Effect of Aquatic Exercise Training in Young Female Individuals With Chronic Ankle Instability

Isha Kharat; Sandeep Shinde; Pooja Jain; Apurva Saptale

doi:10.33438/ijdshs.1482237

EN

Effect of Aquatic Exercise Training in Young Female Individuals With Chronic Ankle Instability

Abstract

Purpose: The purpose of this research was to examine effect of aquatic exercise training in young females with chronic instability of the ankle. Method: The research comprised of 100 female individuals aged 20-30 years that fulfilled the inclusion and exclusion criteria. Participants were separated into two categories with equal participants, control group (n=50) and experimental group (n=50) by using SPSS software. Experimental group underwent hydrotherapy program while control group underwent land-based exercise program with frequency of twice a week for about 6 weeks. The scores were statistically analysed by using paired and unpaired t-test. Findings: The findings showed that the two groups improved significantly in ROM. Group B improved significantly in ankle dorsiflexion, plantarflexion, inversion, and eversion (p < 0.0001), while the Group A showed p values of 0.0271, 0.3758, 0.4466, and 0.0452, respectively. The experimental group exhibited more improvement in MMT than the control group. The experimental group had significant strength in dorsiflexors, plantarflexors, invertors, and evertors (p < 0.0001), while the control group had significant strength dorsiflexors, invertors, and evertors (p = 0.0015, 0.0055, and 0.0020) and plantarflexors (p = 0.0207), respectively. The experimental group improved SEBT significantly (p < 0.0001) in all directions, while the control group exhibited significant results (p< 0.0001,0.0068,0.0062,0.0031,0.0090, 0.0423,0.0167).Conclusion: It concluded that the aquatic training program had shown a significant positive response in improving ROM, muscle strength and balance among young females experiencing chronic instability of the ankle.

Keywords

Ankle instability , Ankle sprain , Balance , Hydrotherapy , Muscle strength.

References

Abadi, F. H., Elumalai, G., Sankaraval, M., & Ramli, F. A. B. M. (2017). Effects of aqua-aerobic exercise on the cardiovascular fitness and weight loss among obese students. International Journal of Physiotherapy, 4(5), 278-283.[CrossRef]
Al-Mohrej, O. A., & Al-Kenani, N. S. (2016). Chronic ankle instability: Current perspectives. Avicenna journal of medicine, 6(4), 103–108. [PubMed]
A,Y., S.M, and R.İ.Z. (2015). Comparison of Exercises in Water and Land on Pain Relief, Performance, Static and Dynamic Balance of People with Chronic Ankle Sprain. Sport Medicine "Harakat", 7(2), 175-191.[CrossRef]
Bernier, J. N., & Perrin, D. H. (1998). Effect of coordination training on proprioception of the functionally unstable ankle. The Journal of Orthopaedic And Sports Physical Therapy, 27(4), 264–275. [CrossRef]
Ben Moussa Zouita, A., Majdoub, O., Ferchichi, H., Grandy, K., Dziri, C., & Ben Salah, F. Z. (2013). The effect of 8-weeks proprioceptive exercise program in postural sway and isokinetic strength of ankle sprains of Tunisian athletes. Annals of Physical And Rehabilitation Medicine, 56(9-10), 634–643.[CrossRef]
Blackburn, T., Guskiewicz, K. M., Petschauer, M. A., & Prentice, W. E. (2000). Balance and joint stability: the relative contributions of proprioception and muscular strength. Journal of Sport Rehabilitation, 9(4), 315-328. [CrossRef]
Cox, R. W., Martinez, R. E., Baker, R. T., & Warren, L. (2018). Validity of a Smartphone Application for Measuring Ankle Plantar Flexion. Journal Of Sport Rehabilitation, 27(3),10.1123/jsr.2017-0143. [CrossRef]
de Noronha, M., Refshauge, K. M., Herbert, R. D., Kilbreath, S. L., & Hertel, J. (2006). Do voluntary strength, proprioception, range of motion, or postural sway predict occurrence of lateral ankle sprain?. British Journal of Sports Medicine, 40(10), 824–828. [PubMed]
Docherty, C. L., Valovich McLeod, T. C., & Shultz, S. J. (2006). Postural control deficits in participants with functional ankle instability as measured by the balance error scoring system. Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine, 16(3), 203–208. [CrossRef]
Donoghue, O. A., Shimojo, H., & Takagi, H. (2011). Impact forces of plyometric exercises performed on land and in water. Sports Health, 3(3), 303–309. [PubMed]

