Effects of Three Different Programs of Static and Dynamic Balance Training on Agility, Stability, and Balance in Healthy Male University Students: A Quasi-Experimental Study
Keywords:agility, balance, exercise program, lower extremities, stability
Objectives: To determine the effects of three different programs of static and dynamic balance training on agility, stability, and balance in healthy male university students.
Study design: A quasi-experimental design.
Setting: Walailak University, Nakhon Si Thammarat, Thailand.
Subjects: Thirty-six healthy male university students aged 18-25 years with functional ankle disability index score equal to 100 and body mass index between 18.5-22.9 kg/m2.
Methods: The participants were allocated by block randomization into three groups. Group A (n = 9) received static balance training for 6 sessions followed by dynamic balance training for 6 sessions. Group B (n = 11) received dynamic balance training for 6 sessions followed by static balance training for 6 sessions. Group C (n = 12) alternated between static and dynamic balance training for 12 sessions. The participants underwent one position for one session every other day. The total time of the training program was 15 minutes for each session. Agility, ankle stability, and balance before training and after completion of the 12th session were analyzed between the three groups by using one-way ANOVA and within the groups by paired simple t-test and with a p-value < 0.05.
Results: There was no significant difference in agility, ankle stability, and balance between the three groups (p > 0.05). When analyzing before training and after completion of the 12th session, a significant difference was found in agility, ankle stability, and balance within Group A, B, and C (p < 0.05).
Conclusions: The results of the three training programs were not different. Nevertheless, the three different programs of static and dynamic balance training showed an improvement in all variables after completion of the 12th training session. Therefore, a healthy person can use any of the three different training programs for improving agility, ankle stability, and balance.
Keywords: agility, balance, exercise program, lower extremities, stability
Reuter PR, Fichthorn KR. Prevalence of generalized joint hypermobility, musculoskeletal injuries, and chronic musculoskeletal pain among American university students. PeerJ. 2019;7;e7625. doi: 10.7717/peerj.7625
Jacobsson J, Timpka T, Kowalski J, Nilsson S, Ekberg J, Renström P. Prevalence of musculoskeletal injuries in Swedish elite track and field athletes. Am J Sports Med. 2012;40:163-9.
Diss CE. The reliability of kinetic and kinematic variables used to analyse normal running gait. Gait Posture. 2001;14:98-103.
Winter DA. Kinematic and kinetic patterns in human gait: variability and compensating effects. Hum Mov Sci. 1984;3:51-76.
Harris GF, Wertsch JJ. Procedures for gait analysis. Arch Phys Med Rehabil. 1994;75:216-25.
Calestine J, Bopp M, Bopp CM, Papalia Z. College student work habits are related to physical activity and fitness. Int J Exerc Sci. 2017;10:1009-17.
Kovindha A. Trunk balance and maintaining a body position – the cornerstone of functional activities. ASEAN J Rehabil Med. 2021;31:39.
Hall EA, Docherty CL, Simon J, Kingma JJ, Klossner JC. Strength-training protocols to improve deficits in participants with chronic ankle instability: a randomized controlled trial. J Athl Train. 2015;50:36-44.
Olsen OE, Myklebust G, Engebretsen L, Holme I, Bahr R. Exercises to prevent lower limb injuries in youth sports: cluster randomised controlled trial. BMJ. 2005;330:449-55.
Schneider M, Dunn A, Cooper D. Affect, exercise, and physical activity among healthy adolescents. J Sport Exerc Psychol. 2009;31:706-23.
Bize R, Johnson JA, Plotnikoff RC. Physical activity level and health-related quality of life in the general adult population: a systematic review. Prev Med. 2007;45:401-15.
Sarah J, Lisman P, Gribbin TC, Murphy K, Deuster PA. Systematic review of the association between physical fitness and musculoskeletal injury risk: part 3—flexibility, power, speed, balance, and agility. J Strength Cond Res. 2019;33:1723-35.
Handaru GY, Rika I, Prastowo NA. The correlation between VO2max with agility and musculoskeletal injury profile among teenage badminton athletes. Qual Sport. 2019;1;44-52.
Armstrong R, Greig M. The functional movement screen and modified Star Excursion Balance Test as predictors of T-test agility performance in university rugby union and netball players. Phys Ther Sport. 2018;31:15-21.
Cengizhan PA, Cobanoglu G, Gokdogan CM, Zorlular A, Akaras E, Orer GE, et al. The relationship between postural stability, core muscle endurance and agility in professional basketball players. Ann Med Res. 2019;26:2181-6.
Arastoo A, Goharpey S, Zahednejad S, Shaterzadeh YM, Rasouli P. Effects of star excursion balance training on ankle functional stability via agility hop test in patients with unilateral chronic ankle instability. Jundishapur J Health Sci. 2011;10:383-93.
Brachman A, Kamieniarz A, Michalska J, Pawlowski M, Slomka KJ, Juras G. Balance training programs in athletes–A systematic review. J Hum Kinet. 2017;58:45-64.
