Participants comfortably seated with the arm supported on a table. The right palm placed on the couch, and the middle fingers positioned alternately on a wooden block at a 45° angle. Participants flex the middle finger while the therapist provides resistance to induce an isometric contraction.

Duration and Repetitions:

• Each stretch: 15-30 seconds
• 10 repetitions per session
• sets with 30-60 seconds rest Frequency: Three times per week during therapy sessions

Numeric Pain Rating Scale (NPRS) is used to determine the level of pain in a patient. It gives people an opportunity to self-report their pain levels using a scale of zero to ten, with 0 being the absence of pain and 10 being the worst that can happen. The scale is divided into categories, 1-3 mild pain, 4-6 moderate pain, and 7- 10 severe pain.

goniometer is a device that is widely utilized in orthopedics and physical therapy to estimate the range of motion of a joint (ROM) and to diagnose range restrictions.

A hand dynamometer is a tool that is used to measure the grip strength and give a quantitative measure of the muscle activity in the hand and forearm. Through pressing of the handle of the device, the user can measure the force used, and the clinicians can observe the progress and see the changes in the rehabilitation