ECCENTRIC BIASED EXERCISES FOR ILIOPSOAS TENDONITIS he subject assumed the right side lying position with a Perform Better. ● black monster band secured around the left ankle and the other end attached to a sturdy object behind her at about knee height.

• The left hip will be maximally flexed with the knee flexed as well. This start position is similar to a running position.
• To start the exercise, the subject slowly extended the hip, controlling against the pull into hip extension provided by the monster band for a count of "3" while keeping the knee flexed, until the hip was fully extended .
• stretch on the iliopsoas at end range hip extension will be done
• The subject will made a quick concentric contraction to the count of "1" quickly flexed the hip against the resistance of the band to move the left hip into full hip flexion to the start position.
• The subject will be cued not to arch her back and to keep her abdominals engaged in order to stabilize the spine again

traditional physical therapy Description: Rest Icing for 7mins compression Elevation Subacute phase Hip stretches (iliopsoas, piriformis, hamstring, gluteals) Eccentric hip flexion of 15 reps. Lumbo-pelvic dislocation on Swiss ball (pelvic tilting anterior-posterior, medial lateral, clockwise/counter clockwise) Prone and supine core stability exercises ( 3 sets of 20 repetition for each arm and leg for endurance and control) twice per day over the course of 12 weeks pre and post intervention values will be taken on 1st day and after 12 weeks .The patients will be instructed to exercise into moderate pain, 5/10 on VAS which will be tolerated well without increase in the reactivity of the tendon.

Experimental: INTERVENTIONAL GROUP Arm Description: ECCENTRIC BIASED EXERCISES FOR ILIOPSOAS TENDONITIS he subject assumed the right side lying position with a Perform Better. ● black monster band secured around the left ankle and the other end attached to a sturdy object behind her at about knee height. ● The left hip will be maximally flexed with the knee flexed as well. This start position is similar to a running position. ● To start the exercise, the subject slowly extended the hip, controlling against the pull into hip extension provided by the monster band for a count of "3" while keeping the knee flexed, until the hip was fully extended . ● stretch on the iliopsoas at end range hip extension will be done ● The subject will made a quick concentric contraction to the count of "1" quickly flexed the hip against the resistance of the band to move the left hip into full hip flexion to the start position. ● The subject will be cued not to arch her back and to keep her abdominals engag

iometer for Range of Motion Goniometry is the art and science of measuring the joint ranges in each plane of the joint. A goniometer is the most common instrument used to measure range of motion.

Here are some steps for measuring hip flexion with a goniometer:

Have the patient lie on their back Flex the patient's hip while supporting their lower back with your hand Use landmarks on the pelvis to ensure that the measurement doesn't include motion in the lumbar spine Make sure the patient's pelvis is neutral at the beginning and end of the measurement The normal range of motion for hip flexion is 100-120 degrees, depending on the source. .

NPRS used to assess the pain representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable(21)

The Numeric Pain Rating Scale (NPRS) is an 11-point scale used to measure pain intensity:

0: No pain 1-3: Mild pain 4-6: Moderate pain 7-10: Severe pain

The Copenhagen Hip and Groin Outcome Score is a patient-reported questionnaire that has six discrete subscales to assess Pain (10 items), Symptoms (7 items), Physical function in daily living (5 items), physical function in Sport and Recreation (8 items), Participation in Physical Activities (2 items) and hip and/or groin related Quality of Life (5 items). It has 37 items in total.

Method of Use Six subscales make up the HAGOS questionnaire: Symptoms, Pain, ADL, Sport/Rec, PA, and QOL. Each subscale is rated independently, with a score ranging from 0 to 4 for each item. After the results are added together, the subscale scores are converted to a 0-100 scale. A score of 100 indicates the absence of hip and/or groin issues, while a score of 0 indicates significant hip and/or groin issues. The percentage of the total possible score attained is represented by the scores, which range from 0 to 100. There is no calculation of an overall score; instead, the subscales were examined.