Clark VM, Burden AM. A 4-week wobble board exercise programme improved muscle onset latency and perceived stability in individuals with a functionally unstable ankle. Phys Ther Sport. 2005;6:181-7.
Lephart S, Giraldo J, Borsa P, Fu F. Knee joint proprioception: a comparison between female intercollegiate gymnasts and controls. Knee Surg Sports Traumatol Arthrosc. 1996;4:121-4.
Acar H, Eler N. The effect of balance exercises on speed and agility in physical education lessons. Univers J Educ Res. 2019;7:74-9.
Ghotbi N, Bayat M, Malmir K, Jalaei S. Comparing the effects of lower extremity muscle fatigue on dynamic balance of volleyball players. Iran Rehabil J. 2021;19:51-8.
Hachana Y, Chaabene H, Nabli MA, Attia A, Moualhi J, Farhat N, et al. Test-retest reliability, criterion-related validity, and minimal detectable change of the Illinois Agility Test in male team sport athletes. J Strength Cond Res. 2013;27: 2752-9.
Raya MA, Gailey RS, Gaunaurd IA, Jayne DM, Campbell SM, Gagne E, et al. Comparison of three agility tests with male servicemembers: Edgren Side Step Test, T-Test, and Illinois Agility Test. J Rehabil Res Dev. 2013;50:951-60.
Kockum B, Annette I-LH. Hop performance and leg muscle power in athletes: reliability of a test battery. Phys Ther Sport. 2015;16: 222-7.
Kamonseki DH, Cedin L, Tavares-Preto J, Calixtre LB. Reliability, validity, and minimal detectable change of Side Hop Test in male children and adolescents. Phys Ther Sport. 2018;34:141-7.
Osborne MD, Chou LS, Laskowski ER, Smith J, Kaufman KR. The effect of ankle disk training on muscle reaction time in subjects with a history of ankle sprain. Am J Sports Med. 2001;29:627-32.
Hoffman M, Payne VG. The effects of proprioceptive ankle disk training on healthy subjects. J Orthop Sports. 1995;21:90-3.
Keshner EA, Allum JH. Muscle activation patterns coordinating postural stability from head to foot. Springer Sci Rev. 1990;29:481-97.
Holm I, Fosdahl MA, Friis A, Risberg MA, Myklebust G, Steen H. Effect of neuromuscular training on proprioception, balance, muscle strength, and lower limb function in female team handball players. Clin J Sport Med. 2004;14:88-94.
Willems T, Witvrouw E, Verstuyft J, Vaes P, De Clercq D. Proprioception and muscle strength in subjects with a history of ankle sprains and chronic instability. J Athl Train. 2002;37:487-93.
De Ridder R, Willems T, Vanrenterghem J, Roosen P. Influence of balance surface on ankle stabilizing muscle activity in subjects with chronic ankle instability. J Rehabil Med. 2015;47:632-8.
Lesinski M, Hortobágyi T, Muehlbauer T, Gollhofer A, Granacher U. Effects of balance training on balance performance in healthy older adults: a systematic review and meta-analysis. Sports Med. 2015;45:1721-38.
Adhama AI, Akindele MO, Ibrahim AA. Effects of variable frequencies of kinesthesia, balance and agility exercise program in adults with knee osteoarthritis: study protocol for a randomized controlled trial. BMC Med Res Methodol. 2021;22:470-81.
Gioftsidou A, Malliou P, Pafis G, Beneka A, Godolias G, Maganaris CN. The effects of soccer training and timing of balance training on balance ability. Eur J Appl Physiol. 2006;96:659-64.
Tanır H. The effect of balance and stability workouts on the development of static and dynamic balance in 10-12-year-old soccer players. J Educ Train Stud. 2018;6:132-5.
Fusco A, Giancotti GF, Fuchs PX, Wagner H, Varalda C, Cortis C. Wobble board balance assessment in subjects with chronic ankle instability. Gait Posture. 2019;68:352-6.
Distefano LJ, Clark MA, Padua DA. Evidence supporting balance training in healthy individuals: a systemic review. J Strength Cond Res. 2009;23:2718-31.
Fischetti F, Cataldi S, Greco G. Lower-limb plyometric training improves vertical jump and agility abilities in adult female soccer players. J Phys Educ Sport. 2019;19:1254-61.
Kwon YJ, Park SJ, Jefferson J, Kim K. The effect of open and closed kinetic chain exercises on dynamic balance ability of normal healthy adults. J Phys Ther Sci. 2013;25:671-4.
Sheth P, Yu B, Laskowski ER, An KN. Ankle disk training influences reaction times of selected muscles in a simulated ankle sprain. Am J Sports Med. 1997;25:538-43.
Schiftan GS, Ross LA, Hahne AJ. The effectiveness of proprioceptive training in preventing ankle sprains in sporting populations: a systematic review and meta-analysis. J Sci Med Sport. 2015;18:238-44.
Heitkamp H, Horstmann T, Mayer F, Weller J, Dickhuth H. Gain in strength and muscular balance after balance training. Int J Sports Med. 2001;22:285-90.