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Dr Bhanu K Bhakhri

"The Journal of Clinical and Diagnostic Research (JCDR) has been in operation since almost a decade. It has contributed a huge number of peer reviewed articles, across a spectrum of medical disciplines, to the medical literature.
Its wide based indexing and open access publications attracts many authors as well as readers
For authors, the manuscripts can be uploaded online through an easily navigable portal, on other hand, reviewers appreciate the systematic handling of all manuscripts. The way JCDR has emerged as an effective medium for publishing wide array of observations in Indian context, I wish the editorial team success in their endeavour"



Dr Bhanu K Bhakhri
Faculty, Pediatric Medicine
Super Speciality Paediatric Hospital and Post Graduate Teaching Institute, Noida
On Sep 2018




Dr Mohan Z Mani

"Thank you very much for having published my article in record time.I would like to compliment you and your entire staff for your promptness, courtesy, and willingness to be customer friendly, which is quite unusual.I was given your reference by a colleague in pathology,and was able to directly phone your editorial office for clarifications.I would particularly like to thank the publication managers and the Assistant Editor who were following up my article. I would also like to thank you for adjusting the money I paid initially into payment for my modified article,and refunding the balance.
I wish all success to your journal and look forward to sending you any suitable similar article in future"



Dr Mohan Z Mani,
Professor & Head,
Department of Dematolgy,
Believers Church Medical College,
Thiruvalla, Kerala
On Sep 2018




Prof. Somashekhar Nimbalkar

"Over the last few years, we have published our research regularly in Journal of Clinical and Diagnostic Research. Having published in more than 20 high impact journals over the last five years including several high impact ones and reviewing articles for even more journals across my fields of interest, we value our published work in JCDR for their high standards in publishing scientific articles. The ease of submission, the rapid reviews in under a month, the high quality of their reviewers and keen attention to the final process of proofs and publication, ensure that there are no mistakes in the final article. We have been asked clarifications on several occasions and have been happy to provide them and it exemplifies the commitment to quality of the team at JCDR."



Prof. Somashekhar Nimbalkar
Head, Department of Pediatrics, Pramukhswami Medical College, Karamsad
Chairman, Research Group, Charutar Arogya Mandal, Karamsad
National Joint Coordinator - Advanced IAP NNF NRP Program
Ex-Member, Governing Body, National Neonatology Forum, New Delhi
Ex-President - National Neonatology Forum Gujarat State Chapter
Department of Pediatrics, Pramukhswami Medical College, Karamsad, Anand, Gujarat.
On Sep 2018




Dr. Kalyani R

"Journal of Clinical and Diagnostic Research is at present a well-known Indian originated scientific journal which started with a humble beginning. I have been associated with this journal since many years. I appreciate the Editor, Dr. Hemant Jain, for his constant effort in bringing up this journal to the present status right from the scratch. The journal is multidisciplinary. It encourages in publishing the scientific articles from postgraduates and also the beginners who start their career. At the same time the journal also caters for the high quality articles from specialty and super-specialty researchers. Hence it provides a platform for the scientist and researchers to publish. The other aspect of it is, the readers get the information regarding the most recent developments in science which can be used for teaching, research, treating patients and to some extent take preventive measures against certain diseases. The journal is contributing immensely to the society at national and international level."



Dr Kalyani R
Professor and Head
Department of Pathology
Sri Devaraj Urs Medical College
Sri Devaraj Urs Academy of Higher Education and Research , Kolar, Karnataka
On Sep 2018




Dr. Saumya Navit

"As a peer-reviewed journal, the Journal of Clinical and Diagnostic Research provides an opportunity to researchers, scientists and budding professionals to explore the developments in the field of medicine and dentistry and their varied specialities, thus extending our view on biological diversities of living species in relation to medicine.
‘Knowledge is treasure of a wise man.’ The free access of this journal provides an immense scope of learning for the both the old and the young in field of medicine and dentistry as well. The multidisciplinary nature of the journal makes it a better platform to absorb all that is being researched and developed. The publication process is systematic and professional. Online submission, publication and peer reviewing makes it a user-friendly journal.
As an experienced dentist and an academician, I proudly recommend this journal to the dental fraternity as a good quality open access platform for rapid communication of their cutting-edge research progress and discovery.
I wish JCDR a great success and I hope that journal will soar higher with the passing time."