Gribble, P. A., Hertel, J., & Denegar, C. R. (2007). Chronic ankle instability and fatigue create proximal joint alterations during performance of the Star Excursion Balance Test. International Journal Of Sports Medicine, 28(3), 236–242.[CrossRef]
Han, J., Anson, J., Waddington, G., Adams, R., & Liu, Y. (2015). The Role of Ankle Proprioception for Balance Control in relation to Sports Performance and Injury. Biomed Research İnternational, 2015, 842804.[PubMed]
Hertel J. (2000). Functional instability following lateral ankle sprain. Sports medicine (Auckland, N.Z.), 29(5), 361–371. [CrossRef]
Heitz, N. A., Eisenman, P. A., Beck, C. L., & Walker, J. A. (1999). Hormonal changes throughout the menstrual cycle and increased anterior cruciate ligament laxity in females. Journal Of Athletic Training, 34(2), 144–149. [PubMed]
Hertel, J., & Corbett, R. O. (2019). An Updated Model of Chronic Ankle Instability. Journal of Athletic Training, 54(6), 572–588. [PubMed]
Herzog, M. M., Kerr, Z. Y., Marshall, S. W., & Wikstrom, E. A. (2019). Epidemiology of Ankle Sprains and Chronic Ankle Instability. Journal of Athletic Training, 54(6), 603–610. [PubMed]
Hoogenboom, B., & Lomax, N. E. (2004). Aquatic therapy in rehabilitation. Rehabilitation Techniques for Sports Medicine and Athletic Training. New York, NY: McGraw Hill, 326-345. [CrossRef]
Jain, T. K., Wauneka, C. N., & Liu, W. (2014). The effect of balance training on ankle proprioception in patients with functional ankle instability. Journal of Foot and Ankle Research, 7(Suppl 1), A37. [CrossRef]
Kadav, N., Bhende, R., & Shinde, S. (2023). Proximal to distal posture correction protocol for IT band friction syndrome in female amateur runners. Int J Disabil Sports Health Sci, 6(2), 139-149. [CrossRef]
Kendall, F. P., McCreary, E. K., Provance, P. G., Rodgers, M. M., & Romani, W. A. (2005). Muscles: testing and function with posture and pain (Vol. 5, pp. 1-100). Baltimore, MD: Lippincott Williams & Wilkins.
Kinzey, S. J., & Armstrong, C. W. (1998). The reliability of the star-excursion test in assessing dynamic balance. The Journal of Orthopaedic And Sports Physical Therapy, 27(5), 356–360. [CrossRef]
Manjrekar, M., Dhane, S., & Shinde, S. (2024). Effect of Pre-Participation Aquatic Training Program on Running Performance in Marathon Runners. Int J Disabil Sports Health Sci,s, 7(1), 94-102. [CrossRef]
Norkin, C. C., & White, D. J. (2016). Measurement of joint motion: a guide to goniometry. FA Davis.
Nualona, P., Piriyaprasartha, P., & Yuktanandanab, P. (2013). The role of 6-week hydrotherapy and land-based therapy plus ankle taping in a preseason rehabilitation program for athletes with chronic ankle instability. Asian Biomed, 7(4), 553-9. [CrossRef]
Pöyhönen, T., Sipilä, S., Keskinen, K. L., Hautala, A., Savolainen, J., & Mälkiä, E. (2002). Effects of aquatic resistance training on neuromuscular performance in healthy women. Medicine And Science İn Sports And Exercise, 34(12), 2103–2109. [CrossRef]
Prentice, W. E., Kaminski, T. W., & Scibek, J. (2004). Rehabilitation techniques for sports medicine and athletic training. (No Title). [CrossRef]
Ragab, I. M. A. (2020). Aquatic therapy versus combined aquatic and land-based therapy in the treatment of chronic lateral ankle sprain. Egyptian Journal of Physical Therapy, 2(1), 16-23. [CrossRef]
Ross, S.E., & Guskiewicz, K.M. (2006). Effect of coordination training with and without stochastic resonance stimulation on dynamic postural stability of subjects with functional ankle instability and subjects with stable ankles. Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine, 16(4), 323–328. [CrossRef]
Sawant Janhavi, M., & Shinde, S. (2021). Effect of lower limb proximal to distal muscle imbalance correction on functional pes planus deformity in young adults”. Journal of Medical Pharmaceutical And Allied Sciences, 10(4), 3469-3473. [CrossRef]
Singh, M., Kumar, N., Awasthi, S., Saxena, P. P., & Shohail, A. (2023). Comparıson of water and land-based balance training in functional ankle instability. JMSCR,11(9):4-19. [CrossRef]
Tabassum, N.,and Azim, A. (2024). Common Sports Injuries, Training Load and Treatment Strategies for Optimal Recovery in Female University Athletes.Int. J. Act. Health Aging, 2(2)53-59. [CrossRef]
Takeshima, N., Rogers, M. E., Watanabe, E., Brechue, W. F., Okada, A., Yamada, T., Islam, M. M., & Hayano, J. (2002). Water-based exercise improves health-related aspects of fitness in older women. Medicine And Science İn Sports And Exercise, 34(3), 544–551. [CrossRef]
Thein, J.M., & Brody, L.T. (1998). Aquatic-based rehabilitation and training for the elite athlete. The Journal of Orthopaedic And Sports Physical Therapy, 27(1), 32–41. [CrossRef]
Yalfani, A., Sharifi, M., Raeisi, Z.A (2015). Comparison between Two Methods of Exercise in Water and Land to Improve Pain, Function, Static and Dynamic Balance in Patients with Chronic Ankle Sprain. Sport Sciences and Health Research, 7(2): 175-191. [CrossRef]
Wang, T. J., Belza, B., Elaine Thompson, F., Whitney, J. D., & Bennett, K. (2007). Effects of aquatic exercise on flexibility, strength and aerobic fitness in adults with osteoarthritis of the hip or knee. Journal Of Advanced Nursing, 57(2), 141–152. [CrossRef]
Wikstrom, E.A., Tillman, M.D., Chmielewski, T.L., Cauraugh, J.H., & Borsa, P.A. (2007). Dynamic postural stability deficits in subjects with self-reported ankle instability. Medicine And Science İn Sports And Exercise, 39(3), 397–402. [CrossRef]

