{
  "resourceType": "ActivityDefinition",
  "id": "seated-hip-internal-rotation",
  "url": "https://bodyiq.dev/fhir/ActivityDefinition/seated-hip-internal-rotation",
  "version": "1",
  "name": "SeatedHipInternalRotation",
  "title": "Seated Hip Internal Rotation",
  "status": "draft",
  "experimental": true,
  "description": "Sit on edge of chair with feet on floor. Rotate the shin outward (foot moves out) to internally rotate the hip. Often limited in hip pathology.",
  "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": "seated-hip-internal-rotation",
          "display": "Seated Hip Internal Rotation"
        }
      ]
    }
  ],
  "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": "3×10-15 reps per side; assess ROM before strengthening"
    }
  ],
  "usage": "Evidence: limited.",
  "note": [
    {
      "text": "Quiet trunk, level pelvis — femur rotates inside the socket",
      "authorString": "focus:internal"
    },
    {
      "text": "Sweep the foot outward away from the centerline",
      "authorString": "focus:external"
    },
    {
      "text": "Keep the knee pointing forward over the toes",
      "authorString": "focus:external"
    },
    {
      "text": "Both sit-bones stay equally weighted on the chair",
      "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": "ganderton-glutmed-glutmin-rehab-2017",
      "citation": "Ganderton C, Pizzari T, Cook J, Semciw A. (2017). Gluteus Minimus and Gluteus Medius Muscle Activity During Common Rehabilitation Exercises",
      "document": {
        "url": "https://doi.org/10.2519/jospt.2017.7229"
      }
    },
    {
      "type": "citation",
      "label": "hatefi-squat-hip-rotation-2020",
      "citation": "Hatefi M, Babakhani F, Balouchi R, Letafatkar A, Wallace BJ. (2020). Squat Muscle Activation Patterns With Hip Rotations",
      "document": {
        "url": "https://doi.org/10.1055/a-1152-5028"
      }
    },
    {
      "type": "citation",
      "label": "martins-tfl-medial-rotation-2022",
      "citation": "Martins EC, Ruschel C, Roesler EM, et al.. (2022). Tensor Fascia Latae and Gluteal Muscles Myoelectric Responses to Increasing Levels of Hip Medial Rotation Torque",
      "document": {
        "url": "https://doi.org/10.1016/j.jbiomech.2022.110944"
      }
    },
    {
      "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"
      }
    }
  ],
  "extension": [
    {
      "url": "https://bodyiq.dev/fhir/StructureDefinition/muscle-involvement",
      "extension": [
        {
          "url": "muscle",
          "valueString": "Gluteus Medius"
        },
        {
          "url": "role",
          "valueCode": "primary"
        },
        {
          "url": "coding",
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "78333006"
          }
        }
      ]
    },
    {
      "url": "https://bodyiq.dev/fhir/StructureDefinition/muscle-involvement",
      "extension": [
        {
          "url": "muscle",
          "valueString": "Gluteus Minimus"
        },
        {
          "url": "role",
          "valueCode": "primary"
        },
        {
          "url": "coding",
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "75297007"
          }
        }
      ]
    },
    {
      "url": "https://bodyiq.dev/fhir/StructureDefinition/muscle-involvement",
      "extension": [
        {
          "url": "muscle",
          "valueString": "Tensor Fasciae Latae"
        },
        {
          "url": "role",
          "valueCode": "secondary"
        },
        {
          "url": "coding",
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "28190000"
          }
        }
      ]
    },
    {
      "url": "https://bodyiq.dev/fhir/StructureDefinition/muscle-involvement",
      "extension": [
        {
          "url": "muscle",
          "valueString": "Piriformis"
        },
        {
          "url": "role",
          "valueCode": "lengthening"
        },
        {
          "url": "coding",
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "75699001"
          }
        }
      ]
    },
    {
      "url": "https://bodyiq.dev/fhir/StructureDefinition/muscle-involvement",
      "extension": [
        {
          "url": "muscle",
          "valueString": "Obturator Internus"
        },
        {
          "url": "role",
          "valueCode": "lengthening"
        },
        {
          "url": "coding",
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "245025008"
          }
        }
      ]
    }
  ]
}