Dr Saumya Navit
Professor and Head
Department of Pediatric Dentistry
Saraswati Dental College
Lucknow
On Sep 2018




Dr. Arunava Biswas

"My sincere attachment with JCDR as an author as well as reviewer is a learning experience . Their systematic approach in publication of article in various categories is really praiseworthy.
Their prompt and timely response to review's query and the manner in which they have set the reviewing process helps in extracting the best possible scientific writings for publication.
It's a honour and pride to be a part of the JCDR team. My very best wishes to JCDR and hope it will sparkle up above the sky as a high indexed journal in near future."



Dr. Arunava Biswas
MD, DM (Clinical Pharmacology)
Assistant Professor
Department of Pharmacology
Calcutta National Medical College & Hospital , Kolkata




Dr. C.S. Ramesh Babu
" Journal of Clinical and Diagnostic Research (JCDR) is a multi-specialty medical and dental journal publishing high quality research articles in almost all branches of medicine. The quality of printing of figures and tables is excellent and comparable to any International journal. An added advantage is nominal publication charges and monthly issue of the journal and more chances of an article being accepted for publication. Moreover being a multi-specialty journal an article concerning a particular specialty has a wider reach of readers of other related specialties also. As an author and reviewer for several years I find this Journal most suitable and highly recommend this Journal."
Best regards,
C.S. Ramesh Babu,
Associate Professor of Anatomy,
Muzaffarnagar Medical College,
Muzaffarnagar.
On Aug 2018




Dr. Arundhathi. S
"Journal of Clinical and Diagnostic Research (JCDR) is a reputed peer reviewed journal and is constantly involved in publishing high quality research articles related to medicine. Its been a great pleasure to be associated with this esteemed journal as a reviewer and as an author for a couple of years. The editorial board consists of many dedicated and reputed experts as its members and they are doing an appreciable work in guiding budding researchers. JCDR is doing a commendable job in scientific research by promoting excellent quality research & review articles and case reports & series. The reviewers provide appropriate suggestions that improve the quality of articles. I strongly recommend my fraternity to encourage JCDR by contributing their valuable research work in this widely accepted, user friendly journal. I hope my collaboration with JCDR will continue for a long time".



Dr. Arundhathi. S
MBBS, MD (Pathology),
Sanjay Gandhi institute of trauma and orthopedics,
Bengaluru.
On Aug 2018




Dr. Mamta Gupta,
"It gives me great pleasure to be associated with JCDR, since last 2-3 years. Since then I have authored, co-authored and reviewed about 25 articles in JCDR. I thank JCDR for giving me an opportunity to improve my own skills as an author and a reviewer.
It 's a multispecialty journal, publishing high quality articles. It gives a platform to the authors to publish their research work which can be available for everyone across the globe to read. The best thing about JCDR is that the full articles of all medical specialties are available as pdf/html for reading free of cost or without institutional subscription, which is not there for other journals. For those who have problem in writing manuscript or do statistical work, JCDR comes for their rescue.
The journal has a monthly publication and the articles are published quite fast. In time compared to other journals. The on-line first publication is also a great advantage and facility to review one's own articles before going to print. The response to any query and permission if required, is quite fast; this is quite commendable. I have a very good experience about seeking quick permission for quoting a photograph (Fig.) from a JCDR article for my chapter authored in an E book. I never thought it would be so easy. No hassles.
Reviewing articles is no less a pain staking process and requires in depth perception, knowledge about the topic for review. It requires time and concentration, yet I enjoy doing it. The JCDR website especially for the reviewers is quite user friendly. My suggestions for improving the journal is, more strict review process, so that only high quality articles are published. I find a a good number of articles in Obst. Gynae, hence, a new journal for this specialty titled JCDR-OG can be started. May be a bimonthly or quarterly publication to begin with. Only selected articles should find a place in it.
An yearly reward for the best article authored can also incentivize the authors. Though the process of finding the best article will be not be very easy. I do not know how reviewing process can be improved. If an article is being reviewed by two reviewers, then opinion of one can be communicated to the other or the final opinion of the editor can be communicated to the reviewer if requested for. This will help one’s reviewing skills.
My best wishes to Dr. Hemant Jain and all the editorial staff of JCDR for their untiring efforts to bring out this journal. I strongly recommend medical fraternity to publish their valuable research work in this esteemed journal, JCDR".



