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The Beighton Score as a measure of generalised joint hypermobility
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Malek, Sabeeha, Reinhold, Emma J. and Pearce, Gemma S. (2021) The Beighton Score as a measure of generalised joint hypermobility. Rheumatology International, 41 . pp. 1707-1716. doi:10.1007/s00296-021-04832-4
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WRAP-The-Beighton-Score-measure-generalised-joint-hypermobility-Malek-2021.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (554Kb) | Preview |
Official URL: http://dx.doi.org/10.1007/s00296-021-04832-4
Abstract
he 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.
| Item Type: | Journal Article | ||||||||
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| Subjects: | Q Science > QP Physiology R Medicine > RC Internal medicine |
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| Divisions: | Faculty of Science > Life Sciences (2010- ) | ||||||||
| Library of Congress Subject Headings (LCSH): | Joints -- Hypermobility , Joints -- Range of motion -- Measurement , Ehlers-Danlos syndrome | ||||||||
| Journal or Publication Title: | Rheumatology International | ||||||||
| Publisher: | Springer | ||||||||
| ISSN: | 0172-8172 | ||||||||
| Official Date: | October 2021 | ||||||||
| Dates: |
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| Volume: | 41 | ||||||||
| Page Range: | pp. 1707-1716 | ||||||||
| DOI: | 10.1007/s00296-021-04832-4 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access |
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