Participants assigned to this arm will undergo Global Postural Reeducation (GPR) using standardized coxofemoral positions ( Opening and Closing). In the Opening position, the participant lies supine with the hip placed in gentle flexion, abduction, and external rotation to lengthen the medial/anterior muscle chain; in the Closing position, the hip is positioned in slight extension, adduction, and internal rotation to target the lateral/posterior chain. Each session lasts approximately 10 minutes, divided into 2-3 blocks of 3-5 minutes each, during which participants perform slow diaphragmatic breathing combined with gentle isometric contractions (2-3 seconds) on exhalation followed by relaxation into the posture. Sessions are delivered twice weekly for 6 weeks. Therapist monitoring ensures proper pelvic stabilization, safe range of motion, and avoidance of compensatory movements, while participants are encouraged to maintain comfortable stretch intensity without pain.

• Hot pack for 15 minutes.
• Static stretching of rectus femoris and iliopsoas muscles (1 minute x 5 repetitions per session).
• Other exercises Pelvic tilt Straight leg raise Bridging Cat-camel exercise Knee-to-chest stretch Prescribed as 3 sets of 10 repetitions each, with rest in between.

Global postural reeducation will include two postural positions aiming to improve alignment, flexibility and postural correction. Each session will be 35 minutes including each posture performed for 10 minutes each and 15 minutes for conventional therapy.

1. Coxofemoral Opening with Closed Arms Participants will begin in a supine position on a flat surface. The upper limbs will be 90° abducted, with palms facing to the ceiling. The lower limbs will be placed in hip and knee flexion, with soles of the feet together, heels close to the gluteal region, and hips in abduction between 30° and 45°.

2. Coxofemoral Closure with Closed Arms. In this posture, participants will again lie supine, with the arms abducted to 90° and palms facing upward. The hips and knees will be flexed, with the soles of the feet pressed together and placed against a wall.

   with Controlled and slow diaphragmatic breathing technique

3. Conventional therapy same as given to other group.

The NPRS is an 11-point self-report scale ranging from 0 (no pain) to 10 (worst imaginable pain). Participants are asked to rate their average pain intensity in the lower back during daily activities over the past 24 hours.

Lumbar spine mobility will be assessed in flexion, extension, lateral flexion, and rotation using a digital inclinometer. The inclinometer will be placed at standardized anatomical landmarks (spinous process of T12 and sacrum for flexion/extension; along midline for lateral flexion/rotation).

The PSS-10 is a 10-item validated questionnaire that measures the degree to which participants perceive situations in their life as stressful over the past month. Items assess feelings of unpredictability, lack of control, and overload.

The PSQI is a 19-item validated questionnaire assessing subjective sleep quality and disturbances over the past month. It generates 7 component scores (sleep duration, disturbance, latency, efficiency, quality, medication use, and daytime dysfunction).