Dr. Mamta Gupta
Consultant
(Ex HOD Obs &Gynae, Hindu Rao Hospital and associated NDMC Medical College, Delhi)
Aug 2018




Dr. Rajendra Kumar Ghritlaharey

"I wish to thank Dr. Hemant Jain, Editor-in-Chief Journal of Clinical and Diagnostic Research (JCDR), for asking me to write up few words.
Writing is the representation of language in a textual medium i e; into the words and sentences on paper. Quality medical manuscript writing in particular, demands not only a high-quality research, but also requires accurate and concise communication of findings and conclusions, with adherence to particular journal guidelines. In medical field whether working in teaching, private, or in corporate institution, everyone wants to excel in his / her own field and get recognised by making manuscripts publication.


Authors are the souls of any journal, and deserve much respect. To publish a journal manuscripts are needed from authors. Authors have a great responsibility for producing facts of their work in terms of number and results truthfully and an individual honesty is expected from authors in this regards. Both ways its true "No authors-No manuscripts-No journals" and "No journals–No manuscripts–No authors". Reviewing a manuscript is also a very responsible and important task of any peer-reviewed journal and to be taken seriously. It needs knowledge on the subject, sincerity, honesty and determination. Although the process of reviewing a manuscript is a time consuming task butit is expected to give one's best remarks within the time frame of the journal.
Salient features of the JCDR: It is a biomedical, multidisciplinary (including all medical and dental specialities), e-journal, with wide scope and extensive author support. At the same time, a free text of manuscript is available in HTML and PDF format. There is fast growing authorship and readership with JCDR as this can be judged by the number of articles published in it i e; in Feb 2007 of its first issue, it contained 5 articles only, and now in its recent volume published in April 2011, it contained 67 manuscripts. This e-journal is fulfilling the commitments and objectives sincerely, (as stated by Editor-in-chief in his preface to first edition) i e; to encourage physicians through the internet, especially from the developing countries who witness a spectrum of disease and acquire a wealth of knowledge to publish their experiences to benefit the medical community in patients care. I also feel that many of us have work of substance, newer ideas, adequate clinical materials but poor in medical writing and hesitation to submit the work and need help. JCDR provides authors help in this regards.
Timely publication of journal: Publication of manuscripts and bringing out the issue in time is one of the positive aspects of JCDR and is possible with strong support team in terms of peer reviewers, proof reading, language check, computer operators, etc. This is one of the great reasons for authors to submit their work with JCDR. Another best part of JCDR is "Online first Publications" facilities available for the authors. This facility not only provides the prompt publications of the manuscripts but at the same time also early availability of the manuscripts for the readers.
Indexation and online availability: Indexation transforms the journal in some sense from its local ownership to the worldwide professional community and to the public.JCDR is indexed with Embase & EMbiology, Google Scholar, Index Copernicus, Chemical Abstracts Service, Journal seek Database, Indian Science Abstracts, to name few of them. Manuscriptspublished in JCDR are available on major search engines ie; google, yahoo, msn.
In the era of fast growing newer technologies, and in computer and internet friendly environment the manuscripts preparation, submission, review, revision, etc and all can be done and checked with a click from all corer of the world, at any time. Of course there is always a scope for improvement in every field and none is perfect. To progress, one needs to identify the areas of one's weakness and to strengthen them.
It is well said that "happy beginning is half done" and it fits perfectly with JCDR. It has grown considerably and I feel it has already grown up from its infancy to adolescence, achieving the status of standard online e-journal form Indian continent since its inception in Feb 2007. This had been made possible due to the efforts and the hard work put in it. The way the JCDR is improving with every new volume, with good quality original manuscripts, makes it a quality journal for readers. I must thank and congratulate Dr Hemant Jain, Editor-in-Chief JCDR and his team for their sincere efforts, dedication, and determination for making JCDR a fast growing journal.
Every one of us: authors, reviewers, editors, and publisher are responsible for enhancing the stature of the journal. I wish for a great success for JCDR."



Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
E-mail: drrajendrak1@rediffmail.com
On May 11,2011




Dr. Shankar P.R.

"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
Strengths of the journal: The journal has an online first facility in which the accepted manuscripts may be published on the website before being included in a regular issue of the journal. This cuts down the time between their acceptance and the publication. The journal is indexed in many databases, though not in PubMed. The editorial board should now take steps to index the journal in PubMed. The journal has a system of notifying readers through e-mail when a new issue is released. Also, the articles are available in both the HTML and the PDF formats. I especially like the new and colorful page format of the journal. Also, the access statistics of the articles are available. The prepublication and the manuscript tracking system are also helpful for the authors.
Areas for improvement: In certain cases, I felt that the peer review process of the manuscripts was not up to international standards and that it should be strengthened. Also, the number of manuscripts in an issue is high and it may be difficult for readers to go through all of them. The journal can consider tightening of the peer review process and increasing the quality standards for the acceptance of the manuscripts. I faced occasional problems with the online manuscript submission (Pre-publishing) system, which have to be addressed.
Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work."



Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
E-mail: ravi.dr.shankar@gmail.com
On April 2011

Important Notice

Original article / research
Year : 2024 | Month : July | Volume : 18 | Issue : 7 | Page : YK01 - YK04 Full Version

Effect of Kettlebell Training versus Plyometric Training on Agility, Static Balance and Dynamic Balance in Volleyball Players: A Research Protocol of an Experimental Study

Published: July 1, 2024 | DOI: https://doi.org/10.7860/JCDR/2024/70942.19594

Pratik Raman Jaiswal, Swapnil Ulhas Ramteke

1. First Year MPT Student, Department of Sports Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra, India. ORCID ID: 0000-0002-7185-1836. 2. Professor and Head, Department of Sports Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra, India. ORCID ID: 0000-0002-4506-0192.

Correspondence Address :
Pratik Raman Jaiswal,
First Year MPT Student, Department of Sports Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Sawangi (Meghe), Wardha-442001, Maharashtra, India.
E-mail: physiopratik.25@gmail.com

Abstract

Introduction: Volleyball is a dynamic sport that places high demands on an athlete’s ability to move quickly and efficiently. Kettlebell training utilises a unique offset weight, challenging core stability, and multijoint coordination, potentially mimicking movements in volleyball. Plyometric training, on the other hand, focuses on rapid muscle contractions to develop power. Despite their popularity, limited research directly compares the effectiveness of these methods for enhancing the skills crucial for volleyball players.

Need of the study: Lower limb injuries are common in volleyball players, and improving agility and balance can help in reducing the risk of these injuries. The purpose of the research is to bridge this information disparity by investigating the effects of both kettlebell training and plyometric training. By analysing the results, the authors can gain valuable insights into how each training approach influences these fundamental movement skills. This knowledge can ultimately help in the development of targeted training programs specifically designed to enhance performance and training strategies for volleyball athletes.

Aim: To assess the subjects’ agility, static balance, and dynamic balance in volleyball players treated with kettlebell training and plyometric training.

