Which of the following best describes Hoovers test?

Hoover's test is specifically designed to assess whether a patient is making a conscious effort to limit movement, often used in a clinical context to distinguish between true weakness and psychosomatic issues or non-organic causes of disability. During the test, the practitioner typically applies pressure to one heel while asking the patient to lift the other leg. If the patient is genuinely unable to lift the leg due to a physical issue, the pressure will be felt in the heel that is being pressed. Conversely, if there is a conscious effort to avoid movement, there may be a lack of response or pressure felt.

This focus on evaluating voluntary muscle control distinguishes Hoover's test from other assessments. For example, it does not involve determining joint integrity or assessing arthritis, which would require different clinical examinations. By identifying whether a patient is capable of voluntary movement, Hoover's test plays a crucial role in differential diagnosis, particularly in distinguishing between true neuromuscular dysfunction and non-organic causes of weakness.