{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T07:08:24Z","timestamp":1784185704839,"version":"3.55.0"},"reference-count":49,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"AHSC AFP Innovation Fund","award":["WCH-20-002"],"award-info":[{"award-number":["WCH-20-002"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To develop and assess the effectiveness of a pelvic tilt\u2013focused exercise program for nonoperative management for patients with FAIS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cohort study; Level of evidence, 2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Eligible 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\u2013focused 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\u201333 (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\u2013Activities of Daily Living (HOS-ADL), pain visual analog scale (pain VAS) score, crossover to surgical management, and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 214 patients were enrolled between August 2020 and October 2021. The mean age was 34.2 \u00b1 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;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). By 6 months, 103 of 192 (54%) participants achieved the iHOT-33 minimal clinically important difference of 6.8. Significant improvements also were seen in the iHOT-33 score from baseline to 3 months (mean difference [MD], 7.6; 95% CI, 5.7 to 9.6) and from 3 months to 6 months (MD, 3.7; 95% CI, 1.8 to 5.6), as well as in the HOS-ADL (0-3 months: MD, 2.65; 95% CI, 0.8 to 4.4) and pain VAS score (0-3 months: MD, \u22127.7 [95% CI, \u22124.8 to \u221210.5]; 3-6 months: MD, \u22123.5 [95% CI, \u22120.6 to \u22126.3]). No adverse events were reported.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In this study of patients with FAIS, pelvic tilt\u2013focused 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465261454648","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T05:53:18Z","timestamp":1781761998000},"page":"2166-2177","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Treatment of Patients With Femoroacetabular Impingement Syndrome Using a Pelvic Tilt\u2013Focused Exercise Program: A Prospective Cohort"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5114-6999","authenticated-orcid":false,"given":"Graeme","family":"Hoit","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada"},{"name":"Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel B.","family":"Whelan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada"},{"name":"Division of Orthopaedic Surgery, Women\u2019s College Hospital, Toronto, Ontario, Canada"},{"name":"University of Toronto Orthopaedic Sports Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Dwyer","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada"},{"name":"Division of Orthopaedic Surgery, Women\u2019s College Hospital, Toronto, Ontario, Canada"},{"name":"University of Toronto Orthopaedic Sports Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheilah","family":"Hogg-Johnson","sequence":"additional","affiliation":[{"name":"Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada"},{"name":"Research and Innovation, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaskarndip","family":"Chahal","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada"},{"name":"Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada"},{"name":"Division of Orthopaedic Surgery, Women\u2019s College Hospital, Toronto, Ontario, Canada"},{"name":"University of Toronto Orthopaedic Sports Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aileen M.","family":"Davis","sequence":"additional","affiliation":[{"name":"Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada"},{"name":"Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,17]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2024.03.003"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e3181915670"},{"key":"e_1_3_3_4_2","first-page":"16","article-title":"A prospective, randomized, controlled trial comparing conservative treatment with trunk stabilization exercise to standard hip muscle exercise for treating femoroacetabular impingement: a pilot study","volume":"16","author":"Aoyama M","year":"2017","unstructured":"Aoyama M, Ohnishi Y, Utsunomiya H, et al. 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