A screening technique for hypermobility.
It is a nine point scale and requires the performance of 5 maneuvers, four passive bilateral and one active unilateral performance.
Used for the recognition of hypermobility in populations.
It involves evaluation of only a few joints and does not include other involved systems
It gives no indication of the degree of hypermobility, merely an expression of the widespread nature of its distribution.
It is used to define generalized joint laxity in all populations and all age groups.
The most frequent choice of cutoff is > 4 hypermobile joints.
1. Passive dorsiflexion and hyperextension of the fifth MCP joint beyond 90°
2. Passive apposition of the thumb to the flexor aspect of the forearm 3. Passive hyperextension of the elbow beyond 10° 4. Passive hyperextension of the knee beyond 10° 5. Active forward flexion of the trunk with the knees fully extended so that the palms of the hands rest flat on the floor .
The first four elements can be given a maximum score of 2, because these are performed bilateral.
The maximum score for ligament laxity is 9: score of 9 means hyperlax.
A score of zero is tight, a score of 0-3 as normal and a score of 4-9 represents ligamentous laxity
A score of 4 or more out of 9 indicates generalized hypermobility of the joints.
The spinal forward flexion criterion measures hamstring flexibility and anatomic proportions to ligamentous laxity.
Generalized joint laxity is present when four or more of five tests are positive, including contralateral knee hyperextension.