Hypermobility assessment
Beighton Hypermobility Score
The Beighton score quantifies generalized joint hypermobility based on five maneuvers performed bilaterally (except trunk flexion). Scores range from 0 to 9. Age and sex influence diagnostic cut-offs.
Beighton score
5 / 9
Generalized joint hypermobilityScore >= 5 meets the commonly accepted threshold for adult generalized joint hypermobility.
How to Use This Calculator
Perform standardized maneuvers
Assess passive hyperextension of little fingers, thumbs, elbows, knees, and forward trunk flexion with knees straight.
Mark each positive finding
Check the box for each joint maneuver the patient can perform. Each counts as 1 point.
Interpret using age- and sex-specific thresholds
Generalized joint hypermobility is typically >= 5 in adult females, >= 4 in adult males, and >= 6 in children.
Formula
Beighton Score = sum of positive maneuvers
Maneuvers: bilateral little finger, thumb, elbow, knee (four joints counted bilaterally) plus forward flexion (1 point). Total possible = 9.
Cut-offs: Adults (female >= 5, male >= 4); Children/adolescents >= 6 (per 2017 International EDS criteria).
Full Description
The Beighton score is a simple screening tool for generalized joint hypermobility used in diagnosing hypermobility spectrum disorders and Ehlers-Danlos syndromes. Because joint laxity decreases with age, thresholds vary by age and sex. Clinical context (pain, instability, systemic features) must guide diagnosis and management.
Positive scores may prompt further evaluation using the 2017 hEDS criteria, systemic evaluations, or referral to rheumatology/genetics. Encourage joint protection strategies, targeted physiotherapy, and symptom management when appropriate.
Frequently Asked Questions
Should historical hypermobility count?
If joints were previously hypermobile but no longer due to age or injury, document history for 2017 hEDS criteria (5-point questionnaire).
Do I need a goniometer?
A goniometer improves accuracy for elbows/knees. In its absence, visual estimation may suffice but note potential variability.
Is the Beighton score diagnostic by itself?
No. It is a screening tool. Combine with symptomatic criteria, systemic features, and family history to diagnose hypermobility disorders.
How does age affect cut-offs?
Joint laxity declines with age; higher cut-offs (>= 6) are recommended for children, while older adults may require lower thresholds and historical evidence.