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Abstract
The purpose of this study was to determine the effect of weight reduction on mechanical low back pain in class I obesity. The study was carried out on 40 men patients who were classified as 1st class of obesity suffering from mechanical low back pain, with age ranged from 20 - 30 years, they were selected from the out - patient clinic in Elminya Health Insurance Hospital. The patients were assigned into 2 equal groups in number. group (A) received weight reduction program in form of low carbohydrate - diet(contains about 1000 calories) and Pilates exercises for mechanical low back pain. group (B) received Pilates exercises only for mechanical low back pain for fifty minutes 3 times per week for eight weeks. The results of this study showed that there were statistically significant increase in group (A) pre and post treatment regarding lumbar flexion 20.9%, lumbar extension 27%, and concerning functional disability 49.1%. While group (B) showed slight increase but not with statistical significance regarding lumbar flexion 3.3%, lumbar extension 4.9%, and concerning functional disability 13.7%