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Hoover’s sign attempts to distinguish organic from psychogenic leg paresis. The examiner stands at the foot of the bed and places their hands under both heels. The patient is asked to lift one leg off the bed and then repeat the action with the opposite leg while the examiner assesses for an involuntary force. A positive sign occurs when the examiner feels downward pressure behind the affected heel while the patient attempts to lift the contralateral leg. In organic weakness, this compensatory f
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