268 Miller et al Comparisons of Land-Based and Aquatic-Based Plyometric Programs During an 8-Week Training Period Michael G. Miller, David C. Berry, Susan Bullard, and Roger Gilders Context: Land and aquatic plyometrics have clinical relevance for exercise, sport performance, and rehabilitation, yet study is limited comparing both. Objective: To compare the effects of land-based and aquatic-based plyometric-training programs on performance variables, muscle soreness, and range of motion (ROM). Setting: Aquatic facility and biomechanics laboratory. Subjects: Forty subjects randomly assigned to 3 groups: land (n = 13), water (n = 13), and control (n = 14). Main Outcome Measures: Performance variables, muscle soreness, and ROM were measured before and after an 8-week training period. An analysis of covariance (ANCOVA) and a Bonferroni post hoc test determined significance. Results: ANCOVA revealed significant differences between groups with respect to plantar-flexion ROM (P < .05). Paired t test determined that the aquatic group significantly increased muscle power pretest to posttest (P < .05). Conclusions: Results indicate that aquatic plyometric training can be an alternative approach to enhancing performance. Key Words: torque, soreness, power, water, fitness Comparisons of land-based and aquatic-based plyometric programs during an 8-week training period. Miller MG, Berry DC, Bullard S, Gilders R. J Sport Rehabil. 2002;11:268-283. © 2002 Human Kinetics Publishers, Inc. Plyometrics is a training technique that was initially used by track-and-field athletes but is currently used by athletes in all types of sports to increase strength and explosiveness.1 Plyometrics can be described as a rapid prestretching of a muscle during an eccentric action, followed immediately by a concentric action of the same muscle. This sequence of events, also known as the stretch-shortening cycle, allows muscles to generate greater forces than do muscles starting in a static position.2-4 Most plyometric programs include some type of jumps, hops, bounds, or shock movements to develop power in the lower body. These types of movements are crucial in sports such as basketball and volleyball, in Miller is with the Graduate Athletic Training Program, Western Michigan University, Kalamazoo, MI 49008. Berry is with the Athletic Training Program, Salem State College, Salem, MA 01970. Bullard and Gilders are with the School of Recreation and Sport Sciences, Ohio University, Athens, OH 45701. 268 Land- and Aquatic-Based Plyometric Programs 269 which vertical-jumping ability and power can increase one’s overall athletic performance. Research has shown that athletes who efficiently use the stretch-shortening-cycle mechanism through plyometric exercises are better able to increase acceleration and power.4-11 When used in conjunction with a periodized strength-training program, plyometric training has been shown to contribute to improvements in vertical-jump height, leg strength, power, joint awareness, and overall proprioception.1,12-17 Although plyometric training has been shown to produce improvements in performance variables, a potential for injury exists, especially when athletes are subjected to new exercise stimuli or greater intensity in training. Exposure to a new exercise routine, in particular eccentric activities, increases force production in the musculoskeletal system and might result in the occurrence of delayed-onset muscle soreness.18-20 Another factor related to the extent of injury or soreness when performing plyometric training is the force associated with landing. Researchers have postulated that plyometric exercises performed in the aquatic environment might potentially reduce the risk of muscle soreness and injury during plyometric training21,22 while providing an ideal medium for athletes to begin training before progressing to training on land.23 Exercising or training in an aquatic environment has several advantages. First, the buoyancy provided by the water can be used to decrease an athlete’s weight status and joint loading, allowing for an earlier, safer, and more comfortable return to land-based training.23 For example, the weight-bearing status of an individual in chest-deep water is approximately 30% to 40% of total body weight and 47% to 60% when submerged in waist-deep water.24,25 Second, the fluid dynamic properties of water, such as surface drag, profile drag, and wave drag, provide resistance that can be incorporated into the progression of the plyometric-training program. The level of resistance depends on the size and shape of the individual and the speed of movement of the exercise in water.23,26 Thus, water enables an athlete to strengthen the muscles by providing resistance on the segments that are submerged as each is brought forward and upward through the water. The buoyant force of the water, although decreasing the amount of force and joint compression on landing, does not reduce the amount of force that must be produced to control and stop the eccentric phase of the movement, nor does it reduce the amount of force needed to overcome the resistance of the water during the concentric phase of the movement. Although the popularity and benefits of plyometrics and aquatic training have increased over the years, relatively few training programs have explored the benefits of combining the two. Therefore, the purpose of this study was to compare the effects of 8 weeks of land-based and aquatic-based plyometric training on power, vertical jump, and peak torque. A secondary purpose was to compare the effects of the 2 training programs on muscle soreness and range of motion. 