Comparing core muscle strengthening exercises and breathing exercises for reducing pain and improving daily activities in people with long term low back pain.

INTERVENTION: Intervention1: Pilates Mat Exercises: Group A Pilates Mat Exercises are given with Conventional Physiotherapy for the duartion of 6 weeks. In conventional exercises IFT is given for 15 mins along with Cat Camel Exercise, TA activation Exercise, Supine Spinal Twist and clamshell Exercise. Each exercise is given for 10 repitations with 10 seconds hold. Pilates Mat Exercises will be given for 6 weeks 3 times a week for a duration of 45 mins. For weeks 1‐3, The hundred,(modified) Basic Bridge,Spine Stretch Spine twist for 6 Repetitions 10‐second hold.Progression For weeks 3‐6, Full Hundred, Criss Cross, Spine twist, Shoulder Bridge will be given for 10 Repetitions and 10‐seconds hold. Control Intervention1: Hypopressive Exercises: Group B ‐ Hypopressive Exercises are given with Conventional Physiotherapy. In conventional exercises IFT is given for 15 mins along with Cat Camel Exercise, TA activation Exercise, Supine Spinal Twist and clamshell Exercise. Each exercise is given for 10 repitations with 10 seconds hold. In hypopressive exercises three diaphragmatic breathing cycles followed by a prolonged exhalation and subsequent breath hold (apnea) and the patients are guided to actively expand the rib cage, facilitating an inward and cranial movement of the abdominal wall guided to actively expand the rib cage, facilitate an inward and cranial movement of the abdominal wall. sessions will be given for 3 times a week for 45 mins. The protocol will be done 6 weeks 3 times a week for a duration of 45 mins. In weeks 1‐3 hypopressive manuever is given in Standing Posture, Tailored sitting, Supine Posture. The protocol will be done 6 weeks 3 times a week for a duration of 45 mins. Progression in weeks 3‐6 will involve Semi Sitting Posture, Kneeling Posture, Quadruped Posture. In each posture, the hypopressive maneuver will be performed 3 times, with each apnea maintained for approximately 10 seconds. CONDITION: Health Condition 1: M638‐ Disorders of muscle in diseases classified elsewhere PRIMARY OUTCOME: Numerical Pain Rating Scale ; Modified Oswestry Low Back Pain Disability Questionnaire ; ; Timepoint: At baseline and after 6 weeks SECONDARY OUTCOME: NILTimepoint: NIL INCLUSION CRITERIA: Pain intensity more than or equal to 4 on Numerical Pain Rating Scale Pre‐diagnosed case of chronic non specific low back pain persisting more than 12 weeks Functional Disability equal to or more than 20 percent on the Oswestry Low Back Pain Disability Questionnaire Participants who have not received physiotherapy for the past 6 months. Patients who are willing to participate