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Beighton Score Calculator

Score the Beighton hypermobility test with bilateral joint checks and instant interpretation.

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What Is the Beighton Score?

The Beighton score is a quick screening tool for generalized joint hypermobility. It combines nine simple physical maneuvers, each worth 1 point, for a total range of 0 to 9. Clinicians often use it alongside history and exam when evaluating connective tissue disorders such as Ehlers-Danlos syndrome and benign joint hypermobility syndrome.

Nine Beighton Test Maneuvers

The score includes one trunk maneuver (palms on floor with knees extended) and eight bilateral joint tests: knee and elbow hyperextension greater than 10 degrees, passive opposition of the thumb to the forearm, and fifth-finger extension past 90 degrees. Each side is scored separately, so bilateral findings can contribute up to 8 points in addition to the trunk item.

Interpreting the Total Score

A score of 4 or higher is commonly considered a positive hypermobility screening result in adults. Scores from 0 to 3 are generally low and less suggestive of widespread hypermobility. Thresholds may differ by age and clinical context, so interpretation should always include the full patient evaluation rather than the score alone.

Frequently Asked Questions

What is a positive Beighton score?

Many clinicians use 4 or higher as a positive screening threshold for joint hypermobility in adults, although pediatric cutoffs can differ.

Why are some joints scored on both sides?

Bilateral scoring captures asymmetry. Hypermobility may be present on one side only, so left and right knee, elbow, thumb, and fifth-finger tests are each worth 1 point.

Does a high score diagnose Ehlers-Danlos syndrome?

No. The Beighton score is a screening aid only. Diagnosis requires broader history, exam, and sometimes genetic or specialist evaluation.

Can children use the same cutoff?

Children are naturally more flexible, so higher scores are common. Pediatric interpretation should follow age-appropriate guidance from a clinician.

How often should the test be repeated?

Repeat the Beighton score when symptoms change or during follow-up for hypermobility-related conditions. It is not needed at every routine visit unless clinically indicated.