The participants will receive aerobic exercise program for 30 minutes, 3 sessions per week for 6 weeks.

The participants will receive sub occipital myofascial release treatment 3 sessions per week for 6weeks.

A moderate-intensity aerobic exercise session on a treadmill consists of three phases: warm-up, active phase, and cool-down. The warm-up lasts 5-10 minutes and involves walking at minimum speed (2.0 - 3.0 km/h) with a slight incline (1 -2%) or as tolerated. The active phase, lasting 20-30 minutes, maintains a brisk walking or light jogging pace with moderate speed (4.5-6.5 km/h) or as tolerated. This phase can include steady-state jogging or intervals of walking and jogging to sustain cardiovascular engagement. Finally, the cool-down phase lasts 5-10 minutes, where the speed is gradually reduced to 2.0 - 3.0 km/h, allowing the heart rate to decrease safely.

Assessment of memory function will be done by the free recall test. The word list will contain 10 words selected randomly. These words would be administered to the patient one by one with interval time 1 second between each word with total words presentation time 10 seconds.

The presentation of these words will be though a digital screen using a designed video showing these words arranged in order with a fixed interval 1 second between each word.

The patient will be instructed immediately to recall these words verbally at any order.

The total score is 10 and one point will be accounted for each word will be recalled correctly

It will be used to assess memory functions. The measure consists of 16 individual items.

The Structure of the PRMQ consists of 16 Items total , each item is rated on a 5-point scale (1 = Never , 2 = Rarely , 3 = Sometimes , 4 = Often , 5 = Very Often). These 16 items, evenly divided into 8 prospective memory items and 8 retrospective memory items. Each item describes a common memory lapse, giving a high score to an item means a high memory deficits at that item. The total score ranges from 16 to 80, with higher scores indicating a greater frequency of memory lapse and deficit.

The Perceived Stress Scale (PSS) is a widely used self-report instrument developed to to assess the degree to which individuals perceive situations in their lives as stressful during the previous month. The most commonly used version, the 10-item Perceived Stress Scale (PSS-10), consists of 10 questions rated on a 5-point Likert scale ranging from 0 (never) to 4 (very often). Participants complete the questionnaire independently, the total score is obtained by summing the responses to all items, resulting in a score ranging from 0 to 40, with higher scores indicating greater perceived stress. Although there are no universally accepted cut-off values, scores of 0-13 are generally considered to indicate low perceived stress, 14-26 moderate perceived stress, and 27-40 high perceived stress.