What position should the patient be in for the Goldthwait Test?

• A. Sitting with legs dangling
• B. Supine with knees extended
• C. Prone with knees flexed
• D. Standing with feet together

Answer: (B)

The Goldthwait Test is designed to differentiate between lumbar and sacroiliac joint dysfunction. For this test to be performed correctly, the patient must be in a supine position with their knees extended. This positioning ensures that the lumbar spine is neutral, allowing for appropriate assessment of pain response during the test movements.

When the patient's knees are extended while they are supine, the healthcare provider can manipulate the legs effectively to isolate and assess the movement of the pelvis and lumbar spine. In this position, any pain elicited during the maneuver can provide insight into whether the source of discomfort is arising from the lumbar region or the sacroiliac joint.

Alternative positions, such as sitting or standing, do not provide the same control or isolation of movement necessary for this specific test, making supine with extended knees the most appropriate and effective choice.