270 Miller et al Methods Design An 8-week plyometric-training program was developed using 2 training sessions per week. The training program was based on recommendations of intensity and volume from Piper and Erdmann,27 using identical drills, sets, repetitions, and volume for both the land and aquatic training groups. Training volume ranged from a minimum of 80 foot contacts to 120 foot contacts per session while the intensity of the exercises increased throughout the course of the training program (Table 1). The subjects were instructed to perform each exercise to their maximal ability. The aquatic training was held at an aquatic center in approximately waistdeep water, and the land training was held in a biomechanics laboratory on a cushioned surface that consisted of quarter-in industrial carpet with quarter-in carpet padding below it. Both groups trained at the same time of day, 2 days a week, throughout the study. The researchers and training-group leaders met once a week to discuss and demonstrate training exercises and intensity levels. The training-group leaders were assigned to supervise each training session. Subjects Forty subjects (21 women, 19 men), free of lower extremity musculoskeletal injuries, volunteered to participate in this study. Treatment groups consisted of control (n = 14, age = 23.0 ± 5.5 years, height = 177.8 ± 10.7 cm, mass = 79.8 ± 14.3 kg), aquatic (n = 13, age = 22 ± 2.5 years, height = 170.8 ± 9.3 cm, mass = 74.2 ± 20.2 kg), and land (n = 13, age = 21.5 ± 3.6 years, height = 171.1 ± 11.3 cm, mass = 72.2 ± 9.7 kg). In terms of activity level, the subjects ranged from sedentary to recreationally active individuals, and they agreed not to modify their current exercise regimens throughout the course of the study. The study procedures and guidelines were orally presented to the subjects before they signed an institutionally approved consent form. Subjects were then randomized into 3 groups: 13 subjects in a traditional land plyometric-training group, 13 in an aquatic plyometric-training group, and 14 in a control group. The land and aquatic groups participated in an identical plyometric-training program throughout the study. The 2 training groups were reminded at each training session not to begin a new exercise program during the course of the study. The control group was also instructed not to begin or alter their current exercise program during the study. Baseline data were collected on performance variables before the training program began and at the conclusion of the training period. Intraclass correlations coefficients indicated a significant relationship (P < .05) between pretraining and posttraining measurements, suggesting relative reliability of the testing procedures. Land- and Aquatic-Based Plyometric Programs Table 1 Training Intensity and Plyometric Drills During the 8-Week Session Training week 1 2 3 4 5 6 7 8 Plyometric drill Training intensity Side-to-side ankle hops Standing jump and reach Front cone hops Side-to-side ankle hops Standing jump and reach Front cone hops Double-leg hops Side-to-side ankle hops Standing jump and reach Front cone hops Double-leg hops Lateral cone hops Side-to-side ankle hops Standing jump and reach Front cone hops Lateral cone hops Tuck jump with knees up Side-to-side ankle hops Standing jump and reach Double-leg hops Lateral cone hops Tuck jump with knees up Lateral jump over barrier Standing jump and reach Front cone hops Double-leg hops Lateral cone hops Tuck jump with knees up Lateral jump, single leg Standing jump and reach Double-leg hops Lateral cone hops Lateral jump over barrier Lateral jump, single leg Standing jump and reach Lateral cone hops Tuck jump with knees up Lateral jump, single leg Single-leg hops low low low low low low medium low low low medium medium low low low medium medium low low medium medium high high low low medium medium high high low medium medium high high low medium medium high high 271 272 Miller et al Testing Procedures Subjects were tested on the following performance variables: vertical-jump power, muscle power (Margaria-Kalamen), ankle and knee isokinetic peak torque, and range of motion (ROM). Ankle- and knee-joint ROM and isokinetic testing were performed using each subject’s right leg. Subjects followed the same order of testing for pretest and posttest measurements. Total testing time was approximately 1 hour for each subject. The same personnel at each