ArticleThe American journal of sports medicine2026
Treatment of Patients With Femoroacetabular Impingement Syndrome Using a Pelvic Tilt-Focused Exercise Program: A Prospective Cohort.
Article in The American journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe rates of hip arthroscopy are increasing worldwide for femoroacetabular impingement syndrome (FAIS). There is a lack of literature examining outcomes of modern nonoperative treatment of patients with FAIS. PURPOSE: To develop and assess the effectiveness of a pelvic tilt-focused exercise program for nonoperative management for patients with FAIS. STUDY
designCohort study; Level of evidence, 2.
methodsEligible patients included those aged 16 to 55 years who met radiographic and clinical criteria for FAIS. Enrolled patients participated in a 10-minute standardized pelvic tilt-focused home exercise program (HipFit10) at least 4 times per week over 6 months. Self-reported adherence was tracked weekly. Patient-reported outcomes were collected at baseline and 3 and 6 months. The International Hip Outcome Tool-33 (iHOT-33) score was measured at baseline and 3 and 6 months, with the primary outcome being the iHOT-33 change score between baseline and 6 months. Secondary outcomes included the Hip Outcome Score-Activities of Daily Living (HOS-ADL), pain visual analog scale (pain VAS) score, crossover to surgical management, and complications.
resultsA total of 214 patients were enrolled between August 2020 and October 2021. The mean age was 34.2 ± 10.2 years, and 121 (57%) patients were female. Within the study period, 19 of 214 (9%) patients dropped out or were lost to follow-up. By 6 months, 153 of 195 (78%) patients completed the intervention and elected to avoid surgery, and 42 of 195 (22%) patients signed up for or underwent surgery. The final iHOT-33 score was completed by 192 of 195 (98%) participants with mean improvement from baseline to 6 months of 11.7 (95% CI, 9.2 to 14.1;
conclusionIn this study of patients with FAIS, pelvic tilt-focused physical therapy was utilized to improve patient function with 78% avoiding surgery. These results suggest the HipFit10 program is a safe and effective nonoperative option for patients with FAIS.
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