When executing the Goldthwait Test, what should you note?

When executing the Goldthwait Test, what should you note?

• A. The strength of the quadriceps
• B. The angle at which pain is reported
• C. The range of motion of the hip
• D. The stability of the pelvis

Answer: (B)

The Goldthwait Test is specifically designed to differentiate between lumbar spine and hip joint pathologies. During the test, when a clinician raises the leg while keeping the knee straight, the angle at which the patient reports pain is crucial. This angle helps determine whether the pain is originating from the lumbar area or the hip. If pain occurs at a lower angle, it often suggests hip pathology, whereas if pain occurs at a higher angle, it may be more indicative of lumbar spine issues. By noting the angle at which pain is reported, a more accurate diagnosis can be provided, guiding further assessment and treatment options. The focus on pain angle is critical in understanding the underlying cause of a patient's symptoms in the lower extremity.

The Goldthwait Test is specifically designed to differentiate between lumbar spine and hip joint pathologies. During the test, when a clinician raises the leg while keeping the knee straight, the angle at which the patient reports pain is crucial. This angle helps determine whether the pain is originating from the lumbar area or the hip. If pain occurs at a lower angle, it often suggests hip pathology, whereas if pain occurs at a higher angle, it may be more indicative of lumbar spine issues. By noting the angle at which pain is reported, a more accurate diagnosis can be provided, guiding further assessment and treatment options. The focus on pain angle is critical in understanding the underlying cause of a patient's symptoms in the lower extremity.