testing station measured all pretest and posttest variables. Vertical-Jump Power. Vertical-jump height was measured using the VerTec jumping system (Sports Imports, Inc, Columbus, Ohio). The Ver-Tec system consists of an adjustable upright pole with a 2-ft length of moveable plastic strips on the top. A base measurement for reach height was determined by measuring the highest strip a subject could touch while standing flat-footed with an outstretched arm. Each subject was allowed 2 practice jumps, followed by 5 stationary vertical 2-footed jumps. Vertical jumps were recorded to the nearest half inch, and the difference between the base reach height and the highest vertical jump was recorded. Vertical jump height was calculated as VJ = maximal jump height – initial reach height Vertical-jump heights were converted to power outputs to account for any improvements in vertical-jump ability that might have been masked by increases in body mass or changes in body composition. Pretest and posttest vertical-jump scores were then converted into power (in Watts) using the Lewis Nomogram formula: Power = 4.9.5 (mass in kg)(distance in m) Muscle Power. The Margaria-Kalamen power test was used to measure the subjects’ muscle-power output by having them run up a flight of steps as quickly as possible. Electronic switch mats were placed on the third and ninth steps to record the time. The subjects were placed 6 m in front of the stairs and instructed to accelerate toward the steps and run up them as rapidly as possible, taking 3 steps at a time. The electronic switch mat started the timing when the subjects stepped on the third step (first switch mat). Subjects then proceeded to the sixth step and then to the electronic switch mat on the ninth step (second switch mat) to stop the clock. Times were recorded using a performance-time analyzer (Lafayette Instrument Co, Lafayette, Ind, clock model 54050) to the nearest thousandth of a second. After 2 practice trials, each subject performed 5 trials with complete recovery between efforts. Power (in Watts) was calculated using the following formula: Power = weight in N vertical distance between first and last step in m time in s Land- and Aquatic-Based Plyometric Programs 273 Peak Torque. Peak torque generated across the ankle and knee joints was measured using a Biodex Multi-Joint System 2 (Biodex Medical Systems, Inc, Shirley, NY). Three speeds were used to measure peak torque, in the following order: 1.57, 3.14, and 6.28 rad/s. Each subject was positioned according to the Biodex system’s testing protocols. Subjects were provided with 1-minute rest intervals between testing speeds. A practice session was granted to the subjects before each testing speed. To measure knee-flexion and -extension peak torque, subjects were placed in a sitting position with the hip flexed to 85°, knee in 90° of flexion, and the foot hanging in a resting position (slight plantar flexion). The femoral condyles were aligned with the axis of the actuator arm in the sagittal plane. The distal pad was aligned proximal to the malleoli and below the bulk of the calf musculature. All subjects were securely fastened with thigh, pelvic, and shoulder straps during testing procedures. To measure ankle dorsiflexion and plantar-flexion peak torque, subjects were placed in a sitting position with the hip flexed to 60° and the knee flexed to 30° while the ankle was placed squarely on the footplate as indicated in the Biodex manual. The footplate was adjusted to ensure that the ankle axis aligned with the input shaft. A multisupport pad was placed distal to the knee and tilted to support the tibia in the horizontal position. All subjects were securely fastened with pelvic, shoulder, and multisupport straps during testing procedures. Range of Motion Maximal active ankle-joint dorsiflexion and plantar flexion and knee-joint flexion were determined using a Baseline® 360° 12-in goniometer (Fabrication Enterprises Inc, White Plains, NY). All measurements were recorded before isokinetic testing using the ROM guidelines recommended by Norkin and White.28 Ankle-joint motion was determined by placing subjects in a seated position with the knee flexed to 90°. The foot was passively placed into 90° with the stationary arm of the goniometer aligned with the fibular head and the moving arm following a line parallel to the lateral aspect of the fifth metatarsal. The center of the goniometer axis was placed on the axis of rotation, the lateral malleolus. Subjects then maximally dorsiflexed and plantar flexed the foot while keeping the knee flexed at 90° and the subtalar joint in neutral position. Knee-joint flexion was measured by placing each subject in a supine position. The goniometer was positioned with the stationary arm aligned proximally with the greater trochanter and distally with the lateral malleolus. The axis of the goniometer was placed laterally at the tibiofemoral joint. The examiner placed the hip into 90° of flexion and asked the subject to flex the knee with the assistance of