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. 2021 Mar 18;41(10):1707–1716. doi: 10.1007/s00296-021-04832-4

Table 1.

Intra- and inter-examiner reliability for positive hypermobility findings for individual manoeuvres, GJH classification, and agreements with overall score

Intra-examiner reliability—adults Inter-examiner reliability
Adults Children
Individual manoeuvres
 Hyperextension of the fifth finger—Kappa

0.78 [47]

1.00 [47]

0.40 [48]

0.61 [48]

0.70 [47]

0.73 [47]

0.79 [6]

0.43 [49]

0.48 [49]

0.49 [49]

0.69 [49]

 Apposition of the thumb to the forearm—Kappa

0.52 [47]

0.71 [47]

0.87 [6]

0.91 [47]

0.94 [48]

1.00 [47]

1.00 [48]

0.82 [50]

0.82 [49]

0.84 [49]

0.89 [49]

0.94 [49]

 Hyperextension of the elbows—Kappa

0.61 [47]

0.76 [47]

0.21 [47]

0.34 [48]

0.50 [47]

0.64 [48]

0.92 [6]

0.68 [50]

0.54 [49]

0.60 [49]

0.63 [49]

0.73 [49]

 Hyperextension of the knees—Kappa

0.19 [47]

0.84 [47]

0.31 [47]

0.40 [47]

0.85 [48]

0.86 [6]

0.90 [48]

0.30 [49]

0.43 [49]

0.44 [50]

0.62 [49]

0.62 [49]

Forward flexion of the trunk—Kappa 1.00 [47]

0.88 [48]

0.93 [6]

0.94 [47]

0.64 [49]

0.82 [50]

0.84 [49]

Classification of GJH (BS ≥ 4)—Kappa 0.78 [47]

0.54 [47]

0.78 [48]

Classification of GJH (BS ≥ 5)—Kappa 0.47 [47]

0.66 [47]

0.66 [48]

0.59 [49]

0.64 [49]

Agreement with overall score—Spearman’s γ 0.86 [51] 0.87 [51]
Agreement with overall score—Intraclass Correlation Coefficient (ICC)

0.76 [47]

0.84 [52]

0.92 [52]

0.72 [47]

0.89 [52]

0.94 [52]