile shoulder that is painful to use. How do I get help for this?
What would your treatment be for someone with hyper mobility and scapular dyskinesia ?
Fear, avoidance and anxiety often play a major role in people with hypermobility.
A graded approach to gain trust and focus on resistance training for the shoulder, preferrably closed-chain exercises, is what we could generally recommend.
Gonna film a couple of videos on shoulder instability soon as well.
I could do most of these. Except the one about touching the floor I can't do anymore but I used to be able to when I was younger.
I always impressed schoolmates with my ability to touch the floor with my knees straight. Nowadays I get a lot of chronic knee pain when standing and walking. Is there any treatment for joint pain? I don’t see how it’s possible to just not overextend my joints, it’s just unnatural and fatiguing. I’m also getting chronic lower back pain as I have an exaggerated lumbar curve when I stand. Any advice on discussing this with the doctor?
hey i know it's been a while but i would advice you looking into ankylosing spondylitis, maybe making a little map detailing what you feel and showing it to your doctor would be helpful
I scored 9. I remember showing kids i can twist my hand all the way around because i thought it was cool. I have to put my hand flat on a lower table, then id twist my hand a complete 180 still keeping it flat on the table. I was surprised i was able to do it recently to show my kids.
I also get the bumps on my wrist and on my feel. The ones on my feet have gone from a couple as a kid to idk how many as an adult. I get shots in my heels to help ease the pain and they go mostly away. But come back when the shots wear off.
I can rotate my hands a full 360 when flat on a surface, my ankles twist a good 230°, my fingers lay flat against my palm and my tumb can touch my wrist on both sides, I can't do the splits though.
I've gotta score a good 10 haha
I dont have hypermobitly but I have hypermoitly
Hypermoitly is were u have fast reflexs
alpaca man oooooh
I have both! Lol
🤣🤣🤣 hi kid danger
I scored 8 out of 9. It's never been an issue before, but due to recent changes, I'm beginning to get some joint pain in my knees. Would taking something like glucosamin help or is that only if there's deterioration of the joints? Maybe exercises to strengthen the knees?
We'd suggest to see a local physio if instability is an issue.
Glucosamin won't help, exercise will.
The Beighton score is a not a good test in the hands of a doctor, who doesn’t take into account joint damage, that prevents you from being able to go past the necessary degrees.
If you have bad joints and you don’t score high enough, even though you do have HEDS, you may get misdiagnosed.
I used to can't touch the floor and after I stretch I can putt my palm of my hand on the floor
Do you know clinics around Quebec City? Around here it takes up to years and years to access a doctor...
(If you are already in chronic pain and don't have support whatsoever)
I'm here to see how not hypermobile I am. Attempting the splits really hurts my knees, and my hips won't give. I took this test and my joints have little to no mobility. My pinky stops at about 45 degrees.
Struck me as interesting that the thumb to forearm test was with the arm in a particular position. Both my thumbs will bend to my arm if I’m holding my arm in front of me but not quite in the position shown. Can you address whether this is significant?
Again, being more mobile than others does not have to be an impairment. It's just individual variation. We just show how the criteria are scored and executed.
@@Physiotutors They didn't ask if it was an impairment.
I can do all of these and my back hurts like crazy and have muscle knots in it (I have scoliosis too). I always twist my ankles on accident. I asked my gp and he sent me to rheumatology. Will they be able to tell whats going on?
How are you feeling now?
Two of my children are a mess because of this, I hate how much pain they’re in😕
if u experience no pain does it mean u don't have eds and just have normal hypermobility?
I scored a 9 & sometimes my spine hurts or lower back
Yup got all of them🤦♀️
The iDubbbz intro song got me.
Also, I scored an 8/9 failing the final (spinal) examination. What does this mean for me?
That' you might have generalized laxity.
How do you get diagnosed? What kind of doctor do you seek out?
🤡
After years of visiting many doctors , fibromyalgia diagnosis, ankle OA and shit. Got to know today that my body ain't just flexible , but a syndrome 😂😂 why it bends the way it bends so much , constant pain and stuff... sometimes worse sometimes subsides . I scored 7/9
I scored a 9 yay! 😂
I had hyper mobility when I was small and I was told that you grow out of it but then other doctors have recently told me that your stuck with it for life 😂 that’s an advantage of being a dancer
It doesn’t go away
The score doesn't take into account a person's age, there is a questionnaire that is supposed to be used with adults in conjunction with this test.
that's true. For those reasons, some authors recommend a cut-off score of 7 or higher for children.
Not really sure what is being tested in the last item thou?
I got an 8. I most likely have hEDS but haven't been diagnosed
has somebody seen a video on how to use goniometer
Maybe this explains some of my problems i have with my joints. The doctors couldnt find anything 🤔
I got an 8. I can also turn my feet almost a full 180 though (causing my legs to turn outwards). What could this mean, is this bad or dangerous?
Nope, just that you are hypermobile
@@Physiotutors thanks!
Uhh I can do all the things with the fingers including 360°ing my arm and I can touch my arm to the ground with my leg not bending should I take some EDS test thing idk what EDS even mean and I just found out that my friends cant do what I can do.... This makes me scared please explain
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Why can I do all those omg might explain all my joint pain
Got a 5. Didn’t manage the knees and elbows. Might be different if I had help🤷🏼♀️
I got a 9 what do can i do with this power
So what if I got a zero, am I just like a plank or?
i scored a 1, but for some reason my back is extremely flexible. I can touch my head with my feet by bending my back and stuff like that even thought i have never train to do so. Eveveryone told me I was Hypermobile (?) but i guess not
The test is about general hypermobility. It could very well be that you back is extremely mobile, while in general you are not hypermobile. That's a rather good thing though to score low, as hypermobile people have a higher chance of experiencing musculoskeletal problems in the course of their lives.