gravity. The supine position was chosen over the prone position to eliminate active contraction of the hamstrings, 274 Miller et al limiting the amount of knee flexion caused by soft-tissue approximation. The supine position was also chosen to eliminate passive insufficiency of the quadriceps, which can also restrict ROM in the prone position. Muscle Soreness Each week subjects in the land and aquatic training groups completed an injury and visual analog scale (VAS) to report soreness. Using the VAS, subjects rated their perceived muscle soreness from 1 to 10 (1 = no soreness, 10 = extreme soreness) at 24, 48, and 72 hours posttraining. The injury and VAS report forms were distributed on the first day of a training session when a new intensity level was introduced. These forms were then collected at the next training session. The VAS has been found to be both valid and reliable in determining muscle soreness.29 Statistical Analysis Maximum values for the variables of vertical-jump power, muscle power, peak torque, and ROM for each group were calculated for pretest and posttest measurements. Mean values for muscle soreness at 24, 48, and 72 hours posttraining were calculated weekly for the training groups. Analyses of covariance (ANCOVAs) using posttest scores while controlling for pretest scores were conducted to analyze vertical-jump power, muscle power, peak torque, and ROM with the group (land, aquatic, or control) as the between-subjects factor. Post hoc comparisons of group differences for each dependent variable were evaluated using a pairwise comparison with a Bonferroni critical-value procedure. Paired t tests were used to analyze any significant differences between the pretest and posttest values within each training group. Two-way repeated-measures ANOVAs were conducted to analyze muscle soreness over the 8-week training period with the group (land or aquatic) as the between-subjects factor and time (24, 48, or 72 hours) as the within-subjects factor. Statistical significance of P < .05 was set a priori for all statistical tests. The Statistical Package for Social Sciences (version 10.0, SPSS, Inc, Chicago, Ill) was used to calculate the statistics. Results The means and standard deviations for vertical-jump and muscle power are provided in Table 2. The ANCOVAs revealed no significant differences among the 3 groups with respect to either power test. A paired t test determined that there was a significant increase in muscle power (pretraining to posttraining) in the aquatic training group (P < .05). Tables 3 and 4 provide results on the means and standard deviations for peak torques measured during knee flexion and extension and ankle Post 1247.9 ± 295.8 1460.9 ± 332.4 Post 89.7 ± 33.1 76.3 ± 27.8 63.4 ± 22.8 167.4 ± 53.3 124.0 ± 35.8 87.2 ± 26.6 Pre 78.6 ± 24.2 67.1 ± 20.7 56.7 ± 18.3 163.1 ± 55.8 123.4 ± 36.1 87.6 ± 25.1 Control 137.0 ± 46.5 102.5 ± 37.3 74.6 ± 25.0 71.4 ± 17.1 59.1 ± 16.4 47.3 ± 16.4 Pre 81.0 ± 26.4 66.0 ± 23.7 53.8 ± 19.0* Post 140.7 ± 45.6 103.8 ± 37.4 75.9 ± 25.7 Aquatic 137.4 ± 35.6 100.3 ± 28.5 71.2 ± 19.7 71.6 ± 19.5 59.6 ± 16.9 46.3 ± 15.5 Pre Land 139.0 ± 43.2 104.3 ± 34.5 73.3 ± 37.7 84.4 ± 19.5 69.4 ± 16.9 57.5 ± 16.9* Post Post 1062.2 ± 253.7 1248.4 ± 501.7 Land Post Pre 1092.7 ± 367.7 1046.5 ± 247.3 1304.1 ± 473.3* 1239.5 ± 338.6 Aquatic Pre 1055.4 ± 337.9 1216.8 ± 425.0 Means ± Standard Deviations for Knee Peak Torque *Significant increase from pretest. rad/s Flexion 1.57 3.14 6.28 Extension 1.57 3.14 6.28 Table 3 *Significant increase from pretest. Pre 1229.8 ± 302.6 1434.9 ± 357.4 Control Means ± Standard Deviations for Vertical Jump and Power (W) Power Vertical jump Margaria-Kalamen Table 2 Land- and Aquatic-Based Plyometric Programs 275 276 Miller et al dorsiflexion and plantar flexion. The ANCOVAs revealed no significant differences in peak torque between the 3 training groups at any speed or joint (ankle or knee). Paired t tests revealed significant increases in pretestto-posttest knee-flexion peak torque at 6.28 rad/s in the aquatic training group, as well as the land training group (P < .05). Paired t tests also revealed a significant increase in ankle-dorsiflexion peak torques at 6.28 rad/s in the land training group (P < .05). Knee and ankle ROM means and standard deviations are presented in Table 5. An ANCOVA revealed a significant difference between groups with respect to plantar-flexion ROM (P < .05; Table 6). Post hoc analysis revealed significantly greater gains in plantar flexion in the aquatic training group (62 ± 7.9) than in the land training group (57.3 ± 15.5). Paired t tests indicated a significant increase in ankle plantar flexion in the aquatic group and in ankle dorsiflexion in the land group. A 2-way repeated-measures ANOVA revealed no significant differences in the 24, 48, and 72-hour soreness scores for the subjects in the aquatic and land training groups (pretraining and posttraining) during the course of the 8-week training program. Discussion When comparing land-based and aquatic-based plyometric