Materials and Methods: This two-arm parallel randomised experimental study will be conducted at the Department of Sports Physiotherapy of Ravi Nair Physiotherapy College, Wardha, Maharashtra, India, from July 2023 to July 2024. A total of 50 participants will be assigned to 2 groups, with one group receiving kettlebell training (Group-A) and the other group receiving plyometric training (Group-B). Assessments will be conducted on the first day of intervention and at the end of the sixth week of treatment, respectively. To evaluate the inequality in effect size between the groups, statistical significance will be assessed using either a parametric test or non parametric test at a 5% level of significance. For normally distributed values, a t-test (Unpaired) will be used and for non normally distributed data, non-parametric tests (Chi-square, Mann-Whitney U, and Wilcoxon’s test) will be utilised.

Keywords

Balance error scoring system, Modified southeast missouri test, Sports, Y-balance test

Introduction
Volleyball is a challenging sport that requires skill, strategy, and athleticism (1). During a volleyball match, repeated maximal or nearly maximal jumps, running, diving, dunks, or blocking are common motions (2). Volleyball is one of the most widely played sports globally, and numerous research studies have been conducted to better understand the training regimens needed to develop a volleyball player’s all-around success (2),(3),(4). The ability to execute explosive movements during attacks and blocks is a key component of volleyball players’ success, as the objective of the game is to make the ball cross the 2.43-metre net (for male players) and land on the ground while maintaining balance (4). Various complex factors, such as body morphology, psychological state, and physical conditions, may impact an athlete’s performance (5). To play volleyball efficiently, one must achieve their maximal strength and power. Athletes must develop their maximum strength in the early stages of training and then effectively transfer that strength to power as competitions approach (6). Lower limb strength is crucial in sports for enhancing balance, agility, and generating the force required for forceful movements. The gluteal, adductors, abductors, hamstrings, and quadriceps are the main lower limb muscles necessary for everyday tasks or sporting activities. Strength in the lower body is essential as it enables faster and more precise footwork. Muscular lower body strength allows for quick stops and path shifts and increases speed on the court. Additionally, powerful lower limb muscles facilitate powerful smashes by transferring energy from the lower limbs to the upper body (7). Strengthening is recommended as an effective way to prevent injuries, build muscle mass, and enhance overall well-being in terms of volleyball performance. This type of exercise helps maintain good lower body alignment and muscle recruitment by targeting the hip, thigh, core, and abdominal muscles. It is particularly important for younger volleyball players as injuries can negatively impact their training, game performance, and athletic careers (8). A kettlebell is a handle-equipped cast-iron weight shaped like a ball. There are commercial kettlebells available in weight ranges of 3 to 100 pounds (9). Kettlebells have numerous therapeutic uses, such as power training and dynamic flexibility exercises (10). George Kessler is credited with creating the kettlebell, which has an essentially hollow body and an angled grip arm securely fastened to the frame at two points at the top of the body. The grip arm designates a grab area that is farthest from the body. There is less of a handle, with the part closest to the handle coupling areas being the most stretched out and the section closest to the holding zone being the tightest. The design enhances the condition of the cross-section where the grip and body meet (11).

Plyometrics is a training strategy that uses explosive workouts and is utilised by athletes in various sports (12). In plyometric exercises, a muscle is first prestretched during an eccentric motion, and then the same muscle and connective tissue are immediately pulled inward during a concentric action. This process is referred to as the “stretch-shortening cycle,” which combines power with quickness of movement. When a person runs or jumps, their muscles contract in essentially two periods-stretching and contraction. By performing these workouts, the interval between both phases is shortened. A quick cycle time facilitates substantial energy transfer between the stretching and contraction stages, allowing for more force to be produced than in a concentric motion alone by utilising the elastic energy stored within the muscle (13). Following the concentric stage, the muscle utilises the preserved elastic energies from the stretch to generate more effort. Plyometric exercises may promote central and peripheral neuronal changes that enhance joint sense of position and kinaesthetic sensitivity. Eccentric loading may lead to desensitisation of the Golgi tendon organs and increased sensitivity of the muscle spindles due to fast stretching and shortening actions (14). Plyometric workouts are popular among athletes as they help increase strength and jumping ability. Studies have assessed the benefits of plyometrics on power, running economy, quickness, and sprinting (14),(15),(16). Researchers have shown that plyometric training can yield improved performance results in athletes compared to conventional resistance exercises (16).

