Introduction:
Many of the impairments associated with lumbo-pelvic-femoral conditions, like tightness of the iliotibial band, may be bound with postural asymmetry, abnormal chain pattern, and restriction of the range of motion. Although physical therapists currently utilize the right sidelying respiratory left adductor pull back (RSRLAPB) technique for numerous musculoskeletal conditions, there is little research published on the efficacy of the technique. Therefore, this study explored the effect of RSRLAPB exercise on hip adduction angle in subjects with iliotibial band tightness.

Methods:
The total of 30 participants (16 males, 14 females) were recruited on the basis of the inclusion and exclusion criteria, and randomized into two groups. Group 1 (experimental group) received moist heat pack, stretching, and RSRLAPB exercise for 3 weeks, while in group 2 (control group), moist heat pack and stretching were applied for 3 weeks. Both groups were tested at baseline and post-intervention for hip adduction angle.

Results:
Statistically significant differences in hip adduction angle were observed between groups 1 and 2 (p < 0.001), as well as within group 1 (p < 0.001) and within group 2 (p < 0.001).

Conclusions:
The results revealed that RSRLAPB exercise not only improves limited hip adduction in subjects with iliotibial band tightness but also rectifies postural asymmetry and establishes normal respiratory pattern.