Physical Activity and Exercise for Disability and Improving Mental Health in Elderly With Chronic Low Back Pain

"1. Physiotherapy Modalities (Preparation):~ Hot Pack Therapy: Applied to the lumbar region for 10-15 minutes before exercises to reduce muscle stiffness and pain.~ Interferential Therapy (IFT): Applied to the lower back for 10-15 minutes to decrease pain and improve circulation.~2. Exercise Program (30-40 minutes per session, 3 times/week):~A. Lumbar Stabilization Exercises:~B. Core Strengthening Exercises:"

"1. Frequency \& Duration:~ Frequency: 3 days per week~ Duration: 30 to 40minutes per session~ Intensity: Low to moderate (RPE 11-13 on Borg scale; light to somewhat hard)~2. Warm-Up (5 minutes):~ Gentle walking on treadmill at slow speed (1.5-2.5 km/h)~ Light dynamic stretches for lower back, hips, and legs~3. Main Activity~ A. Treadmill Walking:~ Speed: Comfortable pace for walking without pain~ Incline: Start flat, increase slightly (1-2%) if tolerated~ Goal: Promote cardiovascular endurance and safe weight-bearing activity~ B. Stationary Bicycle:~ Duration: 10-15 minutes~ Resistance: Low to moderate (enough to feel effort but no pain)~4. Cool-Down (5 minutes):~ Slow treadmill walking or easy pedaling on the bike~ Gentle stretches: hamstrings, hip flexors, lumbar rotation~5. Progression:~based on patient tolerance Gradually in"

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