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  Ankle and Foot
 
HIP ADDUCTION - SIDELYING

CORRECT FORM

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

2) From this position, raise your bottom leg off the floor/mat straight into the air. You should feel this primarily in your groin muscles.

You can also turn your foot in an upward direction to add an internal rotation component to this exercise. This will place extra work on the hip adductor muscles.



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) Lower the leg slowly and under control.

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


MUSCLES USED
Primary
Hip Adductor muscle group
Secondary

Rectus Femoris (quadriceps)

Hip Flexors



SAFETY CONSIDERATIONS/PRECAUTIONS
The main safety consideration for this exercise is to keep the spine straight and not use momentum to lift the leg. Keeping your leg in-line with your back will help you keep your back straight during the exercise.


EFFECTIVENESS

Performing hip adduction in this manner is not as effective as using a machine, as range-of-motion is limited, and is not as easy to progress the weight. You can progress this exercise by having someone manually provide resistance against your inner thigh, or by strapping a cuff weight around the thigh. This may be an effective exercise for those with patellofemoral pain (1-3).


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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