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HIP ABDUCTION - SIDELYING

CORRECT FORM

1) Lie on your side with your bottom leg bent as shown. Align your upper leg so that it is in line with your upper torso or just slightly behind it.

2) You can also place your upper side hand on your pelvis to be sure that you do not roll backward.

3) The motion is kicking your leg up and down, lifting your leg away from your body - upward. You should feel this entirely in your gluteal area.

 
This is an example of performing this exercise incorrectly - allowing your pelvis to drift backward and your leg to come forward.  

It is important to be sure that you keep your leg aligned with your torso or slightly behind it to make sure you are using the correct muscles.

4) Perform this exercise slowly and under control.

5) Inhale as you lower the leg, exhale as you lift the leg.


MUSCLES USED
Primary
Gluteus Medius - posterior fibers
Secondary

Gluteus Maximus

Small Hip External Rotators

TFL



SAFETY CONSIDERATIONS/PRECAUTIONS
The primary purpose of the hip abduction exercise is to train a naturally weak, very ignored, but very important muscle: the gluteus medius posterior.

The major mistake people make with this exercise is letting the pelvis drift back and the leg come forward. This takes the stress off of the gluteals and onto the Tensor Fascia Lata (TFL). The TFL muscle is naturally very strong and very tight in humans and if too strong and tight, has been shown to contribute to patellar tracking problems and knee pain.(1-3) Be sure than to keep your leg aligned with your torso throughout the entire range-of-motion of the hip abduction exercise.


EFFECTIVENESS

Performing hip abduction in sidelying is more effective than on a machine, precisely because you are able to activate the gluteal muscles more effectively. If you closely examine the position your hip is in when performing hip abduction on a machine, you will notice that the leg is bent forward well in front of the body.

You can progress the weight by either having someone manually press down against your thigh, or placing a cuff-weight around your thigh. It is not recommended to place the cuff weight below your knee, since that you create a mild knee strain.

HELPFUL WITH TRAINING FOR
Football, Basketball, Baseball, Hockey, Volleyball, Track and Field, Skiing, Martial arts.

REFERENCES

1. Puniello MS: Iliotibial band tightness and medial patellar glide in patients with patellofemoral dysfunction. J Orthop Sports Phys Ther 1993 Mar;17(3):144-8.
2. Grelsamer RP, Klein JR: The biomechanics of the patellofemoral joint. J Orthop Sports Phys Ther 1998 Nov;28(5):286-98.

3. Powers CM: Rehabilitation of patellofemoral joint disorders: a critical review. JOSPT 1998 Nov;28(5):345-54.
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