Volume 7, Issue 4 (2-2022)                   J Sport Biomech 2022, 7(4): 260-269 | Back to browse issues page


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Roshandel Hesari A, Aoshandel Hesari A, Mohagheghi Pirshahid A. The Effect of Eight Weeks Training in Shallow Water on Static Balance of Military with Knee Injuries. J Sport Biomech 2022; 7 (4) :260-269
URL: http://biomechanics.iauh.ac.ir/article-1-260-en.html
1- Department of Applied Sports Physiology, Faculty of Physical Education and Sport Sciences, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran.
2- Department of Sports Pathology and Corrective Movements, Faculty of Physical Education and Sports Sciences, Isfahan Branch, Islamic Azad University, Isfahan, Iran.
3- Department of Sports Management, Faculty of Physical Education and Sport Sciences, Mashhad Branch, Islamic Azad University, Mashhad, Iran.
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Introduction
The knee is a large, functional joint that is often injured. A pressure equal to 3 to 4 times the bodyweight had applied to the knees during walking and running [1]. Among the various injuries to the body, the knee had injured in many activities, especially in activities that involve heavy physical impact or when an extra load had applied to the legs. These injuries are due to the knee’s position in the lower limb and its simple hinged structure [3]. Common injury assessment and rehabilitation procedures in athletes with lower limb injuries are usually performed by the balance test of standing on one leg (healthy leg) [5].
As a functional ability, balance is essential for performing more daily activities. Impaired gait and balance increase the risk of falls, which can cause a variety of injuries [6]; Therefore, it is necessary to pay attention to strengthening the balance in people and athletes, so increasing the amount of balance in these people can improve balance performance and posture [7]. Water training also allows the patient to perform training and physical activity with no pain. The buoyancy, hydrostatic pressure, and viscosity of water, due to their properties, reduce the weight borne by the individual and thus reduce the compressive forces on the joint surfaces and subsequently prevent the progression of destructive damage. In addition, it provides a suitable environment for easy and comfortable movement of this group of people [8].
Due to the contradictory research in water therapy training on the knee and the unclarity of the exact effect of shallow water training on balance, further research in this area is necessary. This study aimed to evaluate the effect of 8 weeks of shallow water training on the static balance of soldiers with knee injuries.
Materials and Methods
The method of the present study is quasi-experimental in experimental and control groups as pre-test and post-test. A total of 46 members of NEZAJA, North Khorasan Province, who had knee injuries in 1400, were randomly selected and voluntarily participated in this study. Subjects had randomly divided into experimental and control groups of 23 people. Subjects entered the research after completing the consent form and obtaining information about the nature and manner of cooperation.
The knee limb injury collection form had used to assess lower limb injuries, and the stork balance test had used to assess static balance. To analyze the data, Spss software v. 22 had used at a significance level of 0.05. Descriptive statistics (Mean±SD) and inferential statistics (Shapiro-Wilk test had used to measure the normality of the data and dependent t-test had used to analyze the data within the group, and an independent t-test had used to analyze the intergroup data) had used to analyze the results.
Results
The dependent t-test and independent t-test results in Table 1 show that the balance in the experimental group was significantly different between pre-test and post-test (P=0.001).


However, there was no significant difference between pre-test and post-test in the control group’s static balance (P=0.393). Also, the results were significantly different between the experimental and control groups (P=0.001).
Discussion
This study’s results had concluded shallow water exercising is significant on the static balance of soldiers with knee injuries. This may indicate that shallow water training is more effective, so water training can be recommended to improve static balance in people with knee injuries.

Ethical Considerations
Compliance with ethical guidelines

All ethical principles were considered in this article. The participants were informed about the purpose of the research and its implementation stages; they were also assured about the confidentiality of their information; Moreover, They were allowed to leave the study whenever they wish, and if desired, the results of the research would be available to them.

Funding
This research did not receive any grant from funding agencies in the public, commercial, or non-profit sectors. 

Authors' contributions
All authors contributed equally in preparing all parts of the research.

Conflicts of interest
The authors declared no conflict of interest.

Acknowledgements
The cooperation of the Brigade Command, the Brigade Command and the dear personnel who participated in this research and provided the necessary assistance in achieving this research is appreciated.
 

