1 Before you use it
What it is
Built specifically for young, active adults with hip problems — the population HOOS was not designed for. iHOT-33 is the full version; iHOT-12 is the one to use.
Domains cover symptoms and functional limitations, sport and recreation, job-related concerns, and social/emotional/lifestyle concerns.
When to reach for it
FAI and labral presentations in young active adults, at baseline, at decision points, and after hip arthroscopy.
2 Giving it
Scoring
Twelve visual-analogue items averaged to 0–100. Higher is better.
What it doesn’t measure
Groin-specific demand (HAGOS), range, or impingement testing.
Repeat it
3 Reading the score
Interpreting it
Interpret against baseline.
Its social, emotional and lifestyle content is the differentiator. Young hip patients are often more troubled by what they've stopped doing socially than by the pain itself.
Is the change real?
On placement
FAI syndrome, 20 years old, conservative programme. iHOT-12 was 44 at intake and 59 at the 10-week review.
Read it as 15 points up, past the 13-point MCID — measured in a hip arthroscopy cohort, so the transfer to a non-operative hip is stated, not assumed. Read the social and lifestyle items: young hip patients are usually more troubled by what they've stopped doing than by the pain.
Do keep going, and make the next goal a nominated social activity — the thing they stopped — rather than a range or a strength number.
Student trap. Using HOOS on a 24-year-old footballer. It was built for hip OA and it will ceiling out.
Official source: null. We don't host the form.
This is a learning tool. It does not diagnose patients and does not replace your clinical educator.
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