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Hypermobility: Initial Screening with the 5-Point Questionnaire

The Curbsiders Internal Medicine PodcastJuly 2, 20251 min82 views
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The 5-Point Questionnaire for Hypermobility

  • 💡 The 5-point questionnaire is an initial screening tool for hypermobility, relying on historical data rather than current physical findings.
  • ✅ It uses binary yes/no answers and is designed to be sensitive and specific in identifying potential hypermobility.

Key Questions in the Questionnaire

  • ✋ Could you or can you place your palm flat on the floor without bending your knees?
  • 👍 Could you or can you bend your thumb to touch your ipsilateral forearm?
  • 🤸 As a child, did you amuse friends with strange contortions or could you do the splits?
  • 🦴 As a child, did your kneecap or shoulder dislocate more than once?
  • 🔗 Do you consider yourself double-jointed? (Dr. Bluestein notes this as a highly impactful question).

Interpretation and Significance

  • 🎯 If a patient answers yes to two or more of these questions, it suggests the need to suspect hypermobility.
  • ⏳ The questionnaire accounts for changes in mobility over time, recognizing that past abilities can still indicate hypermobility even if current flexibility has decreased.
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What’s Discussed

Hypermobility5-Point QuestionnaireScreening ToolJoint DislocationDouble-JointedPhysical ExaminationPatient History
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