The aim of the present study is to assess the agility, static balance, and dynamic balance in volleyball players trained with kettlebell and plyometric training.

The main objectives of the study are to evaluate the effect of kettlebell training on agility, static balance, and dynamic balance in volleyball players, to evaluate the effect of plyometric training on agility, static balance, and dynamic balance in volleyball players and to compare the effect of kettlebell training and plyometric training on agility, static balance, and dynamic balance in volleyball players.

Review Of Literature

The protocol aims to evaluate the efficacy of kettlebell training versus plyometric training in volleyball players. Before commencing the training, the outcome scores of all subjects will be assessed. A randomised controlled trial from 2023 concludes that one plyometric training session per week for eight weeks is adequate to achieve noticeable improvements in sprint running speed, service speed, and jump performance. These results are comparable to the effects of two weekly sessions of plyometric training. Therefore, among young male volleyball players, the frequency of one or two sessions per week does not show statistically significant differences in the physical performance of volleyball players (17). A 2020 study found that a differential jump training program successfully led to complementary improvements in postural control, which is a crucial indicator of injury risk, particularly for high-risk groups such as volleyball players, and sport-specific jump performance. The program does not impose excessive physiological demands, and regular training does not need to be compromised. This suggests that it could be utilised to enhance performance and prevent injuries during the competitive season without risking overtraining (18). A 2022 study revealed that volleyball players experienced a significant increase in muscular endurance but no discernible improvement in speed as a result of kettlebell training (19). Another study in 2022 found that among handball players, an eight-week kettlebell circuit training program significantly enhanced explosive power and strength endurance (20).
Material and Methods
A randomised controlled experimental study will be conducted in the Department of Sports Physiotherapy, Outpatient Department (OPD) of Ravi Nair Physiotherapy College, Wardha, Maharashtra, India from July 2023 to July 2024. The institutional ethical approval number has been obtained with reference number DMIHER(DU)/IEC/2023/1065. The trial has been registered on the Clinical Trials Registry-India (CTRI) website, and the registration number is CTRI/2023/08/056671. All subjects will sign a paper form confirming confidentiality and providing informed consent.

Inclusion and Exclusion criteria: The inclusion criteria for the trial will be athletes aged 15 to 25 years, both male and female, athletes with a minimum playing experience of 12 months, and athletes engaged in regular practice for the last three months. Exclusion criteria will exclude athletes participating in other training activities, athletes with recent injuries, athletes who have had any fractures in the last six months, athletes with structural deformities, and athletes with any musculoskeletal, neurological, or cardiovascular disorders. The Modified Southeast Missouri (SEMO) Test will be used as the assessment tool for agility, the Balance Error Scoring System for the assessment of static balance, and the Y-balance test will be used to assess dynamic balance.

Sample size calculation: Formula using mean difference

n1=n2=2(Zα+Zβ)2σ2/(δ)2

Primary variable: Modified SEMO Test
Mean±SD. (Pre) result on modified SEMO test for experimental group=13.37±0.37
Mean±SD. (Post) result on modified SEMO test for experimental group=13.06±0.38
Difference=0.31
Std Dev.=(0.37+0.36)/2=0.375 (21).
Clinically relevant superiority=10%=(25.89*10)/100=2.589
N1=2*{(1.96+0.84)2(0.375)2}/(0.31)2=23
Total samples required=25 per group
Considering 10% drop out=5
Total sample size required=50 (25 per group) where, Zα=1.96, α= Type I error at 5%, Zβ=0.84 (1-b)=Power at 80% s=std. dev

Study Procedure

A total of 50 participants will be assigned to 2 groups, with one group receiving kettlebell training (Group-A) and the other group receiving plyometric training (Group-B). Description of stages of both the groups has been presented in (Table/Fig 1),(Table/Fig 2) (21),(22).

