Effectiveness of tanzberger exercises on pain and disability in chronic low back pain in females: A randomized controlled trial
Namrata Vora, Abhijit Satralkar, Sucheta Golhar
Objective: To find the effect of Tanzberger Exercises on Pain and Disability in Chronic Low Back Pain in Females. Subject and Method: 40 female subjects clinically diagnosed with chronic low back pain with age group between 25-50 years were taken. Subjects were divided into two groups -A and B with 20 each. Both the groups were explained the procedure. Group A received Tanzberger exercises which are type of pelvic floor muscle exercises along with conventional regimen. Group B received only conventional regimen exercises. Tanzberger Exercises comprised of rolling the ball forward and back-to-back sitting on swiss ball for 4 weeks, 3 sessions per week where each session was about 20-30 minutes with sufficient rest between each exs followed by conventional regimen. Conventional Regimen consisted of Short Wave Diathermy (continuous mode,co-planar method for 15 minutes) followed by lumbar strengthening exercises (prone leg elevation, chest elevation in prone, supine bridging) comprising of 2 sets of 10 repetitions per exercise, 3 sessions per week for 4 weeks. Outcome Measures in the form of pain (Numerical Pain Rating Scale-NPRS) and disability (Oswestry Disability Index-ODI) assessment were taken pre and post 4 weeks of intervention. Result: Mean values for age for Group A were 36 ± 8.790 and Group B were 35.75 ± 7.840. Mean values for NPRS scale were 4.8 ± 1.056 and 5.6 ± 1.188 for Group A and B respectively. p<0.0001. When both the groups were compared p value was 0.0363 which was considered significant. Mean values for ODI scale were 36.83% ± 8.274% and 42.62% ± 8.037% for Group A and B respectively. p<0.0001. When both the groups were compared the 't' value obtained was 2.245 with 37 degrees of freedom and p value was 0.0308 which is considered significant. Conclusion: This study showed that Tanzberger Exercises in combination with conventional treatment provided significant benefits in terms of pain relief and disability over routine treatment alone. Tanzberger Exercises along with conventional regimen had an additive effect in pain relief levels and reduction of disability in patients with chronic low back pain.