<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="Research Article" dtd-version="1.0"><front><journal-meta><journal-id journal-id-type="pmc">srjmd</journal-id><journal-id journal-id-type="pubmed">SRJMD</journal-id><journal-id journal-id-type="publisher">SRJMD</journal-id><issn>2788-9467</issn></journal-meta><article-meta><article-id pub-id-type="doi">https://doi.org/10.47310/srjmd.2025.v05i02.004</article-id><title-group><article-title>The Effect of Training in Aquatic and Dry Environments on Pain and Range of Motion in Athletes with a Severe Ankle Sprain</article-title></title-group><contrib-group><contrib contrib-type="author"><name><given-names>Adnan</given-names><surname>Radi Faraj</surname></name></contrib><xref ref-type="aff" rid="aff-a" /></contrib-group><contrib-group><contrib contrib-type="author"><name><given-names>Munadhil</given-names><surname>Adil Kasim</surname></name></contrib><xref ref-type="aff" rid="aff-b" /></contrib-group><aff-id id="aff-a">Misan University, College of Physical Education and Sports Sciences, Iraq</aff-id><aff-id id="aff-b">Imam Kadhim Faculty of Islamic Sciences University, Iraq</aff-id><abstract>Sprains are among the most prevalent ankle injuries in sports.&amp;nbsp; This research aimed to determine the impact of training in aquatic and terrestrial settings on pain and range of motion in athletes with a severe ankle injury.&amp;nbsp; This quasi-experimental research included 30 soccer players with severe ankle sprains, who were randomly assigned to two groups: one trained in water and the other on land. Their performance was compared before and after an 8-week training intervention.&amp;nbsp; A Visual Analogue Scale (VAS) questionnaire was used to assess pain, while a complete angle scale was utilised to quantify the range of motion of the ankle in four directions.&amp;nbsp; The data were examined with a two-way analysis of variance with repeated measures.&amp;nbsp;Both procedures significantly alleviated discomfort in the ankles of the afflicted athletes (p&amp;gt;0.001).&amp;nbsp; The findings indicated that the interaction between the group and time was important.&amp;nbsp; In the aquatic group, pain reduction was much greater (p&amp;gt;0.001).&amp;nbsp;The ankle range of motion shown a substantial increase in both groups (p&amp;gt;0.001).&amp;nbsp; The variable rate of pain development escalated in the water training group (62%) vs to the dry group (50%).&amp;nbsp; In conclusion, due to the effects of training on water and land, together with the notable interaction between time and group, aqua training or a hybrid of aquatic and terrestrial training is advised for the rehabilitation of a severe ankle injury.</abstract></article-meta></front><body /><back /></article>