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Hoover Test

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Other Names

  • Hoover's Sign


Illustration of Hoover's Test[1]
  • To distinguish between psychogenic and organic causes of leg weakness


  • The patient is supine with the examiner is at the foot of the bed
  • The examiner places hands under both of the patients heels
  • They then ask the patient to lift one leg off the bed, and then bring it back down and test the other leg
  • The examiner should feel a posterior, involuntary force behind the contralateral heel
  • Positive sign is pressure behind the affected heel when the contralateral heel is tested
  • In other words, organic weakness will have no compensatory force while psychogenic weakness will


  • Distinguish organic from psychogenic leg paresis


  • Unknown

See Also


  1. Stone, Jon, Adam Zeman, and Michael Sharpe. "Functional weakness and sensory disturbance." Journal of Neurology, Neurosurgery & Psychiatry 73.3 (2002): 241-245.
Created by:
John Kiel on 27 July 2019 21:31:38
Last edited:
11 April 2023 15:03:17