Background: Low back pain is highly prevalent among Indian housewives, often limiting their daily activities and quality of life. Limited access to physiotherapy in rural areas necessitates alternative models such as tele-physiotherapy.

Objective: To compare the effectiveness of Tele- physiotherapy program and home exercise program on reducing low back pain intensity and increasing quality of life in term of Visual Analog Scale (VAS), Oswestry Disability Index (ODI) and SF–36 Health Survey in housewives with low back pain.

Method: A total 152 housewives aged between 25- 50 years with low back pain were assigned to either a Tele- physiotherapy group (n=76) or a home exercise group (n=76). Both groups participated in the same exercise program for 4 weeks, with three sessions scheduled each week. The Tele- physiotherapy group received supervised exercise session via video conferencing platform such as zoom. In contrast, the home exercise group was provided with printed exercise sheet in local language to guide them through the exercise independently at home

Design: A comparative study.

Result: 152 participants were studied overall (Tele-Physiotherapy group, n=76; Home Exercise group, n=76). From pre- to post-intervention, both groups exhibited notable gains in pain (VAS), impairment (ODI), and quality of life (SF-36) scores (all p< 0. 01). Between-group studies found that the Tele-Physiotherapy group showed a notably higher decrease in VAS scores (mean % reduction: 64. 55 vs. 29. 64), ODI scores (mean % reduction: 49. 65 vs. 15. 79), and a greater rise in SF-36 scores (mean % increase: 42. 24 vs. 13. 04) than the Home Exercise group (all p < 0. 01).