▪ Apply METs to the iliopsoas muscle by instructing the patient to do hip flexion and resist movement by pushing their leg down towards the table, activating their iliopsoas muscle. (This contraction is known as an isometric contraction). Maintain the isometric contraction for approximately 5-10 seconds, encouraging the patient to exert maximal effort. After the contraction, relax the patient's leg as they exhale, and take the muscle to its new, slightly increased, passive range of motion.

For tightened structures stretching, use the Iliopsoas stretch and the Erector spinae stretch (5 repetitions of stretching with 30-s hold for each muscle) For Strengthening Weakened Structures: Glute bridge, Abdominal crunch (10 repetitions of each)

For Tightened Structures Stretching applied toIliopsoas and Erector spinal muscles (5 repetitions of stretching with 30-s hold for each muscle). For Strengthening of Weakened Structures; Glute bridge and Abdominal crunch(10 repetitions of each).

o Changes from base Line Numeric Pain rating scale is a scale for pain starting from 0-10. where 0 indicate no pain and 10 indicate severe pain.

The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).

• The patient is asked to bend forward and attempt to reach for the floor with their fingertips.
• The physical therapist then measures the distance between the patient's right long finger and the floor using a standard measuring tape
• Ask the client whether pain, stiffness or both limit the movement(Fingertips to floor (FTF) test).
• If the FTF test is limited by pain, the location and pain score out of 10 should be documented.
• If the FTF test is 0 cm or the patient is able to place their palms to the floor with no pain, a different outcome measure should be considered.

• Have the patient lie supine on a firm surface, with their legs straight.
• Place your hand under the patient's lower back to maintain a neutral spine.
• Slowly flex the patient's hip, bringing their knee towards their chest, until their thigh is perpendicular to the table.
• Assist the patient in flexing their hip further, keeping their knee bent at a 90-degree angle.
• Measure the angle between the patient's thigh and the table using a goniometer or inclinometer.
• Compare the measurement to the normal range (usually around 15-20 degrees) to determine if there is a restriction in iliopsoas flexibility.