training, clinicians would expect to observe differences in the amount of force applied during the landing phase and in the time interval of the amortization phase of the activity. Because of the buoyant force of water, landing force is decreased, thereby facilitating a more rapid amortization phase. By decreasing the amount of force applied during landing, clinicians might expect to facilitate a more rapid transition from eccentric to concentric activity. Therefore, the aquatic training group trains with a lower load but has a faster transition time (shorter amortization phase), whereas the land training group trains with a heavier load (no buoyancy affect) and experiences a longer amortization phase. According to speed specificity, a lower load and faster amortization training stimulus would be expected to produce improvements in power at higher velocities.30 This concept might help explain why the aquatic training group showed improvements in musclepower output and supports the premise that aquatic plyometric training might be useful in increasing power performance. Research has found that extensor-muscle strength increases as a result of plyometric training.31 In the current study, the only increase in muscle strength (torque) used to generate vertical-jump force was in ankle plantar flexion in the land training group. This increase in strength was found only at the highest velocity (6.28 rad/s). This training effect is likely the result of the heavier load applied while making contact with the ground for the land training group compared with the low load applied by the aquatic training group. It is interesting to note that both training groups showed 20.4 ± 6.0 15.2 ± 4.3 13.9 ± 10.1 51.2 ± 15.4 33.6 ± 10.6 20.1 ± 7.2 18.1 ± 5.3 12.6 ± 3.3 8.18 ± 5.1 44.8 ± 16.0 30.5 ± 9.1 17.3 ± 6.5 46.2 ± 12.8 30.1 ± 10.0 18.2 ± 8.5 15.3 ± 4.3 10.2 ± 2.1 6.1 ± 5.1 Pre Aquatic 45.4 ± 9.9 30.2 ± 7.9 20.1 ± 5.2 17.5 ± 4.8 12.7 ± 2.5 10.6 ± 3.3* Post Post 137.0 ± 5.9 15.1 ± 4.7 56.7 ± 9.9 Pre 127.7 ± 7.7 13.6 ± 3.9 50.4 ± 10.6 Post 134.3 ± 4.9 15.7 ± 4.3 62.0 ± 7.9†‡ Aquatic (n = 13) Pre 126.0 ± 8.7 15.0 ± 4.9 56.1 ± 10.4 Post 48.6 ± 13.2 31.4 ± 7.6 16.3 ± 8.8 17.3 ± 4.2 13.0 ± 3.9 9.9 ± 4.7* Post 133.4 ± 5.7 17.8 ± 4.4† 57.3 ± 15.5 Land (n = 13) 43.7 ± 15.6 27.6 ± 10.2 15.8 ± 6.5 14.8 ± 4.2 9.6 ± 3.8 5.5 ± 5.5 Pre Land *Values for range of motion are measured in degrees. †Significant increase from pretest. ‡Significantly different from the land training group. Pre 126.0 ± 7.6 12.8 ± 4.2 51.0 ± 10.3 Control (n = 14) Means and Standard Deviations for Knee and Ankle Range of Motion* rad/s Knee flexion Ankle dorsiflexion Ankle plantar flexion Table 5 *Significant increase from pretest. Post Pre Control Means ± Standard Deviations for Ankle Peak Torque rad/s Dorsiflexion 1.57 3.14 6.28 Plantar flexion 1.57 3.14 6.28 Table 4 Land- and Aquatic-Based Plyometric Programs 277 278 Miller et al Table 6 Analysis of Covariance Summary for Vertical-Jump and Margaria-Kalamen Power and Knee and Ankle Peak Torque and Range of Motion* Measurement Power vertical jump Margaria-Kalamen Peak torque at 6.28 rad/s knee flexion knee extension ankle dorsiflexion ankle plantar flexion Range of motion knee flexion ankle dorsiflexion F ratio P 2‡ Power 0.51 0.75 .60 .48 .03 .04 .13 .17 1.09 0.28 0.71 0.86 .35 .76 .50 .43 .06 .02 .04 .05 .23 .10 .16 .19 2.89 0.46 .07 .64 .14 .03 .53 .12 ankle plantar flexion 3.41 .04† .16 .60 *Source of variation for main effect was group (Control Land Aquatic). Degrees of freedom for all tests was 2. †Significant difference. ‡2 is a measure of strength of the relationship, estimate of effect size. some improvements in flexor-muscle strength as the result of plyometric training. This might reflect an isometric-training effect in the preparation for landing during plyometric training or the effects of eccentric actions on 2-joint muscles. The results of the study suggest that when a muscle is stressed at different points along the power–velocity relationship curve, different training adaptations occur. The aquatic training group, training with lower loads and higher velocities (theoretically), improved their muscle-power output. The land training group, training with heavier loads and lower velocities, improved their strength but not their power. These findings, again, are consistent with the concept of speed specificity of resistance training.30 This study did not measure landing forces and amortization times. The results, however, suggest that future investigations comparing land and aquatic training should evaluate landing forces and transition times. Future investigations should also compare differences in specific gravity of the subjects, effects of drag, and aquatic water depths and their impact on performance variables. Range of Motion Active ROM, or dynamic flexibility, refers to the degree to which a joint Land- and Aquatic-Based Plyometric Programs 279 can be moved by a muscle contraction.32 Many athletic injuries occur because of a lack of or very poor flexibility.32 Results of