Details

Primary Language

English

Subjects

Physical Medicine and Rehabilitation , Physiotherapy

Journal Section

Research Article

Authors

Isha Kharat
0009-0002-5983-0124
India

Sandeep Shinde ^*
0000-0002-6466-3888
India

Pooja Jain
0000-0002-1414-1520
India

Apurva Saptale
0000-0001-8782-8668
India

Early Pub Date

January 14, 2025

Publication Date

January 25, 2025

Submission Date

May 11, 2024

Acceptance Date

November 22, 2024

Published in Issue

Year 2025 Volume: 8 Number: 1

DOI

https://doi.org/10.33438/ijdshs.1482237

IZ

https://izlik.org/JA64UU29YU

APA

Kharat, I., Shinde, S., Jain, P., & Saptale, A. (2025). Effect of Aquatic Exercise Training in Young Female Individuals With Chronic Ankle Instability. International Journal of Disabilities Sports and Health Sciences, 8(1), 49-59. https://doi.org/10.33438/ijdshs.1482237

AMA

1.Kharat I, Shinde S, Jain P, Saptale A. Effect of Aquatic Exercise Training in Young Female Individuals With Chronic Ankle Instability. International Journal of Disabilities Sports &Health Sciences. 2025;8(1):49-59. doi:10.33438/ijdshs.1482237

Chicago

Kharat, Isha, Sandeep Shinde, Pooja Jain, and Apurva Saptale. 2025. “Effect of Aquatic Exercise Training in Young Female Individuals With Chronic Ankle Instability”. International Journal of Disabilities Sports and Health Sciences 8 (1): 49-59. https://doi.org/10.33438/ijdshs.1482237.

EndNote

Kharat I, Shinde S, Jain P, Saptale A (January 1, 2025) Effect of Aquatic Exercise Training in Young Female Individuals With Chronic Ankle Instability. International Journal of Disabilities Sports and Health Sciences 8 1 49–59.

IEEE

[1]I. Kharat, S. Shinde, P. Jain, and A. Saptale, “Effect of Aquatic Exercise Training in Young Female Individuals With Chronic Ankle Instability”, International Journal of Disabilities Sports &Health Sciences, vol. 8, no. 1, pp. 49–59, Jan. 2025, doi: 10.33438/ijdshs.1482237.

ISNAD

Kharat, Isha - Shinde, Sandeep - Jain, Pooja - Saptale, Apurva. “Effect of Aquatic Exercise Training in Young Female Individuals With Chronic Ankle Instability”. International Journal of Disabilities Sports and Health Sciences 8/1 (January 1, 2025): 49-59. https://doi.org/10.33438/ijdshs.1482237.

JAMA

1.Kharat I, Shinde S, Jain P, Saptale A. Effect of Aquatic Exercise Training in Young Female Individuals With Chronic Ankle Instability. International Journal of Disabilities Sports &Health Sciences. 2025;8:49–59.

MLA

Kharat, Isha, et al. “Effect of Aquatic Exercise Training in Young Female Individuals With Chronic Ankle Instability”. International Journal of Disabilities Sports and Health Sciences, vol. 8, no. 1, Jan. 2025, pp. 49-59, doi:10.33438/ijdshs.1482237.

Vancouver

1.Isha Kharat, Sandeep Shinde, Pooja Jain, Apurva Saptale. Effect of Aquatic Exercise Training in Young Female Individuals With Chronic Ankle Instability. International Journal of Disabilities Sports &Health Sciences. 2025 Jan. 1;8(1):49-5. doi:10.33438/ijdshs.1482237

Effect of Aquatic Exercise Training in Young Female Individuals With Chronic Ankle Instability

Öz

Effect of Aquatic Exercise Training in Young Female Individuals With Chronic Ankle Instability

Abstract

Keywords

References

Details

Primary Language

Subjects

Journal Section

Authors

Early Pub Date

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

Cite