Document Detail

Aquatic versus land-based exercises as early functional rehabilitation for elite athletes with acute lower extremity ligament injury: a pilot study.
MedLine Citation:
PMID:  20598958     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To compare outcomes between aquatic and land-based exercises during early-phase recovery from acute lower extremity ligament injuries in elite athletes.
DESIGN: A single-blinded, covariate adaptive randomized, controlled study.
SETTING: National training center for elite athletes.
PARTICIPANTS: Twenty-two athletes with isolated grade I or II ligament injury in ankles or knees were randomized into either an aquatic or land-based exercise group.
INTERVENTIONS: Early functional rehabilitation program (ranging, strengthening, proprioceptive training, and functional exercises) was performed in both groups. All exercises were identical except for the training environment.
MAIN OUTCOME MEASUREMENTS: Data were collected at baseline and at 2 and 4 weeks using a visual analog scale (VAS) for pain; static stability (overall stability index [OSI] level 5 and 3); dynamic stability (TCT), and percentage single-limb support time (%SLST).
RESULTS: Both groups showed decreases in VAS, OSI 5 and 3, and TCT, with a concomitant increase in %SLST at 2 and 4 weeks (P < .05). No significant differences were detected between the 2 groups in any of the outcome measures. However, the line graphs for VAS, OSI 3, TCT, and %SLST in the aquatic exercise group were steeper than those in the land-based exercise group indicating significant group by time interactions (P < .05). These data indicate that the aquatic exercise group improved more rapidly than the land-based exercise group.
CONCLUSIONS: For elite athletes with acute ligament sprains in the lower limb, aquatic exercises may provide advantages over standard land-based therapy for rapid return to athletic activities. Consequently, aquatic exercise could be recommended for the initial phase of a rehabilitation program.
Eunkuk Kim; Taegyu Kim; Hyunyong Kang; Jongha Lee; Martin K Childers
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2010-07-03
Journal Detail:
Title:  PM & R : the journal of injury, function, and rehabilitation     Volume:  2     ISSN:  1934-1482     ISO Abbreviation:  PM R     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-16     Completed Date:  2010-12-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101491319     Medline TA:  PM R     Country:  United States    
Other Details:
Languages:  eng     Pagination:  703-12     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
Department of Sports Medicine and Science, National Training Center of Korea Olympic Committee, Seoul, Korea.
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MeSH Terms
Ankle Injuries / pathology,  physiopathology,  rehabilitation*
Athletic Injuries / pathology,  physiopathology,  rehabilitation*
Cohort Studies
Exercise Therapy / methods*
Knee Injuries / pathology,  physiopathology,  rehabilitation*
Ligaments / injuries*
Pilot Projects
Recovery of Function
Single-Blind Method
Treatment Outcome
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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