{
  "resourceType": "ActivityDefinition",
  "id": "standing-hip-abduction-support",
  "url": "https://bodyiq.dev/fhir/ActivityDefinition/standing-hip-abduction-support",
  "version": "1",
  "name": "StandingHipAbductionSupport",
  "title": "Standing Hip Abduction (Counter Support)",
  "status": "draft",
  "experimental": true,
  "description": "Stand tall beside a kitchen countertop, resting one hand on it for balance. Keeping the moving leg straight and the toes pointing forward, lift that leg directly out to the side about 30 to 45 degrees without leaning your trunk, then lower under control. The countertop supplies just enough support to isolate the hip rather than the arm.",
  "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": "standing-hip-abduction-support",
          "display": "Standing Hip Abduction (Counter Support)"
        }
      ]
    }
  ],
  "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": "2 to 3 sets of 10 to 15 repetitions per leg, performed slowly (about 2 seconds up, 2 seconds down), 3 to 4 days per week. Progress by adding a band or ankle weight once 15 controlled reps are easy with a level pelvis."
    }
  ],
  "usage": "Evidence: moderate. Standing/weight-bearing hip abduction produces moderate gluteus medius activation but generally lower than side-lying abduction, side-plank, and banded lateral-walk variants in comparative EMG studies; activation increases with added band or ankle-weight resistance and when the toes are kept forward to reduce TFL substitution.",
  "note": [
    {
      "text": "Stand tall and lift the leg straight out to the side, stopping around 30 to 45 degrees before the pelvis starts to hike."
    },
    {
      "text": "Keep the kneecap and toes pointing forward the whole time — do not let the leg drift into flexion or the foot turn out."
    },
    {
      "text": "Rest the hand on the counter for balance only; drive the motion from the side of your hip, not by pushing on the counter."
    },
    {
      "text": "Keep the trunk upright and level — imagine your shoulders and hips staying square rather than leaning away from the moving leg."
    }
  ],
  "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": "synergist"
        },
        {
          "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": "synergist"
        },
        {
          "url": "coding",
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "28190000"
          }
        }
      ]
    },
    {
      "url": "https://bodyiq.dev/fhir/StructureDefinition/muscle-involvement",
      "extension": [
        {
          "url": "muscle",
          "valueString": "Quadratus Lumborum"
        },
        {
          "url": "role",
          "valueCode": "stabilizer"
        },
        {
          "url": "coding",
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "6001004"
          }
        }
      ]
    },
    {
      "url": "https://bodyiq.dev/fhir/StructureDefinition/muscle-involvement",
      "extension": [
        {
          "url": "muscle",
          "valueString": "Gluteus Maximus"
        },
        {
          "url": "role",
          "valueCode": "stabilizer"
        },
        {
          "url": "coding",
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "206007"
          }
        }
      ]
    },
    {
      "url": "https://bodyiq.dev/fhir/StructureDefinition/muscle-involvement",
      "extension": [
        {
          "url": "muscle",
          "valueString": "Adductor Group (Longus/Brevis/Magnus)"
        },
        {
          "url": "role",
          "valueCode": "lengthening"
        }
      ]
    }
  ]
}