Abstract
Adequate methods for measuring the range of movement at joints are essential for the definition of criteria used in the study of clinical problems associated with joint hypermobility. Scoring systems for hypermobility that survey a large number of joints in simple fashion are ideal for epidemiological studies in large populations. Latterly, investigators have devised sophisticated mechanical devices for the precise quantification of movement at a single joint. The greater precision afforded may be ideal for serial assessments in the same patient but the greater precision is of limited use in epidemiological work if the joint fails to mirror the status of laxity at other joints in the body. Moreover, a joint may display acquired hyperlaxity in compensation for a reduced range of movement at adjacent joints, for example in the vertebral column.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Al-Rawi ZS, Al-Aszawi AJ, Al-Chalabi T (1985) Joint mobility among University Students in Iraq. Br J Rheumatol 24: 326–331
American Academy of Orthopedic Surgeons (1965) Joint motion: method of measuring and recording. Churchill Livingstone, Edinburgh
Anderson JAD (1982) The thoraco-lumbar spine. In: Wright, V (ed) Measurement of joint movement, WB Saunders Company Ltd, London pp 631–653 (Clinics in rheumatic diseases, Vol 8 )
Atha J, Wheatley DW (1976) The mobilising effects of treatment on hip flexion. Br J Sports Med 10: 22–25
Beighton PH (1988) Hypermobility scoring. Br J Rheumatol 27: 163
Beighton PH, Horan F (1969) Orthopaedic aspects of the Ehlers-Danlos syndrome. J Bone Joint Surg [Br] 51: 444–453
Beighton PH, Solomon L, Soskolne CL (1973) Articular mobility in an African population. Ann Rheum Dis 32: 413–418
Bird HA (1983) Joint and tissue laxity. In: Wright V (ed) Topical reviews in the rheumatic disorders, vol 2. John Wright and Sons Ltd, Bristol, pp 133–166
Bird HA, Calguneri M (1986) Joint mobility among university students. Br J Rheumatol 25: 314
Bird HA, Brodie DA, Wright V (1979) Quantification of joint laxity. Rheumatol Rehabil 18: 161–166
Bird HA, Calguneri M, Wright V (1981a) Changes in joint laxity occurring during pregnancy. Ann Rheum Dis 40: 209–212
Bird HA, Jobbins B, Wright V (1981b) A finger arthrograph for the quantification of joint stiffness. Ann Rheum Dis 40: 200–205
Bird HA, Walker A, Newton J (1987) A study of hyperlaxity in Olympic gymnasts. Br J Rheumatol 26 [Abstract Suppl. No 2]: 111
Burton AK (1986) Regional lumbar sagittal mobility; measurement by flexicurves. Clin Biomech 1: 20–26
Burton AK, Tillotson KM (1988) Reference values for “normal” regional lumbar sagittal mobility. Clin Biomech 3: 106–113
Campbell RR, Hawkins SJ, Maddison PJ, Reckless JPD (1985) Limited joint mobility in diabetes mellitus. Ann Rheum Dis 44: 93–97
Carter C, Wilkinson J (1964) Persistent joint laxity and congenital dislocation of the hip. J Bone Joint Surg [Br] 46: 40–45
Dubs L, Gschwend N (1988) General joint laxity. Quantification and clinical relevance. Arch Orthop Trauma Surg 107: 65–72
Fairbank JCT, Pynsent PB, Phillips H (1984) Quantitative measurements of joint mobility in adolescents. Ann Rheum Dis 43: 288–294
Grahame R, Jenkins JM (1972) Joint hypermobility-asset or liability. Ann Rheum Dis 31: 109–111
Harris H, Joseph J (1949) Variation in extension of the metacarpophalangeal and interphalangeal joints of the thumb. J Bone Joint Surg [Br] 31: 547–559
Haskard DO, Silman AJ (1985) Measuring devices for studying joint mobility in the normal population. Eng Med 14: 75–77
Hilton RC, Ball J, Benn RT (1978) In vitro mobility of the lumbar spine. Ann Rheum Dis 38: 378–383
Howe A, Thompson D, Wright V (1985) Reference values for metacarpophalangeal joint stiffness in normals. Ann Rheum Dis 44: 469–476
