{
  "resourceType": "ActivityDefinition",
  "id": "hip-adduction-sidelying",
  "url": "https://bodyiq.dev/fhir/ActivityDefinition/hip-adduction-sidelying",
  "version": "1",
  "name": "HipAdductionSidelying",
  "title": "Sidelying Hip Adduction",
  "status": "draft",
  "experimental": true,
  "description": "Lie on side with top leg forward on a support. Lift the bottom leg toward ceiling. Targets adductor group for medial thigh strengthening.",
  "useContext": [
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "user"
      },
      "valueCodeableConcept": {
        "text": "difficulty: beginner"
      }
    }
  ],
  "topic": [
    {
      "coding": [
        {
          "system": "https://bodyiq.dev/fhir/CodeSystem/exercise",
          "code": "hip-adduction-sidelying",
          "display": "Sidelying Hip Adduction"
        }
      ]
    }
  ],
  "bodySite": [
    {
      "coding": [
        {
          "system": "https://bodyiq.dev/fhir/CodeSystem/exercise",
          "code": "hip",
          "display": "Hip"
        },
        {
          "system": "http://snomed.info/sct",
          "code": "24136001",
          "display": "Structure of hip joint"
        }
      ],
      "text": "Hip"
    }
  ],
  "kind": "ServiceRequest",
  "dosage": [
    {
      "text": "3×15-20 reps per side"
    }
  ],
  "usage": "Evidence: limited. 14-48% MVIC sidelying; Copenhagen variation achieves 108% MVIC [Serner 2014]",
  "note": [
    {
      "text": "Quiet pelvis, stacked hips — adductors lift the bottom leg",
      "authorString": "focus:internal"
    },
    {
      "text": "Lift the bottom heel toward the top thigh",
      "authorString": "focus:external"
    },
    {
      "text": "Keep the lifted leg straight and slightly forward of the trunk",
      "authorString": "focus:external"
    },
    {
      "text": "Top hip stays stacked over the bottom hip",
      "authorString": "focus:tactile"
    }
  ],
  "relatedArtifact": [
    {
      "type": "citation",
      "label": "kisner-therapeutic-2017",
      "citation": "Kisner C, Colby LA, Borstad J. (2017). Therapeutic Exercise: Foundations and Techniques"
    },
    {
      "type": "citation",
      "label": "acsm-guidelines-2021",
      "citation": "American College of Sports Medicine. (2021). ACSM's Guidelines for Exercise Testing and Prescription",
      "document": {
        "url": "https://doi.org/10.4135/9781412994149.n165"
      }
    },
    {
      "type": "citation",
      "label": "serner-hip-adduction-emg-2014",
      "citation": "Serner A, Jakobsen MD, Andersen LL, et al.. (2014). EMG Evaluation of Hip Adduction Exercises for Soccer Players",
      "document": {
        "url": "https://doi.org/10.1136/bjsports-2012-091746"
      }
    },
    {
      "type": "citation",
      "label": "kato-adductor-hip-angle-2019",
      "citation": "Kato T, Taniguchi K, Akima H, et al.. (2019). Effect of Hip Angle on Neuromuscular Activation of the Adductor Longus and Adductor Magnus",
      "document": {
        "url": "https://doi.org/10.1007/s00421-019-04150-5"
      }
    },
    {
      "type": "citation",
      "label": "benn-adductor-magnus-emg-2018",
      "citation": "Benn ML, Pizzari T, Rath L, Tucker K, Semciw AI. (2018). Adductor Magnus: An EMG Investigation Into Proximal and Distal Portions",
      "document": {
        "url": "https://doi.org/10.1002/ca.23068"
      }
    },
    {
      "type": "citation",
      "label": "alonso-fernandez-copenhagen-2022",
      "citation": "Alonso-Fernández D, Fernández-Rodríguez R, Taboada-Iglesias Y, Gutiérrez-Sánchez Á. (2022). Effects of Copenhagen Adduction Exercise on Muscle Architecture and Adductor Flexibility",
      "document": {
        "url": "https://doi.org/10.3390/ijerph19116563"
      }
    },
    {
      "type": "citation",
      "label": "daehlin-copenhagen-loading-2025",
      "citation": "Dæhlin TE, Dmytriieva D, Rutherford E, Chiu LZF. (2025). Three-Dimensional Hip and Knee Loading During the Copenhagen Adductor Exercise",
      "document": {
        "url": "https://doi.org/10.1016/j.jbiomech.2025.113116"
      }
    },
    {
      "type": "citation",
      "label": "maloy-groin-injuries-2025",
      "citation": "Maloy W, Merrigan B, Hulsopple CD. (2025). Groin Pain and Injuries: Evaluation and Management"
    },
    {
      "type": "citation",
      "label": "almeida-groin-pain-cochrane-2013",
      "citation": "Almeida MO, Silva BN, Andriolo RB, Atallah AN, Peccin MS. (2013). Conservative Interventions for Exercise-Related Groin Pain",
      "document": {
        "url": "https://doi.org/10.1002/14651858.cd016137"
      }
    }
  ],
  "extension": [
    {
      "url": "https://bodyiq.dev/fhir/StructureDefinition/muscle-involvement",
      "extension": [
        {
          "url": "muscle",
          "valueString": "Adductor Group (Longus/Brevis/Magnus)"
        },
        {
          "url": "role",
          "valueCode": "primary"
        }
      ]
    },
    {
      "url": "https://bodyiq.dev/fhir/StructureDefinition/muscle-involvement",
      "extension": [
        {
          "url": "muscle",
          "valueString": "Transversus Abdominis"
        },
        {
          "url": "role",
          "valueCode": "stabilizer"
        },
        {
          "url": "coding",
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "86493009"
          }
        }
      ]
    },
    {
      "url": "https://bodyiq.dev/fhir/StructureDefinition/muscle-involvement",
      "extension": [
        {
          "url": "muscle",
          "valueString": "Gluteus Medius"
        },
        {
          "url": "role",
          "valueCode": "lengthening"
        },
        {
          "url": "coding",
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "78333006"
          }
        }
      ]
    }
  ]
}