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Ninety-seven amateur cricketers of age,15-35 years (Control Injured, n=48; Aqua Rehab Group n=49) with confirmed acute or chronic ankle sprain, selected from four different cities of the Punjab, Pakistan was evaluated through Star Excursion Balance Test (SEBT), Single Leg Balance test (SLB) and subject to a set of progressively increasing exercises in water known as Aqua exercises. Another group of same level cricketers (n=40) was managed parallel for comparisons. The Control Injured and Aqua Rehab Group was left with 40 subjects each because during the course of Aqua exercise eight and nine subjects left the study due to their personal reasons. Comparisons of pre and post exercise (Control Injured Group) values showed significant increase (p<0.01) in Lateral direction reach and Posterior Medial direction (p<0.05) while the rest of the six directions showed non-significant results. Aqua Rehab Group showed an overall improvement of 4% and 6.3% with an increase (cm) of 2.7 and 4.1 for the non-injured and injured leg respectively. However, the range of improvement in (%) for all eight directions (Anterior, Anterolateral, Lateral, Posterolateral, Posterior, Posteromedial, Medial, Anteromedial) lies between 11.6-14.2 and 11.3-14.1 for the non-injured and injured leg respectively. Similarly, the difference between pre and post exercise difference of two positions of non-injured leg and injured leg (closed and open eyes) in seconds were 2.8, 1.7 and 6.8, 6.6 respectively. However, the improvement (%) of two directions (closed and open eyes) of Aqua Rehab Group was 8.8 and 4.8 for non-injured and 39.9 and 25.8 for injured group respectively. It was evaluated through Single Leg Balance Test and analyzed by paired sample ttest found highly significant (p<0.001). The results indicated that aqua exercises improved isometric and isotonic muscular strength, proprioception and stability that ultimately helped to recover, regaining strength and reinstall proprioception. After completing the Aqua Rehab plan the subjects were followed for four months Journal of the Research Society of Pakistan – Vol. No. 56, No. 2 July – December, 2019 388 to check the recurrence that was found 8% and 5% for Control Injured Group and Aqua Rehab Group respectively.

Sajjad Ali Gill, Tanver Akhtar, Tahir Nazeer, Hira Shahid. (2019) Rehabilitation of Acute and Chronic Ankle Sprain of Male Cricketers Through Aqua Exercise, Journal of the Research Society of Pakistan, Volume 56, Issue 2.
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