{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T17:11:48Z","timestamp":1792689108912,"version":"4.5.0"},"reference-count":76,"publisher":"Human Kinetics","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"\n \n Context:<\/jats:bold>\n <\/jats:italic>\n Chronic ankle instability (CAI) is prevalent among athletes and is associated with impaired sensorimotor function, reduced dynamic stability, and limited functional movement, increasing the risk of reinjury. Aquatic exercise offers a low-impact alternative to land-based rehabilitation by reducing joint loading and promoting neuromuscular adaptations. This study evaluated the effectiveness of an 8-week aquatic exercise program on functional outcomes in athletes with CAI.\n \n Design:<\/jats:bold>\n <\/jats:italic>\n Randomized controlled trial with preintervention and postintervention assessments.\n \n Methods<\/jats:bold>\n :\n <\/jats:italic>\n Forty male athletes (aged 18\u201330) with clinically diagnosed CAI were randomly assigned to an intervention group (n\u2009=\u200920) which completed an 8-week aquatic exercise program or a control group (n\u2009=\u200920) which continued regular activity without structured rehabilitation. The intervention included 3 weekly aquatic sessions targeting balance, proprioception, and strength. Primary outcomes were functional movement (Functional Movement Screen), dynamic balance (\n Y<\/jats:italic>\n -Balance Test), and self-reported ankle function (Cumberland Ankle Instability Tool, Identification of Functional Ankle Instability, Foot and Ankle Ability Measure, Foot and Ankle Ability Measure-Sport). Secondary outcomes included static balance, dorsiflexion range of motion, proprioception, and jumping performance. Repeated-measures analysis of variance and nonparametric tests were used, with\n P<\/jats:italic>\n \u2009<\u2009.05 as significance.\n \n Results:<\/jats:bold>\n <\/jats:italic>\n The intervention group showed significant improvements in Functional Movement Screen scores, dynamic balance (\n P<\/jats:italic>\n \u2009<\u2009.001), dorsiflexion range of motion (+19.6%,\n P<\/jats:italic>\n \u2009<\u2009.001), and self-reported ankle function (up to +46.9%,\n P<\/jats:italic>\n \u2009<\u2009.001). Jumping performance significantly improved, with reduced completion times in the side-hop (\u201318.1%) and 8-line hop (\u201312.9%) tests, and increased distance in the triple-hop test (+8.5%; all\n P<\/jats:italic>\n \u2009<\u2009.01). Static balance improved in eyes-open condition (\n P<\/jats:italic>\n \u2009<\u2009.001). No significant change occurred in proprioception (\n P<\/jats:italic>\n \u2009=\u2009.506). The control group showed no significant improvements.\n \n Conclusions:<\/jats:bold>\n <\/jats:italic>\n An 8-week aquatic exercise program significantly improves functional movement, balance, flexibility, jumping ability, and self-reported ankle function in athletes with CAI. These findings support aquatic therapy as a clinically effective, low-impact rehabilitation option for restoring sensorimotor performance and sport readiness.\n <\/jats:p>","DOI":"10.1123\/jsr.2024-0469","type":"journal-article","created":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T16:47:56Z","timestamp":1758559676000},"page":"318-335","source":"Crossref","is-referenced-by-count":2,"title":["Aquatic Exercise Enhances Functional Movement and Sensorimotor Performance in Athletes With Chronic Ankle Instability: A Randomized Controlled Trial"],"prefix":"10.1123","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5656-2099","authenticated-orcid":true,"given":"Saeed","family":"Zarei","sequence":"first","affiliation":[{"name":"Department of Sport Sciences, Shahrekord University, Shahrekord, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0615-3281","authenticated-orcid":true,"given":"Sajad","family":"Bagherian","sequence":"additional","affiliation":[{"name":"Department of Sport Sciences, Shahrekord University, Shahrekord, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1710-5058","authenticated-orcid":true,"given":"Mohammad","family":"Rabiei","sequence":"additional","affiliation":[{"name":"Department of Sport Sciences, Shahrekord University, Shahrekord, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"6","key":"r1","series-title":"J Athl Train","doi-asserted-by":"publisher","first-page":"603","DOI":"10.4085\/1062-6050-447-17","article-title":"Epidemiology of ankle sprains and chronic ankle instability","volume":"54","author":"Herzog MM","year":"2019","unstructured":"Herzog MM, Kerr ZY, Marshall SW, Wikstrom EA. 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