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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 ISSN 0172-8172.

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Official URL: http://dx.doi.org/10.1007/s00296-021-04832-4

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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
Subjects: Q Science > QP Physiology
R Medicine > RC Internal medicine
Divisions: Faculty of Science, Engineering and Medicine > 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:
DateEvent
October 2021Published
18 March 2021Available
2 March 2021Accepted
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 (Creative Commons)
Date of first compliant deposit: 24 March 2021
Date of first compliant Open Access: 25 March 2021

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