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The effects of in-water and on-land aerobic training on postural sway and balance in patients with type 2 diabetes

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International Journal of Diabetes in Developing Countries Aims and scope Submit manuscript

Abstract

Background

Balance and maintaining posture are essential requirements for the daily activities of diabetic patients. The purpose of this study was to investigate the effect of in-water and on-land aerobic training on balance of type 2 diabetic patients.

Research question

Is there a difference in the balance of patients between aerobic training environments in water and on land?

Methods

For this, 24 participants were assigned randomly in three eight-person groups of control, aerobics on land, and aerobics in water. Patients performed aerobic protocol in 12 weeks (2 sessions per week) and total of twenty-four 60-min training sessions of progressive challenging with one completely identical protocol. Before and after the training period, patients’ postural sway and balance were measured and recorded in three components (anterior-posterior, lateral, and overall) by Biodex balance system. Data were analyzed using the dependent t, multivariate, and Tukey post hoc tests.

Results

The results showed that patients who performed in-water and on-land aerobic training, compared to the control group, had a significant effect on their balance (p ≤ 0.05). Although this significant effect was not observed between in-water and on-land aerobic groups just in the posterior-posterior component (p ≥ 0.05), there was a significant difference in lateral and overall components between these two experimental groups (p ≤ 0.05).

Significance

The results showed that in-water and on-land aerobic training led to increased balance and decreased postural sways of diabetic patients. Also, in-water aerobics training compared to on-land aerobic training led to better effects on stability, consistency, and balance of patients due to increased stimulation of proprioception.

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Acknowledgments

This research is taken from the doctoral dissertation of the first author of the article. We would also like to thank all the people who have helped researchers in the implementation of this research, especially patients who were motivated to achieve scientific results and despite all the difficulties and problems with us.

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Authors and Affiliations

  1. Department of Motor Behavior and Sport Psychology, Faculty of Physical Education and Sports Sciences, University of Tehran, Tehran, Iran

    Amir Abasgholipour, Mehdi Shahbazi, Shahzad Tahmasebi Boroujeni & Elaheh Arab Ameri

Authors
  1. Amir Abasgholipour
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  2. Mehdi Shahbazi
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  3. Shahzad Tahmasebi Boroujeni
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  4. Elaheh Arab Ameri
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Contributions

All authors made substantial contributions to the conception and design of the study, or acquisition of data, or analysis and interpretation of data and contributions to drafting the article. Each of the authors has read and concurs with the content in the final manuscript. The material within has not been and will not be submitted for publication elsewhere except as an abstract.

Corresponding author

Correspondence to Mehdi Shahbazi.

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Conflict of interest

This research was approved by the ethics committee of Iran University of Medical Sciences with the code IR.IUMS.REC.1398.405 and obtaining the ethical codes related to the research. The subjects were informed about obtaining informed consent, confidentiality, non-compliance with religious and professional rights, and non-physical-psychological harm.

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Abasgholipour, A., Shahbazi, M., Boroujeni, S.T. et al. The effects of in-water and on-land aerobic training on postural sway and balance in patients with type 2 diabetes. Int J Diabetes Dev Ctries 41, 657–663 (2021). https://doi.org/10.1007/s13410-021-00943-7

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  • DOI: https://doi.org/10.1007/s13410-021-00943-7

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