this study demonstrated that dynamic stretching, which uses movements that might be specific to sport or movement activities, can also increase joint ROM. The aquatic training group increased their plantar-flexion ROM scores from pretest to posttest, and the land training group increased dorsiflexion ROM from pretest to posttest. An explanation for these changes is not obvious, but it might be that different forces during eccentric stretch and amortization can produce different kinds of ROM adaptations. Proprioception During the study, the aquatic plyometric group was observed to have some difficulty maintaining balance and coordination during the first few weeks of training. It has been recognized that proprioceptive input from the articular and tenomuscular mechanoreceptors is necessary for dynamic stability and muscle control.33 Research has shown that a loss in proprioception results in large systematic errors in multijoint movements.34 When individuals begin a strength-training program, there is increased neural input to the muscles that results in greater efficiency of proprioceptive feedback and skill35-37 and leads to greater net force production, even in the absence of morphologic changes in the muscles themselves.38 We believe that the increase in vertical-jump height and power output in the aquatic training group can be attributed to neural adaptations as a result of increased need to maintain balance in the water. Research has also shown that increases in strength with leg extensions can be attributed to increases in muscle-fiber size and improved ability to activate and coordinate the actions of these muscles.39 Because plyometric training has not been reported as a factor in increasing the size of muscle fibers, increases in this performance might also be attributed to adaptations of the proprioceptive mechanisms. This theory is supported by the work of Hakkinen and Komi,40 who attribute improvements in force production from plyometric training to neuromuscular adaptation. Further research should be conducted to validate the effects of balance, coordination, and proprioception on plyometrics, especially in the aquatic environment. Soreness Because of the decreased force applied in landing in the aquatic group, it was expected that muscle soreness would be reduced in this group. Repeatedmeasures testing of the training groups revealed no significant differences in muscle soreness (pretest to posttest) throughout the training period. Both groups increased the volume of work equally throughout each week, and both performed the same plyometric exercises. The only difference was the training environment. 280 Miller et al Limitations There were some limitations to this study that must be addressed. First, after all the data had been collected, several of the subjects in the control group admitted to having begun new weight-training and cardiovascular exercises, even though they had agreed to refrain from all types of new training during the course of the study. There were also differences in experiences with exercise between subjects. Many of the male participants had previous experience in plyometric training, whereas the women had relatively little formal training in plyometrics. These differences might account for the outcome assessment for both training groups and be the sole contributor to the differences in power production found pretraining to posttraining in the aquatic group. In addition, these differences could also explain the variation in perceived soreness, training adaptations, and the time to become accustomed to the plyometric-training activities. It is recommended in subsequent studies to have subjects with no previous plyometric-training experience and who do not train regularly. Future research examining the differences between sexes and the training environments might be warranted. Conclusions Results from this study are encouraging and demonstrate the benefits that aquatic plyometric training might have in increasing performance variables similar to land plyometric training when initiating or advancing a rehabilitation program. In addition, the buoyant properties of water can provide a decreased load during the eccentric phase of the exercise, and the drag properties can provide a resistance load for training during the concentric phase. These findings might be beneficial for health-care professionals who are looking for alternative programs to stimulate increases in performance variables. Finally, most jumping or bounding activities on land can be conducted in water without requiring special equipment (except a pool) or preparation time. Therefore, exercising in the water reduces the potential for injury, increases strength and power, and can allow clinicians to initiate and rehabilitate injured athletes more quickly. Plyometric activity in water also changes the training environment and might motivate athletes and prevent the monotony and repetitiveness of training and conditioning on land. 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