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Side lying abduction hip

Side lie abduction hip is an isolation exercise where you lie on your side and lift your upper leg sideways against gravity. It is the bodyweight version without a resistance band and a classic exercise for strengthening the hip abductors. The side-lying position isolates the movement well and prevents compensation, making it an excellent basic rehabilitation and strengthening exercise. The exercise has been used in physiotherapy and fitness for decades.

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Video thumbnail: Side lie abduction hip - instructional video

Purpose of the exercise

Strength exercise for the hip abductors (gluteus medius and minimus), tensor fasciae latae and hip stabilisers. Improves lateral hip strength, pelvic stability and helps prevent knee and hip injuries. Also effective for correcting Trendelenburg gait (hip dip when walking), improving ankle stability and preventing IT band syndrome and patellofemoral complaints.

Supplies

  • Mat or soft surface
  • Sufficient space to lie on your side
  • Optional: ankle weights for progression
  • No further material required

Starting position

  1. Lie on your side on a mat
  2. Stretch your lower leg or bend slightly for stability
  3. Fully extend your upper leg
  4. Keep your body in a straight line
  5. Support your head on your lower arm
  6. Place your top hand in front of your chest for stability
  7. Keep your pelvis stable and vertical
  8. Foot of upper leg neutral or pointing slightly forward

Implementation

  1. Lift your upper leg sideways (abduction)
  2. Keep your leg extended while lifting
  3. Lift to about 45 degrees or until where pelvis remains stable
  4. Keep your foot neutral or pointing slightly forward
  5. Actively tighten your buttock at the top
  6. Hold briefly in the highest position (1-2 seconds)
  7. Release controlled back to the starting position
  8. Lightly touch your other leg (maintain tension)
  9. Repeat the movement

Points of interest

  • ✓ Keep your pelvis stable and vertical
  • ✓ Keep your leg extended throughout movement
  • ✓ Lift in purely lateral direction (not forwards or backwards)
  • ✓ Actively tighten your buttock in highest position
  • ✓ Move controlled in both directions
  • ✓ Breathe out when lifting, in when lowering
  • ✗ Avoid rolling your pelvis backwards
  • ✗ Do not lift too high (creates compensation via hip or torso)
  • ✗ Don't move your leg forward or backward
  • ✗ Don't use momentum or swing
  • ✗ Don't bend your leg while lifting
  • ✗ Don't let your pelvis tilt

When this exercise?

This exercise is suitable for anyone who wants to develop hip abductor strength, from beginners to advanced. Ideal in rehabilitation after hip or knee injuries, after hip surgery or for gluteus medius weakness (in consultation with physiotherapist). Highly effective for prevention of IT band syndrome, patellofemoral pain and hip bursitis. Perfect for runners with Trendelenburg gait or hip dip. Also valuable as a basic exercise for people starting hip strengthening. Suitable as a warm-up for leg training. Can be performed several times a day. In case of acute hip pain, bursitis or impingement, have it assessed by a physiotherapist first. Start with bodyweight and focus on control - only add ankle weights later as progression.

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