I have read that this test is not ideal as it only tests a few joints...
Every joint has be evaluated individually
Me too, do you have long arms or a long torso? I'm taller than my sister but her legs are a lot longer than mine
I used to always show my friends I can do that with my thumb lol. But after looking at the score I realized I can only do it on one side 😭
Huh. Idk about the knee elbow stuff as i obviously can't test it myself but I can bend my pinky up just past 90 degrees on my good hand (left hand pinky was previously broken so its messed up permanantly) and my thumbs bend back to my wrist. o .o didnt even know that's not normal!
Nothing to worry about really in first instance Katherine
Some people just are more mobile than others. If you don’t feel impairments in your daily living or activities just carry on :)
So are these positives?
I got a 9. Definitely hypermobile but not excessively so, only just enough to score high on this test
I never knew hypermobility syndrome existed. Always wondered why my knees would bend much further compared to everyone else
We only speak of hypermobility syndrome if there is pain in 4 or more joints for at least 3 months plus a score of 4 or more on the Beighton score.
Thanks for clarifying that. I did score 7/9 on the Beighton score, however I’ve only got joint pain in my knees. I must only be Hypermobile
Physiotutors if I meet many (maaany) of the joint hypermobility and skin abnormality symptoms of EDS what kind of doctor should I see? I was seeing a rheumatologist for widespread joint pain and was diagnosed with fibromyalgia
I’m in physical therapy for my wrist pain, caused by overuse, and because I supinate when I walk, and have done so for as long as I remember. Today my PT tested the scale on me and I scored a 9. Guess that explains it
This video would’ve been more beneficial if they actually used someone who was positive! This was terrifying but you’re welcome for my contribution to the algorithm
Our contortionist friend wasn’t available that day
I scored a 2 for elbows, but I've had a physio comment on how my hips are more moblie than they should be
I got full score because I’m already super hypermobile
I scored 5 😢. I was ready to start my life as a contortionist. Anyways I’ll try getting there through practice
Hey don't worry it's not important to be double jointed or have hypermobility....u can achieve flexibiliy by streching...for eg. Anna McNulty , Sofie dossie or teagan and sam(The rybka twins) they are not suffering from hypermobility but they are very very flexible!!!
5 still counts as hypermobile, the requirement is 5/9 or higher!
When I was younger, I was told I was hyper flexible. One strange thing I can do is bend my left thumb and completely flatten it against my forearm. Funny thing is, I have idiopathic scoliosis too.
Idiopathic scoliosis, it doesn't mean what it looks like, people always reffer to something els when then hear this, they think its mental disorder, its kinda funny, this becomes severe when you grow up, are you male or female?
Sorry for using commas my full stop button is not working,
Idiopathic means there is no definite cause. Scoliosis doesn’t run in my family.
I was told by my PT I'm hypermobile.... didn't know potatoes were mobile at all.
I have hyper extension everywhere he showed except last one and I am an adult
si un(e) français(e) vois ce commentaire temps mieux l'hyperflexibilité peut se travailler comme dans certain sport par exemple la GRS ou Gymnastique Rythmique Sportive ou des personne qui ne sont pas hyperflexive le devient a force des entrainement surtout au niveau des jambe et du dot comme des contorsionniste c pour sa que la GRS et si magique mais il ne faut pas négliger les heure de travaille pour attindre se niveau de souplesse voiala good luck for a translation :)
Does this mean hEds?
It seems to be my elbows are the only joint that's not crazy bendy, at least from my perspective. Everything else, is bad to worse
I scored a 9
Well i'm 22 years old and i'm 9/9.I am also a medical student so if you have this kind of hiperlaxity and hipermobility you can also have a connective tissue disorder like Ehler Danlos syndrome (which i have) or Marfan syndrome etc.I can personally suggest you to see a doctor.
Betül Akar I found another Zebra in the comments section, lol
Autism Wizard Everybody thinks about horses but zebras do exist lol.Do you also have Ehler Danlos?
Betül Akar Yup, I do indeed have Ehlers-Danlos Syndrome. I’ve only been recently diagnosed with it (I’m fifteen) but I have been in the hospital so many times for dislocations that I’m surprised I wasn’t diagnosed when I was younger.
Autism Wizard Actually i've always known sth is wrong with me but i diagnosed myself after i started medical school.Then i went my professors and they confirmed it's true.Mine isn't so severe so i'm sorry to hear you have had so much dislocations.
I score high on this scale but while I could do most of the tasks if not all earlier recently I got more hypermobile for no reason.
my skin has never been stretchy until recently. I'm in this situation since January and it only seems getting more accentuated with time to me
i went to the doctor and got 8/9
Doesn't have to be a concern necessarily if you're more flexible than others. These findings have to be seen as one factor in a clinical picture
Physiotutors Well according to my cardiologist I have EDS type 3
Does dis mean my growth plates are still open??
I got 9!
i got a 8. Is hypermobility is bad thing?
No not necessarily
I got 7
My fingers/hands are the only things that were positive. What does that mean?
I get do all but the elbow,it’s inherited.
i think i have hypermobility and not positive to eds Cause i don't feel any pain and feel so great instead
I could do all
and i oop-
I got 5/9 elbows and Fingers and spine
I got an 8 the only thing I cant do is touch the ground with flat hands
5
I got 9
I can bend my fingers back really far and it doesn’t hurt my friends hat it though XD
Same, when i did it first time in front of my parent my mom fainted..