GODFREY

90/90 TEST

​• Test positioning

 

The client lies supine on a table with both the hip and knee of the involved side flexed to 90-degrees.

 

​• Action

 

The therapist passively stabilizes the positioning of the client's hip and knee while assessing the location of the tibia along the longitudinal axis.

 

​• Positive finding

 

The recognition of one tibia resting more interiorly than the contralateral side may indicate a posterior sag or instability.

 

This may be related to the posterior cruciate ligament.

 

​• Special considerations & comments

 

This test must be performed bilaterally.

 

Applying a superior force to the tibia from the posterior aspect may reduce the alignment to a normal resting position if it is actually found to be sagging.

 

It is important to maintain neutral tibial rotation, otherwise, a positive finding may be the result of a capsular extensibility.

The Godfrey 90-90 Test, named after Dr. William Godfrey, is used to assess posterior cruciate ligament (PCL) injury.

 

Dr. James Cyriax’s contributions to orthopedic manual therapy have helped in refining its diagnostic approach.