Beighton Score
No significant hypermobility
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Evidence-based calculations Used in clinical settings worldwide Regular monitoring recommended
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✓ Normal Range
No significant hypermobility
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📊 Mild Hypermobility
Benign joint hypermobility without symptoms
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⚠️ Hypermobility Spectrum Disorder
Hypermobility with musculoskeletal symptoms
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🔴 Possible hEDS
High score with systemic connective tissue features
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💃 Professional Dancer
Trained flexibility in performing arts
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👴 Older Adult Assessment
Age-adjusted threshold (≥50 years)
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Sample Clinical Scenarios
✓ Normal Range
No significant hypermobility
📊 Mild Hypermobility
Benign joint hypermobility without symptoms
⚠️ Hypermobility Spectrum Disorder
Hypermobility with musculoskeletal symptoms
🔴 Possible hEDS
High score with systemic connective tissue features
💃 Professional Dancer
Trained flexibility in performing arts
👴 Older Adult Assessment
Age-adjusted threshold (≥50 years)
9-Point Beighton Score
🖐️ Upper Limb Maneuvers (6 points)
🦵 Lower Limb Maneuvers (2 points)
🧘 Axial/Spine Maneuver (1 point)
👤 Patient Demographics
🏥 Clinical History
🔬 Connective Tissue Features (for hEDS screening)
Beighton Score: 0/9
No Generalized Hypermobility
Total Score
Threshold: ≥5
Upper Limb
Lower Limb
Axial
Status
Clinical Interpretation
Beighton score of 0/9 does not meet the threshold (≥5) for generalized joint hypermobility. Upper limb score 0/6, lower limb 0/2, axial 0/1.
Score below threshold suggests no generalized hypermobility. However, localized hypermobility or historical hypermobility may still be clinically significant.
📊 Score Visualization
Joint Profile (Radar)
Region Distribution
Score Gauge
Left vs Right Symmetry
Domain Breakdown
⚠️ Risk Assessment
Low
Low
Low
📋 Recommendations
• Beighton score below threshold for generalized hypermobility
• Localized or historical hypermobility may still be present
• Continue regular physical activity
🏃 Physical Therapy Focus
No specific PT recommendations
Important Clinical Notes
- • Beighton score is a screening tool, not a diagnostic test
- • Does not detect all forms of hypermobility (only 5 joint areas)
- • Historical hypermobility may be missed in older patients
- • Training/occupation can increase scores without pathology
- • 2017 hEDS criteria require additional features beyond Beighton
Beighton Score
No Generalized Hypermobility | Threshold: ≥5 | Below threshold
For informational purposes only — not medical advice. Consult a healthcare professional before acting on results.
🏥 Health Facts
— WHO
— CDC
Understanding the Beighton Score
The Beighton Score is a validated 9-point screening tool for generalized joint hypermobility (GJH). Developed by Beighton and Horan in 1969, it remains the most widely used clinical assessment for identifying individuals with increased joint flexibility that may predispose them to musculoskeletal problems or indicate an underlying connective tissue disorder.
No Generalized Hypermobility
Borderline/Mild Hypermobility
Generalized Hypermobility
Marked Generalized Hypermobility
The 9 Beighton Maneuvers
🖐️ Hands (4 points)
- • Left/Right 5th finger extension >90°
- • Left/Right thumb to forearm
💪 Arms/Legs (4 points)
- • Left/Right elbow hyperextension >10°
- • Left/Right knee hyperextension >10°
🧘 Spine (1 point)
- • Palms flat on floor with knees straight
- • Tests forward flexion and hamstring flexibility
HSD vs hEDS: Key Differences
| Feature | HSD | hEDS |
| Beighton Score | Usually ≥5 | ≥5 (or ≥4 if 50+) |
| Skin Features | Minimal/none | Soft, velvety, mild extensibility |
| Systemic Features | Musculoskeletal only | Multiple organ systems |
| Family History | Variable | Often positive (autosomal dominant) |
| Diagnostic Criteria | Exclusion diagnosis | 2017 international criteria |
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