What is the primary purpose of performing the Goldthwait Test?

• A. Evaluate hamstring flexibility
• B. Assess for lumbar spine involvement
• C. Determine degree of hip flexor tightness
• D. Evaluate for groin strain

Answer: (B)

The primary purpose of performing the Goldthwait Test is to assess for lumbar spine involvement. This test is particularly useful when evaluating a patient for low back pain and helps differentiate between issues originating from the lumbar region and those arising from other anatomical structures in the lower extremities. During the test, the examiner observes the onset of pain in relation to hip movement, specifically noting whether the pain occurs before or after the movement of the lumbar spine. If discomfort arises prior to lumbar movement, it may indicate a problem localized to the lumbar spine or sacroiliac joint, whereas lack of pain until after spinal movement can suggest a hip or lower extremity issue. Thus, the test provides valuable clinical insight into the source of pain, aiding in the diagnosis and subsequent treatment.