Beighton Score

Download Carepatron's free Beighton Score template and example in PDF format. This tool allows you to assess joint hypermobility easily and accurately.

By Wynona Jugueta on May 19, 2024.

Fact Checked by Ericka Pingol.

Use Template

What is joint hypermobility syndrome?

Joint hypermobility syndrome (JHS) is a condition characterized by excessive joint flexibility, often accompanied by joint pain. It's also known as benign joint hypermobility syndrome (BJHS) or generalized joint hypermobility (GJH).

Individuals with JHS display a greater-than-normal range of motion in their joints, leading to joint laxity and increased susceptibility to injuries.

The Beighton Score, a widely used assessment tool, helps diagnose JHS based on joint flexibility in specific body areas. To be diagnosed with JHS, individuals typically need to meet two major criteria: scoring above a certain threshold on the Beighton Score and experiencing joint pain.

The Beighton Score involves assessing joint hypermobility in various body parts, including the fingers, thumbs, elbows, and knees. Generalized hypermobility, particularly in the lower limbs, is often a key indicator of JHS. Understanding and recognizing JHS is crucial for healthcare practitioners to appropriately manage and treat individuals experiencing joint pain and other associated symptoms.

Symptoms of joint hypermobility syndrome

Joint hypermobility syndrome (JHS) can manifest with various symptoms, affecting different parts of the body. Individuals with JHS may experience:

  • Chronic joint pain, especially in the knees, elbows, and fingers
  • Frequent joint dislocations or subluxations
  • Joint instability, leading to feelings of "giving way" or weakness
  • Soft tissue injuries, such as sprains or strains, due to joint laxity
  • Fatigue and muscle weakness, often exacerbated by physical activity
  • Joint stiffness, particularly after periods of inactivity
  • Gastrointestinal issues, such as irritable bowel syndrome or gastroesophageal reflux disease (GERD), which can be associated with JHS

These symptoms can vary in severity from person to person and may worsen over time, impacting daily activities and overall quality of life.

Causes of joint hypermobility syndrome

Joint hypermobility syndrome (JHS) can have various underlying causes, including:

  • Genetics: JHS often runs in families, suggesting a genetic predisposition to joint laxity and hypermobility.
  • Connective tissue disorders: Conditions like Ehlers-Danlos and Marfan syndrome can contribute to joint hypermobility.
  • Collagen abnormalities: Collagen is a protein that provides structure to connective tissues, and abnormalities in collagen can lead to joint laxity.
  • Hormonal factors: Hormonal changes, such as those during puberty or pregnancy, can affect joint stability and contribute to hypermobility.
  • Muscle weakness: Weakness in the muscles surrounding the joints can exacerbate joint hypermobility by failing to provide adequate support.
  • Joint trauma: Previous joint injuries or trauma can increase joint laxity and predispose individuals to hypermobility.
  • Occupational factors: Certain occupations or activities that involve repetitive joint movements or overuse can contribute to joint hypermobility over time.

How to diagnose joint hypermobility?

Diagnosing joint hypermobility involves a combination of clinical evaluation and specialized assessments. Here are the steps typically followed:

  • Clinical assessment: Healthcare practitioners will conduct a thorough physical examination to assess joint flexibility, range of motion, and stability.
  • Beighton Score: The Beighton Score is a widely used tool to quantify joint hypermobility. It involves evaluating flexibility in specific joints, such as the fingers, thumbs, elbows, and knees, assigning a score based on the degree of hyperextension.
  • Scoring criteria: Individuals typically need to meet specific criteria on the Beighton Score to be diagnosed with joint hypermobility syndrome. This often includes scoring above a certain threshold, usually 5 or more out of 9 points.
  • Lower limb assessment: In addition to the Beighton Score, healthcare providers may also assess hypermobility in the lower limbs, as generalized hypermobility, particularly in this area, is often indicative of joint hypermobility syndrome.
  • Evaluation of symptoms: Healthcare practitioners will also consider the presence of symptoms such as chronic joint pain, instability, and frequent dislocations in the diagnosis of joint hypermobility syndrome.

Printable Beighton Score

Download this Beighton Score assessment tool to evaluate joint hypermobility and aid in diagnosing connective tissue disorders for healthcare professionals in rheumatology practice.

What is the Beighton Score?

The Beighton Score is a clinical tool used to assess joint hypermobility, particularly in the context of Beighton joint hypermobility syndrome. Named after Dr. Rodney Grahame Beighton, who developed it in 1973, this scoring system quantifies the flexibility and mobility of specific joints in the body. It plays a crucial role in diagnosing generalized joint hypermobility, where individuals exhibit excessive joint movement beyond the normal range.

The Beighton Score evaluates joint flexibility by measuring the degree of hyperextension in nine different joint areas, including the fingers, thumbs, elbows, and knees. A higher Beighton Score indicates increased joint laxity and hypermobility.

In addition to the nine-point assessment, healthcare providers may conduct a lower limb assessment score to evaluate generalized joint hypermobility, focusing on the hips and ankles. Meeting specific criteria on the Beighton Score, typically scoring five or more out of nine points, is one of the two major criteria used for diagnosing joint hypermobility syndrome.

The Beighton Score is a valuable tool in assessing articular mobility and guiding healthcare professionals in effectively diagnosing and managing conditions associated with joint hypermobility.

How does our Beighton Score template work?

