Journal of Postgraduate Medicine
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CLINICAL SIGN
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Year : 2014  |  Volume : 60  |  Issue : 3  |  Page : 297-299  

Hoover俟Q製 sign: Clinical relevance in Neurology

MM Mehndiratta, M Kumar, R Nayak, H Garg, S Pandey 
 Department of Neurology, G.B. Pant Hospital, J.L.N. Marg, New Delhi, India

Correspondence Address:
Dr. M M Mehndiratta
Department of Neurology, G.B. Pant Hospital, J.L.N. Marg, New Delhi
India

Hoover俟Q製 sign was described by Dr. Charles Franklin Hoover more than 100 years back to differentiate between the organic and functional weakness of pyramidal origin. This test is usually performed in the lower limbs and is valuable when on bedside one is not sure about the nature of hemiparesis. A subject with hemiparesis of organic cause while asked to flex the hip of normal leg against resistance will not exert pressure on the hand of examiner placed under the heel on the affected side while in hysterical weakness heightened pressure will be felt on the examiner俟Q製 hand. The presumed genesis of this sign could be the crossed extensor reflex or the principle of synergistic contraction. It is a useful clinical test in differentiating functional and organic paresis with moderate sensitivity (63%) and high specificity (100%), but there are some limitations which should be kept in mind while evaluating a patient.


How to cite this article:
Mehndiratta M M, Kumar M, Nayak R, Garg H, Pandey S. Hoover's sign: Clinical relevance in Neurology.J Postgrad Med 2014;60:297-299


How to cite this URL:
Mehndiratta M M, Kumar M, Nayak R, Garg H, Pandey S. Hoover's sign: Clinical relevance in Neurology. J Postgrad Med [serial online] 2014 [cited 2022 May 18 ];60:297-299
Available from: https://www.jpgmonline.com/article.asp?issn=0022-3859;year=2014;volume=60;issue=3;spage=297;epage=299;aulast=Mehndiratta;type=0


 
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