Abstract. [Purpose] The purpose of this study was to examine the effect of a suggested rehabilitation program with mechanical traction on basketball player's low back spine pain treatment and efficiency of skillful performance. [Subjects and Methods] The study sample comprised twenty four players (17-22 years–old) from Port-Said different basketball clubs who's registered in the Egyptian basketball federation season 2016/2017, 2017/2018, 2018/2019 and diagnosed with low back spine pain. The sample was selected from men basketball players, the study was applied in July 2017– March 2018, Port-Said - Egypt (each player receive 12 treatment sessions / 3 weeks except therapeutic exercise programs receive 30 units ). The sample was divided to two subsamples the control sample was treated with the traditional treatment method separately (therapeutic exercise programs, TENS/EMS, ultrasound (US), heating/cooling, manual therapy/mechanical vibrating massage and mechanical low back spine traction), the experimental sample was treated as same as the control sample with addition that the mechanical low back spine traction treatment was done at the same time with TENS/EMS, heating/cooling and manual therapy/ mechanical vibrating massage vibrating massage. Low back pain was measured using three different low back range of motion (ROM) parameters and basketball skill test racing circuit, for each patient pre and post traditional and suggested rehabilitation program. [Results] The experimental sample was higher in the results of low back pain reduction than the control sample; moreover it was higher than the control sample in the results of basketball skillful performance. Conclusion: It appears that mechanical traction and TENS/EMS, heating/cooling and manual therapy/electric massage, that done at the same time on low back spine have a beneficial effect on reducing the pain and increasing efficiency of skillful performance amongst basketball players.