 
References
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  2. Barker AL, Bird M-L, Talevski J. Effect of pilates exercise for improving balance in older adults: A systematic review with meta-analysis. Arch Phys Med Rehabil. 2015; 96(4):715-23. [DOI:10.1016/j.apmr.2014.11.021] [PMID]
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  5. Avelar NC, Bastone AC, Alcântara MA, Gomes WF. Effectiveness of aquatic and non-aquatic lower limb muscle endurance training in the static and dynamic balance of elderly people. Rev Bras Fisioter. 2010; 14(3):229-36 [DOI:10.1590/S1413-35552010000300007] [PMID]
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  18. Matsuda S, Demura S, Demura T. Examining differences between center of pressure sway in one-legged and two-legged stances for soccer players and typical adults. Percept Mot Skills. 2010; 110(3 Pt 1):751-60. [DOI:10.2466/pms.110.3.751-760] [PMID]
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  20. Daniel F, Vale R, Giani T, Bacellar S, Dantas E. Effects of a physical activity program on static balance and functional autonomy in elderly women. Maced J Med Sci. 2010; 3(1):21-6. [DOI:10.3889/MJMS.1857-5773.2010.0083]
  21. Roshandel Hesari A, Sabbagh Langeroudi M, Nazari R. [The impact of an exhaustive exercise on balance of wrestlers with flat foot (Persian)]. 3th International Conference on Sport Sciences, 2016 December 28, Thehran, Iran. https://www.sid.ir/Fa/Seminar/ViewPaper.aspx?ID=29743
  22. Zamanian F, Vesalinaseh M, Nourollahnajafabadi M, Asadysaravi S, Haghighi M, Najafabad I. Comparison of the effects of aquatic exercise in shallow and deep water on Postural Control in elderly women with chronic knee Osteoarthritis. Life Sci J. 2012; 9(4):5768-71. http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.381.512
  23. Sadeghi H, Alirezaee F. [The effect of a water exercise program on static and dynamic balance in elderly women (Persian)]. Iran J Ageing. 2008; 2(6):402-9. https://www.sid.ir/en/Journal/ViewPaper.aspx?ID=279465
  24. Noh DK, Lim J-Y, Shin H-I, Paik N-J. The effect of aquatic therapy on postural balance and muscle strength in stroke survivors-a randomized controlled pilot trial. Clin rehabil. 2008; 22(10-11):966-76. [DOI:10.1177/0269215508091434] [PMID]
  25. Manini T, Marko M, VanArnam T, Cook S, Fernhall B, Burke J, et al. Efficacy of resistance and task-specific exercise in older adults who modify tasks of everyday life. J Gerontol A Biol Sci Med Sci. 2007; 62(6):616-23. [DOI:10.1093/gerona/62.6.616] [PMID]
  26. de Bruin ED, Murer K. Effect of additional functional exercises on balance in elderly people. Clin Rehabil. 2007; 21(2):112-21. [DOI:10.1177/0269215506070144] [PMID]
  27. Lopes PB, Pereira G, Lodovico A, Bento PC, Rodacki AL. Strength and power training effects on lower limb force, functional capacity, and static and dynamic balance in older female adults. Rejuvenation Res. 2016; 19(5):385-93. [DOI:10.1089/rej.2015.1764] [PMID]
  28. Katsura Y, Yoshikawa T, Ueda S-Y, Usui T, Sotobayashi D, Nakao H, et al. Effects of aquatic exercise training using water-resistance equipment in elderly. Eur J Appl Physiol. 2010; 108(5):957-64. [DOI:10.1007/s00421-009-1306-0] [PMID]
Type of Study: Research | Subject: General
Received: 2021/07/12 | Accepted: 2021/12/19 | Published: 2022/03/1

