Abstract
Musculoskeletal injuries in the lower quarter during surfing are primarily associated with the sport's fundamental movements. This movements occur when the surfer is standing on the board, riding the wave. The injuries are typically acute, with severity and complexity varying according to the surfer's skill level and maneuvers performed. The objective of the present study was to conduct an integrative review of studies related to the musculoskeletal assessment of the lower quarter, focusing on physical examinations and functional tests applicable to surfers. This integrative review was carried out through a literature review, evaluating and analyzing papers from national and international journals indexed in the scientific databases Scielo and PubMed. The developement and analysis involved a panel of experts in the field of medicine and surfing health composed of physical educators, physiotherapists and sports doctors. This guideline aims to complement the information presented in the upper quarter article, emphasizing the prevalence of musculoskeletal injuries in the lower quarter among surfers and guiding outpatient assessments. It considers the specificities of surfing and the biomechanical movements involved. Level of Evidence III; Expert opinion.