Jobbins B, Bird HA, Wright V (1979) A joint hyperextensometer for the quantification of joint laxity. Eng Med 8: 103–104
Kirk JA, Ansell BM, Bywaters EGL (1967) The hypermobility syndrome. Ann Rheum Dis 26: 419–425
Larsson L-G, Baum J, Mudholkar GS (1987) Hypermobility: features and differential incidence between the sexes. Arthritis Rheum 30: 1426–1430
Loebl WY (1967) Measurement of spinal posture and range of spinal movement. Ann Phys Med 9: 103–110
Loebl WY (1972) The assessment of mobility in the metacarpophalangeal joints. Rheumatol Phys Med 9 (8): 365–379
MacLennan AH, Green RC, Nicolson R, Bath M (1986) Serum relaxin and pelvic pain of pregnancy. Lancet 2: 243–245
Macrae IF, Wright V (1969) Measurement of back movement. Ann Rheum Dis 28: 584–589
McNerney JE, Johnston WB (1979) Generalised ligamentous laxity, hallux abducto valgus and the first metatarsocuneiform joint. J Am Podiatr Assoc 69: 69–82
Pal B, Anderson J, Dick WC, Griffiths ID (1986) Limitation of joint mobility and shoulder capsulitis in insulin-and non-insulin-dependent diabetes mellitus. Br J Rheumatol 25: 147–151
Pearcy M (1986) Measurement of back and spinal mobility. Clin Biomech 1: 44–51
Poul J, Fait M (1986) Generalisierte Bandlaxität bei Kindern. Z Orthop 124: 336–339
Poul J, Fait M (1989) Frequency of occurrence of generalised ligamentous laxity in a population of children. Reumatologia (CSSR), in press.
Schober P (1937) Lendenwirbelsaul und Kreuzschmerzen. München Med Wochenschr 84: 336–339
Schweitzer G (1970) Laxity of metacarpophalangeal joints of finger and interphalangeal joint of the thumb: a comparative interracial study. S Afr Med J 44: 246–249
Silman AJ, Haskard D, Day S (1986) Distribution of joint mobility in a normal population: results of the use of fixed torque measuring devices. Ann Rheum Dis 45: 27–30
Silman AJ, Day SJ, Haskard DO (1987) Factors associated with joint mobility in an adolescent population. Ann Rheum Dis 46: 209–212
Silverman S, Constine L, Harvey W, Grahame R (1975) Survey of joint mobility and in vivo skin elasticity in London schoolchildren. Ann Rheum Dis 34: 177–180
Starkman HS, Gleason RE, Rand LI, Miller DE, Soeldner JS (1986) Limited joint mobility (LJM) of the hand in patients with diabetes mellitus: relation to chronic complications. Ann Rheum Dis 45: 130–135
Sturrock RD, Wojtulewski J, Dudley Hart F (1973) Spondylometry in a normal population and in ankylosing spondylitis. Rheumatol Rehabil 12: 135–142
Troup JDG, Hood CA, Chapman AE (1968) Measurements of the sagittal mobility of the lumbar spine and hips. Ann Phys Med 9: 308–321
Wagner C, Drescher D (1984) Measuring ability of the metacarpophalangeal joints II, III, IV, Vin the dorso-volar plane. Eng Med 13: 15–20
Wood PHN (1971) Is hypermobility a discrete entity? Proc R Soc Med 64: 690–6692
Wordsworth P, Ogilvie D, Smith R, Sykes B (1987) Joint mobility with particular reference to racial variation and inherited connective tissue disorders. Br J Rheumatol 26: 9–12
Wright V (ed) (1982) Measurement of joint movement. WB Saunders Company Ltd, London (Clinics in rheumatic diseases, vol 9 )
Wynne-Davis R (1970) Acetabular dysplasia and familial joint laxity: two aetiological factors in congenital dislocation of the hip. J Bone Joint Surg [Br] 52: 704–708
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1989 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Beighton, P., Grahame, R., Bird, H. (1989). Assessment of Hypermobility. In: Grahame, R. (eds) Hypermobility of Joints. Springer, London. https://doi.org/10.1007/978-1-4471-3900-3_2
Download citation
DOI: https://doi.org/10.1007/978-1-4471-3900-3_2
Publisher Name: Springer, London
Print ISBN: 978-1-4471-3902-7
Online ISBN: 978-1-4471-3900-3
eBook Packages: Springer Book Archive