References
1. Griffin LY, Albohm MJ, Arendt EA, Bahr R, Beynnon BD, DeMaio M, et al. Understanding and preventing noncontact anterior cruciate ligament injuries: a review of the Hunt Valley II meeting, January 2005. The American journal of sports medicine. 2006;34(9):1512-32. [DOI:10.1177/0363546506286866] [PMID]
2. Barker AL, Bird M-L, Talevski J. Effect of pilates exercise for improving balance in older adults: a systematic review with meta-analysis. Archives of physical medicine and rehabilitation. 2015;96(4):715-23. [DOI:10.1016/j.apmr.2014.11.021] [PMID]
3. Najibi S, Albright JP. The use of knee braces, part 1: prophylactic knee braces in contact sports. The American journal of sports medicine. 2005;33(4):602-11. [DOI:10.1177/0363546505275128] [PMID]
4. Bekkers J, de Windt TS, Raijmakers N, Dhert W, Saris D. Validation of the Knee Injury and Osteoarthritis Outcome Score (KOOS) for the treatment of focal cartilage lesions. Osteoarthritis and cartilage. 2009;17(11):1434-9. [DOI:10.1016/j.joca.2009.04.019] [PMID]
5. Avelar NC, Bastone AC, Alcântara MA, Gomes WF. Effectiveness of aquatic and non-aquatic lower limb muscle endurance training in the static and dynamic balance of elderly people. Brazilian Journal of Physical Therapy. 2010;14:229-36. [DOI:10.1590/S1413-35552010000300007] [PMID]
6. Roshandel Hesari A, Roshandel Hesari A. Investigation of Static and Dynamic Balance in School Basketball Players with a History of Ankle Injury. Journal of Sport Biomechanics. 2020;6(2):86-97. [DOI:10.32598/biomechanics.6.2.1]
7. Levinger P, Wallman S, Hill K. Balance dysfunction and falls in people with lower limb arthritis: factors contributing to risk and effectiveness of exercise interventions. European Review of Aging and Physical Activity. 2012;9(1):17-25. [DOI:10.1007/s11556-011-0086-9]
8. Bennell KL, Hinman RS. A review of the clinical evidence for exercise in osteoarthritis of the hip and knee. Journal of Science and Medicine in Sport. 2011;14(1):4-9. [DOI:10.1016/j.jsams.2010.08.002] [PMID]
9. Kaneda K, Sato D, Wakabayashi H, Hanai A, Nomura T. A comparison of the effects of different water exercise programs on balance ability in elderly people. Journal of Aging and physical activity. 2008;16(4):381-92. [DOI:10.1123/japa.16.4.381] [PMID]
10. Thein-Nissenbaum JM. Aquatic rehabilitation. Physical Rehabilitation of the Injured Athlete: Expert Consult-Online and Print. 2012:172. [DOI:10.1016/B978-1-4377-2411-0.00011-3]
11. Alikhajeh Y, Ariamanesh AS, Rahimi NM, Noroozi K. Effects of a Hydrotherapy on Flexibility and Muscular Strength in Elderly Men. Mashdad, Iran: JBS Journal Research. 2015.
12. Twist C, Gleeson N, Eston R. The effects of plyometric exercise on unilateral balance performance. Journal of sports sciences. 2008;26(10):1073-80. [DOI:10.1080/02640410801930168] [PMID]
13. Eugene E. Rehabilitation Techniques for Sports Medicine and Athletic Training. Lippincott Williams & Wilkins Two Commerce Sq, 2001 Market St, Philadelphia; 2021.
14. Hubscher M, Zech A, Pfeifer K, Hänsel F, Vogt L, Banzer W. Neuromuscular training for sports injury prevention: a systematic review. Medicine & Science in Sports & Exercise. 2010;42(3):413-21. [DOI:10.1249/MSS.0b013e3181b88d37] [PMID]
15. Davlin CD. Dynamic balance in high level athletes. Perceptual and motor skills. 2004;98(3_suppl):1171-6. [DOI:10.2466/pms.98.3c.1171-1176] [PMID]
16. Clifford AM, Holder-Powell H. Postural control in healthy individuals. Clinical biomechanics. 2010;25(6):546-51. [DOI:10.1016/j.clinbiomech.2010.03.005] [PMID]
17. Seyedjafari E, Sahebozamani M, Beyranvand R, Ebrahimipoor E, Razavi M. The effect of 8 weeks deep-aquatic exercises on static balance and lower body strength among elderly men. International Journal of Applied Exercise Physiology. 2017;6(1). [DOI:10.22631/ijaep.v6i1.115]
18. Matsuda S, Demura S, Demura T. Examining differences between center of pressure sway in one-legged and two-legged stances for soccer players and typical adults. Perceptual and motor skills. 2010;110(3):751-60. [DOI:10.2466/pms.110.3.751-760] [PMID]
19. Thorpe JL, Ebersole KT. Unilateral balance performance in female collegiate soccer athletes. The Journal of Strength & Conditioning Research. 2008;22(5):1429-33. [DOI:10.1519/JSC.0b013e31818202db] [PMID]
20. Daniel F, Vale R, Giani T, Bacellar S, Dantas E. Effects of a physical activity program on static balance and functional autonomy in elderly women. Macedonian Journal of Medical Sciences. 2010;3(1):21-6. [DOI:10.3889/MJMS.1857-5773.2010.0083]
21. Roshandel Hesari A, Sabbagh Langeroudi M, Nazari R, editors. The impact of an exhaustive exercise on balance of wrestlers with flat foot. 3rd International Conference on Sport Sciences; 2016.
22. Zamanian F, Vesalinaseh M, Nourollahnajafabadi M, Asadysaravi S, Haghighi M, Najafabad I. Comparison of the effects of aquatic exercise in shallow and deep water on Postural Control in elderly women with chronic knee Osteoarthritis. Life Science Journal. 2012;9(4):5768-5771.
23. Sadeghi H, Alirezaee F. The effect of a water exercise program on static and dynamic balance in elderly women. 2008.
24. Noh DK, Lim J-Y, Shin H-I, Paik N-J. The effect of aquatic therapy on postural balance and muscle strength in stroke survivors-a randomized controlled pilot trial. Clinical rehabilitation. 2008;22(10-11):966-76. [DOI:10.1177/0269215508091434] [PMID]
25. Manini T, Marko M, VanArnam T, Cook S, Fernhall B, Burke J, et al. Efficacy of resistance and task-specific exercise in older adults who modify tasks of everyday life. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2007;62(6):616-23. [DOI:10.1093/gerona/62.6.616] [PMID]
26. de Bruin ED, Murer K. Effect of additional functional exercises on balance in elderly people. Clinical rehabilitation. 2007;21(2):112-21. [DOI:10.1177/0269215506070144] [PMID]
27. Lopes PB, Pereira G, Lodovico A, Bento PC, Rodacki AL. Strength and power training effects on lower limb force, functional capacity, and static and dynamic balance in older female adults. Rejuvenation research. 2016;19(5):385-93. [DOI:10.1089/rej.2015.1764] [PMID]
28. Katsura Y, Yoshikawa T, Ueda S-Y, Usui T, Sotobayashi D, Nakao H, et al. Effects of aquatic exercise training using water-resistance equipment in elderly. European journal of applied physiology. 2010;108(5):957-64. [DOI:10.1007/s00421-009-1306-0] [PMID]

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