Carepatron's Beighton Score template simplifies assessing joint hypermobility using the Beighton scoring system. Here's how it works:

Step 1: Access the template

Users can access the Beighton Score template through Carepatron's platform. The template provides a structured format for conducting the Beighton Score assessment.

Step 2: Gather necessary equipment

Before starting the assessment, gather the necessary equipment, including a ruler or measuring tape and a chair or flat surface for the individual being evaluated to sit or lie down.

Step 3: Perform the Beighton Score assessment

Follow these steps to perform the Beighton Score assessment:

  • Fingers: Ask the individual to extend their pinky fingers backward beyond 90 degrees. Repeat the process for both hands.
  • Thumbs: Instruct the individual to bend their thumbs backward towards their wrists. Again, repeat for both hands.
  • Elbows: Have the individual straighten their arms and extend their elbows backward beyond 10 degrees.
  • Knees: Ask the individual to bend their knees backward beyond 10 degrees. Ensure their feet are flat on the ground during this maneuver.
  • Flexibility: Assess the individual's ability to touch their palms to the floor with straight legs and knees.

Step 4: Record the results

Record the results of each assessment maneuver. Assign one point for each joint that meets the criteria for hypermobility.

Step 5: Calculate the Beighton Score

Add up the points from each joint assessment to calculate the Beighton Score. A score of 5 or more out of 9 points is indicative of generalized joint hypermobility.

Step 6: Interpret the results

Based on the calculated Beighton Score, interpret the results to determine the presence and severity of joint hypermobility. Consider additional factors such as symptoms and clinical presentation when making a diagnosis.

Beighton Score example (sample)

Below is an example of a filled-out Beighton Score template demonstrating how the assessment maneuvers are recorded and scored. This sample provides insight into how healthcare practitioners can use the Beighton scoring system to evaluate joint hypermobility effectively.

The Beighton Score template offers a structured format for documenting assessment results and calculating the total Beighton Score.

By following the instructions outlined in the template, healthcare providers can accurately assess joint hypermobility in patients and make informed diagnostic and management decisions. This example is a visual reference for understanding the Beighton scoring process and its application in clinical practice.

Download this free Beighton Score example here

Beighton Score example (sample)

Benefits of using our template

Carepatron's Beighton Score template offers several advantages for healthcare practitioners and individuals assessing joint hypermobility. Here are the key benefits:

Standardized assessment

Our template provides a standardized format for conducting the Beighton Score assessment, ensuring consistency and accuracy in evaluating joint hypermobility.

Easy documentation

With predefined sections for recording assessment results, our template simplifies the documentation process, allowing healthcare providers to efficiently record and track patient information.

Comprehensive evaluation

The template covers all key assessment maneuvers, including finger, thumb, elbow, and knee hyperextension, as well as forward flexion flexibility, enabling a comprehensive evaluation of joint mobility.

Clear scoring system

Carepatron's template includes clear instructions for scoring each assessment maneuver, making it easy for healthcare providers to assign points and calculate the total Beighton Score accurately.

Visual reference

Our template serves as a visual reference for healthcare providers and individuals, enhancing understanding of the Beighton scoring process and facilitating communication about joint hypermobility.

Diagnostic aid

By providing a structured framework for assessing joint hypermobility, our template aids in diagnosing conditions such as benign joint hypermobility syndrome and Ehlers-Danlos syndrome, enabling timely intervention and management.

Support for treatment planning

With comprehensive assessment data, healthcare providers can develop tailored treatment plans and exercise regimens to address joint hypermobility and improve overall joint health.

Why use Carepatron as your medical testing software?

Carepatron offers a comprehensive suite of tools and features designed to streamline medical testing processes and enhance efficiency for healthcare practitioners. With Carepatron, medical practitioners can access a range of innovative solutions tailored to meet their specific needs and requirements.

Medical practice management software

Carepatron's medical practice management software empowers healthcare providers to optimize their practice operations, streamline administrative tasks, and improve patient care delivery. From appointment scheduling and billing to electronic health records (EHR) management, our software offers a centralized platform for seamless practice management.

AI medical transcription

With Carepatron's AI medical transcription technology, medical practitioners can save time and resources by automating the transcription of clinical notes, dictations, and patient records. Our advanced AI algorithms ensure accurate and efficient transcription, enabling healthcare providers to focus on patient care without the burden of manual documentation.

Telehealth platform

Carepatron's telehealth platform enables medical practitioners to deliver virtual care services securely and conveniently. With built-in video conferencing, secure messaging, and remote monitoring capabilities, our telehealth solution facilitates remote consultations, follow-up appointments, and patient monitoring, expanding patient care access while maximizing practice efficiency.

telehealth platform
What is a normal Beighton Score?
What is a normal Beighton Score?

Commonly asked questions

What is a normal Beighton Score?

A normal Beighton Score typically ranges from 0 to 4, indicating normal joint mobility without significant hypermobility.

What is a 6 9 on the Beighton scale?

A Beighton Score of 6 to 9 suggests significant joint hypermobility, potentially indicating conditions such as benign joint hypermobility syndrome or Ehlers-Danlos syndrome.

Can you have EDS with low Beighton Score?

Yes, individuals can have Ehlers-Danlos syndrome (EDS) with a low Beighton Score, as EDS encompasses various subtypes with differing clinical presentations. A low Beighton Score does not exclude the possibility of EDS.

Join 10,000+ teams using Carepatron to be more productive

One app for all your healthcare work