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It is common knowledge that India is the world's second-largest country in terms of population, after only China. However, in comparison to China and other affluent nations, the health of the vast majority of the population is far from good. However, India has achieved significant progress in improving the health of its population during the previous five decades by expanding health facilities and manpower in primary, secondary, and tertiary care in the government, voluntary, and commercial sectors. The goal of this study was to compare the impact of yoga practises and physiotherapy exercises on Systolic blood pressure in middle-aged males with low back pain. Due to the affects of comparative effects of yogic practises and physiotherapy exercises, it was expected that there would be substantial variations in Systolic blood pressure among middle-aged males with low back pain. The study's goal was to find 45 middle-aged males in Chennai who had low back pain and were between the ages of 30 and 40. For 6 weeks, the Experimental groups I, II, and III were exposed to the effects of yogic practises and physiotherapy exercises for an hour in the morning. The control group did not get any special training but continued to engage in normal activities. For each of the four groups, a pre- and post-test was conducted before and after the training. The data obtained from the three groups before and after the training period was statistically evaluated using Analysis of Covariance (ANCOVA) to assess the significant difference, which was tested at the 0.05 level of significance.