Comparison of the Effects of MAT Pilates and MIHA Combined Exercise Programs on Pain, Quality of Life, Anxiety, and Endurance in Patients With Nonspecific Back Pain

This trial is comparing two exercise programs — mat Pilates and MIHA (a training method that combines exercise with whole-body electrical muscle stimulation via a wearable suit) — to see which works better for relieving non-specific lower back pain. **You may be eligible if...** - You are between 25 and 45 years old - You have had lower back pain for at least the last 3 months - Your back pain has no identified structural cause (no fracture, infection, tumor, or nerve problem) - You have no serious heart, neurological, or bone/joint conditions that would prevent exercise - You have not been doing regular exercise in the past 6 months - You have no medical reason to avoid wearing an electrical muscle stimulation (EMS) device (e.g., no pacemaker) **You may NOT be eligible if...** - Your back pain is caused by a specific condition (e.g., spinal stenosis, fracture, tumor, or infection) - You are in your first 6 months of pregnancy or recently postpartum - You have a neurological disease such as epilepsy or multiple sclerosis Talk to your doctor to see if this trial is right for you.