Randomisation sequence: Participants will be assigned random numbers using opaque sealed envelopes. Allocation to the intervention will be based on the number drawn from the envelope.

Allocation: Numerated, sealed, opaque envelopes with sequential numbers will be used for the allocation process.

Implementation: The primary investigator and study coordinator will oversee the randomisation process.

Blinding: The investigator will be blindfolded to assign participants to the groups. Subjects will be instructed not to provide any information about their training to the investigator to maintain blinding.

Dependent variables: Agility and balance.

Independent variables: Kettlebell and Plyometric training (Table/Fig 3). Flowchart of the study procedure has been cited in (Table/Fig 3).

The outcome measures are as follows:

Primary outcomes: The Modified Southeast Missouri Test will be used to evaluate agility. This test assesses the ability to make quick changes of direction, perform forward sprints, diagonal backpedalling, and side shuffling, which are common movements during matches (23).

Secondary outcomes: The Balance Error Scoring System evaluates static balance on firm and foam surfaces. It includes three different stances: single-leg stance, tandem stance, and double-leg stance (24). The Y-Balance test will assess dynamic balance. Participants will balance themselves on one foot barefooted. During the test, the subject places their hands on their hips and reaches as far as possible by pushing the board with the reaching limb in the anterior, posteromedial, and posterolateral directions before returning to the original start position (25).

Statistical Analysis

The statistical software used for the study will be Statistical Package for the Social Sciences (SPSS), version 27.0, and GraphPad Prism 7.0. To assess the difference in effect size among the groups, statistical significance will be evaluated using either a parametric test or a non parametric test at a 5% level of significance. If the values are normally distributed, a t-test (unpaired) will be used to determine whether the difference in mean values between two groups is statistically significant. If the data is not normally distributed, normal distribution will be achieved by transforming the data using mathematical techniques. Alternative non parammetric tests (Chi-square, Mann-Whitney U, and Wilcoxon test) will be utilised if the data for the main variables still exhibit non normal distribution.
Reference
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Voelzke M, Stutzig N, Thorhauer HA, Granacher U. Promoting lower extremity strength in elite volleyball players: Effects of two combined training methods. J Sci Med Sport. 2012;15(5):457-62.   [CrossRef]  [PubMed]
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Sheppard JM, Gabbett T, Taylor KL, Dorman J, Lebedew AJ, Borgeaud R. Development of a repeated-effort test for elite men’s volleyball. Int J Sports Physiol Perform. 2007;2(3):292-304.   [CrossRef]  [PubMed]
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Pereira A, Costa AM, Santos P, Figueiredo T, João PV. Training strategy of explosive strength in young female volleyball players. Medicina (Kaunas). 2015;51(2):126-31.   [CrossRef]  [PubMed]
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Mesfar A, Hammami R, Selmi W, Gaied-Chortane S, Duncan M, Bowman TG, et al. Effects of 8-week in-season contrast strength training program on measures of athletic performance and lower-limb asymmetry in male youth volleyball players. Int J Environ Res Public Health. 2022;19(11):6547.   [CrossRef]  [PubMed]
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Campos FAD, Daros LB, Mastrascusa V, Dourado AC, Stanganelli LCR. Anthropometric profile and motor performance of junior badminton players. Brazilian Journal of Biomotricity. 2009;3(2):146-51.
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Holmberg P. Weightlifting to improve volleyball performance. Strength and Conditioning Journal. 2013;35(2):79-88.   [CrossRef]
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DOI and Others
DOI: 10.7860/JCDR/2024/70942.19594

Date of Submission: Mar 29, 2024
Date of Peer Review: May 11, 2024
Date of Acceptance: Jun 05, 2024
Date of Publishing: Jul 01, 2024

AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. No

PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Mar 30, 2024
• Manual Googling: May 21, 2024
• iThenticate Software: Jun 04, 2024 (18%)

ETYMOLOGY: Author Origin

EMENDATIONS: 5

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