{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T03:53:13Z","timestamp":1785729193608,"version":"3.56.0"},"reference-count":61,"publisher":"Journal of Orthopaedic & Sports Physical Therapy (JOSPT)","issue":"5","content-domain":{"domain":["www.jospt.org"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:p> OBJECTIVE: We aimed to (1) determine the rate of satisfactory response to nonoperative treatment for nonarthritic hip-related pain, and (2) evaluate the specific effect of various elements of physical therapy and nonoperative treatment options aside from physical therapy. <\/jats:p><jats:p> DESIGN: Systematic review with meta-analysis. <\/jats:p><jats:p> LITERATURE SEARCH: We searched 7 databases and reference lists of eligible studies from their inception to February 2022. <\/jats:p><jats:p> STUDY SELECTION CRITERIA: We included randomized controlled trials and prospective cohort studies that compared a nonoperative management protocol to any other treatment for patients with femoroacetabular impingement syndrome, acetabular dysplasia, acetabular labral tear, and\/or nonarthritic hip pain not otherwise specified. <\/jats:p><jats:p> DATA SYNTHESIS: We used random-effects meta-analyses, as appropriate. Study quality was assessed using an adapted Downs and Black checklist. Certainty of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach. <\/jats:p><jats:p> RESULTS: Twenty-six studies (1153 patients) were eligible for qualitative synthesis, and 16 were included in the meta-analysis. Moderate certainty evidence suggests that the overall response rate to nonoperative treatment was 54% (95% confidence interval: 32%, 76%). The overall mean improvement after physical therapy treatment was 11.3 points (7.6\u201314.9) on 100-point patient-reported hip symptom measures (low to moderate certainty) and 22.2 points (4.6\u201339.9) on 100-point pain severity measures (low certainty). No definitive specific effect was observed regarding therapy duration or approach (ie, flexibility exercise, movement pattern training, and\/or mobilization) (very low to low certainty). Very low to low certainty evidence supported viscosupplementation, corticosteroid injection, and a supportive brace. <\/jats:p><jats:p> CONCLUSION: Over half of patients with nonarthritic hip-related pain reported satisfactory response to nonoperative treatment. However, the essential elements of comprehensive nonoperative treatment remain unclear. J Orthop Sports Phys Ther 2023;53(5):286\u2013306. Epub 9 March 2023. doi:10.2519\/jospt.2023.11666 <\/jats:p>","DOI":"10.2519\/jospt.2023.11666","type":"journal-article","created":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T13:27:01Z","timestamp":1678368421000},"page":"286-306","update-policy":"https:\/\/doi.org\/10.2519\/jospt.crossmarkpolicy","source":"Crossref","is-referenced-by-count":16,"title":["What is the Rate of Response to Nonoperative Treatment for Hip-Related Pain? 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