- Hi, I'm Bob Schrupp, Physical Therapist
- And I'm Brad Heineck, Physical Therapist.
- And together We are the most famous
physical therapists on the internet.
- Well, in our opinion, of course, Bob.
- Alright, Brad.
- Today, we're gonna go over.
What is this called scale called?
The Beighton score or scale.
The bite me?
- Bob. How's it spelled?
Go ahead, put it right on the screen.
B-E-I-G-H-T-O-N.
It's one for measuring flexibility.
It was originally called the rocket bottles
hypermobility screen.
- So it's for hypo or hyper...
- Hyper, hypermobility.
- Right. And it's measuring that.
- Right.
- All right. I'm gonna step out.
Cause Nancy's coming in.
We're gonna measure her, right?
- So hypermobility means you're double-jointed.
A lot of people call it double-jointed.
And that just means you're more flexible
than the average person.
So we have Nancy who is normally behind the scenes
doing excellent video work for us, as you all know.
She is going to, she volunteered, right Nancy?
- Sort of.
(laughs)
- Okay.
Now you get a point for each one of these
saying if you pass, okay?
And it's nine different tests
we're gonna go through and add up.
So it's nine points total.
All right.
So the first one is, bring your finger
out like that and extend and pull back the finger.
There you go.
Far as you feel comfortable.
Okay. There we go.
And if we get a 90 degree bend here
that's one point. Bob is that one?
- [Bob] I give her a point, yes.
- Okay. You got one.
The next one, do the other side.
Always right and left.
We're gonna give another, another point for there for sure.
- [Bob] That's two points.
- Two points, okay.
The next one is your elbow.
You're gonna go out with your elbow and keep it straight.
Now there's my elbow.
And we look at, if you go farther than straight
so she's hyperextending more than 10 degrees.
- [Bob] Oh yeah, that's more than 10.
- And yeah, we are therapists
and we can measure without using the goniometer.
We got another point here.
Let's check this one.
And the elbow, if you pull that up.
You can see it actually is bending the opposite direction.
- [Bob] So she's got four points so far.
- She's got four points so far.
You're doing very good.
Okay. The next thing is we go down to the,
oh, the thumb.
Yeah, this is, like, if you can go...
This is far as I can get my thumb on both sides.
Okay. Now let's see.
See if Nancy qualify.
There, she can touch.
- [Bob] It goes right down.
- Does that hurt?
- No.
- No pain.
She gets another point.
And she touches again.
All right, the next one, we're gonna move down to the knees.
Now let's look at this.
I gotta pull the...
This works best if you were doing it officially,
you would have shorts on.
But it's like five degrees out right now.
It's the winter of 2014.
- [Bob] It's minus five degrees out.
- Five, minus five.
It's all the same at this point.
Extend that knee as far as you can,
if it's a straight knee, which would be about here,
that would be zero.
We're hyperextending here.
Would you say that's 10 degrees or more, Bob?
- [Bob] Was that the one that,
the one was not as bad as the other one, right?
- [Brad] Well, let's turn around and double check here.
- [Bob] Yeah.
- [Bob] We're not gonna get, here we go.
How does that look?
- [Bob] That looks like 10.
- [Brad] Yeah. Yeah. We've definitely got
- [Bob] 10 there.
Can I see the other side again?
The other side again?
- [Brad] Straighten that up.
- [Bob] Oh yeah. I think that's, that's 10.
Yeah. When you put it like that, then you can see the 10.
- [Brad] Yeah. Now to be technical, we would get a
a goniometer and measure.
- [Bob] And measure, right.
- [Brad] We're we're doing a pretty good job.
You're gonna get the right idea.
So, okay.
And after the knee test, then we go to palming the floor.
So with this one you want to keep the knees straight
or lock out and bend over and see if you can palm the floor.
If you can palm the floor.
And, not quite. She can do her fingertips, but not the palm.
So you're gonna lose a point there.
So that gives you eight out of nine.
All right.
- [Bob] Which means...
- [Brad] Well, she's definitely hypermobile.
- [Bob] She is.
And again, that's not necessarily a good thing.
- [Brad] Right.
You probably don't wanna be, but at the same time
it's not the end of the world.
Nancy, you live without any particular symptoms
and whatnot, right?
- Yeah.
- [Bob] Well, what are some of the things, Brad,
she may want to try to help strengthen her joints.
- Right.
- [Bob] And then she wants to avoid positions that
are gonna put her in hypermobility.
- Right. So you're not gonna stand with your legs
locked out for long periods of time.
Leaning on your elbow...
[ Bob] Elbow straight.
- Right.
- [Bob] She wants to avoid those end range positions
with the joints.
- Right. End range meaning you're locking things out
and putting weight on them or repetitive motion as well.
That's gonna, you know, like you're probably
not gonna enjoy throwing a hard ball a lot.
Although I understand that hyperextension
you can get a heck of a curve.
- [Bob] Yeah. That, a lot of the pictures actually have
hyper, hypermobility in their shoulders.
- Right.
- [Bob] And that's why they're at risk for injury too.
- Yeah, that's why...
- Do you need me to show the shoulder?
- Oh, this is not an attachment.
So go ahead, show us what she can do.
There, you know, and, and Nancy,
I don't know if she wants to give her age,
but she's definitely over 20 years old
and she can...
- [Bob] Nancy face other way towards the wall.
There you go.
- Look at that.
- [Bob] Look at that.
- [Brad] Wow. Here's mine.
- [Bob] Okay Brad.
Okay, just one more time so we can laugh.
(laughing)
- [Bob] All right, that's funny.
Brad is hypomobile, right?
- [Brad] Uh yeah, a little on the tight side.
- [Bob] He would get zero points on that scale.
So, all right.
(cheerful music)