Clinical findings:
(1) thumb abduction
(2) elbow hyperextension > 10 degrees
(3) finger extension at the metacarpophalangeal joint > 90°
(4) knee hyperextension > 10 degrees
(5) palms flat on the floor
(6) external shoulder rotation
(7) cervical rotations
(8) cervical inflexions
(9) hips abduction
(10) metatarsophalangeal extension > 90°
(11) lumbar lateral hypermobility
where:
• According to Bulbena et al (1) finger extension is usually measured in the fifth finger; (2) thumb abduction is measured as <= 21 mm between the thumb and the forearm; (3) clenched fists can be used rather than flat palms.
Each finding present was assigned 1 point.
total score =
= SUM(points for clinical findings present)
Interpretation:
• minimum score: 0
• maximum score: 11
• Cutoffs to identify cases with joint hypermobility may be set at >= 5 or >= 6.
