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Hypermobility and possibilities of its assessment via Beighton Score

Publication at Faculty of Physical Education and Sport |
2019

Abstract

Background: Generalized joint hypermobility is a systemic connective tissue disease that has genetic causes and significant consequences for the function of the locomotor system. In respect to the rehabilitation, it is therefore necessary to properly diagnose hypermobility and adapt the healing approach accordingly.

Methods: The objective of the research is to get acquainted with the history of hypermobility assessment and to present the findings of current research investigations using the Beighton Score diagnose method. Further, to assess the utility and reliability of this test in clinical practice and research, based on the presented findings.

Results: Individuals with joint hypermobility tend to develop functional disorders of the locomotor system and are frequent patients of rehabilitation ambulances. The very basis of the approach is diagnostics.

The first test battery originated back in 1964. At present, the most widely used Beighton Score test involves 5 tasks in which 0-9 points can be obtained.

Tests included: Passive hyperextension of the fifth metacarpophalengeal joint above 90 °, passive pull of the thumbs to the volary side of the forearm, hyperextension of elbow joints above 10 °, hyperextension of the knee joints above 10 ° and ventral flexion of the trunk with knee joint extension when the palms touch the pad. Conclusions: Diagnosis of hypermobility with Beighton's test offers a time-efficient and reliable tool, well-suited for therapeutic rehabilitation.