Joint Hypermobility: Beighton Score

The Beighton Scoring System is a 9-point screening tool for generalized joint hypermobility. It looks at specific movements in the little fingers, thumbs, elbows, knees, and forward bending with straight knees.

Autistic people appear to be more likely than non-autistic people to have generalized joint hypermobility, including symptomatic hypermobility. This matters because hypermobility is not always just an impressive party trick or a harmless biological quirk. For some people it is linked with pain, fatigue, joint instability, injuries, proprioceptive differences, and difficulty with everyday functioning.

If flexible joints are painless and do not interfere with life, they may simply be part of how someone is built. It is worth seeking medical advice if hypermobility comes with ongoing pain or stiffness, repeated sprains or strains, joints that partially or fully dislocate, poor balance or coordination, unusual fatigue, skin differences, bowel or bladder problems, or a noticeable impact on school, work, mobility, sleep, or daily activities. Do not force these movements to get a higher score.

This prototype is designed as a guided checklist. It should not be treated as a diagnosis of Ehlers-Danlos syndrome, hypermobility spectrum disorder, or any other condition.

Sources

The Beighton Scoring System is based on: Beighton P, Solomon L, Soskolne CL. Articular mobility in an African population. Annals of the Rheumatic Diseases. 1973;32(5):413-418.

The optional 5-part questionnaire is based on: Hakim AJ, Grahame R. A simple questionnaire to detect hypermobility: an adjunct to the assessment of patients with diffuse musculoskeletal pain. International Journal of Clinical Practice. 2003;57:163-166.

The autism and hypermobility context is based on: Glans MR, Thelin N, Humble MB, Elwin M, Bejerot S. The relationship between generalised joint hypermobility and autism spectrum disorder in adults: a large, cross-sectional, case control comparison. Frontiers in Psychiatry. 2022;12:803334.

For further information about the score, age thresholds, clinical measurement, and later evaluation of the 5-part questionnaire, see Assessing Joint Hypermobility - The Ehlers-Danlos Society.

Age Group

The usual Beighton threshold varies by age. Choose the group that best fits the person being scored.

Threshold group
0 of 9 Beighton points answered
Please choose an age group and answer every Beighton item before viewing your result. Use "Not sure" if you cannot tell.

Beighton Score Checklist

For each item, choose Yes, No, or Not sure. A Yes answer scores 1 point for that side or movement. Not sure scores 0 but will be flagged in the result.

Optional Hypermobility History

The 5-part questionnaire by Hakim and Grahame asks about current or past flexibility, childhood contortion or splits, repeated kneecap or shoulder dislocations, and whether someone considers themselves double-jointed.

This section does not add points to the Beighton score above. It is included as context because the questionnaire was designed as a quick screen for whether someone has, or may have had, hypermobility. The Ehlers-Danlos Society notes that two or more Yes answers suggests hypermobility and strongly predicted a Beighton score of 4 or more in the original setting.

Illustrations are adapted crops from Ehlers-Danlos skala Beighton'a by Aleksandra Lacheta, licensed under CC BY-SA 4.0.

Joint Hypermobility: Beighton Score Results

Your Results

Beighton score: 0 / 9

Score Details

Hypermobility History

Important Context

The Beighton score is a screening measure for generalized joint hypermobility. A score meeting the age threshold may support further assessment, but it does not diagnose EDS, HSD, or any other condition by itself.

Source context: Beighton Scoring System and 2017 hEDS criteria guidance as summarised by The Ehlers-Danlos Society. Illustrations are adapted crops from Ehlers-Danlos skala Beighton'a by Aleksandra Lacheta, licensed under CC BY-SA 4.0.