This randomized controlled trial aims to compare the short- and long-term effects of extracorporeal shock wave therapy (ESWT) and exercise therapy on pain, flexibility, and balance in individuals with low back pain associated with hamstring tightness. Thirty participants will be randomized into two groups (ESWT or exercise) and receive interventions twice weekly for four weeks. Outcomes include pain (a (VAS), flexibility (Popliteal Angle and Fingertip-to-Floor tests), and balance (Y-Balance Test), assessed at baseline, post-intervention, and at a four-week follow-up.
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Pain Intensity
Timeframe: Baseline, Week 4 (Post-treatment), Week 8 (Follow-up)
Hamstring Flexibility (Popliteal Angle)
Timeframe: Baseline, Week 4 (Post-treatment), Week 8 (Follow-up)
Hamstring Flexibility (Fingertip-to-Floor Distance)
Timeframe: Baseline, Week 4 (Post-treatment), Week 8 (Follow-up)
Dynamic Balance (Y-Balance Test)
Timeframe: Baseline, Week 4 (Post-treatment), Week 8 (Follow-up)