HOOVER
TEST
• Test positioning
The client relaxes in a supine position on the table while the therapist places both of the client's heels into the palm of the therapist's hands.
• Action
The client is asked to perform a unilateral straight leg raise.
• Positive finding
The inability to lift the leg may reflect a neuromuscular weakness.
A positive finding is also noted when the therapist does not feel increased pressure in the palm that underlies the resting leg.
• Special considerations & comments
Typically, when the raised leg is weak, pressure under the resting calcaneus will increase in an attempt to lift the weak leg.
When this increase in pressure is not felt, it could indicate a lack of effort by the client.
This test should therefore be performed on both sides to test consistency of effort.