Aquatic Versus Land Based Exercise on Lymphedema Post Mastectomy
Condition: Breast Cancer
MeSH terms: Lymphedema
Study type: Interventional

Summary: 
      Fifty eligible breast cancer survivors (median, 10 yrs after surgery) with arm lymph-edema
      (median, 21% inter limb difference) were included and randomized into the intervention(group
      A, n = 25) or control ( Group B, n = 25). Intervention group received 60 minutes
      aquatic-based exercise in the form of warm-up for 10 mins, then strengthening exercise for 40
      minutes, followed by 10 min cooling down in the form of stretching and mobility exercise,
      three times a week for 8 weeks, plus land-based exercise session for 60 minutes for 8 weeks
      in the form of warm-up, strengthening, and cooling down exercise. The control group received
      60 minutes of land base exercise, three times a week, for 8 weeks. Arm volume, shoulder
      flexion, abduction range of motion and pain using a visual analogue scale were assessed at
      baseline and after 8 weeks of treatment.
    

Detailed description: 
      Group A: 25 female Patients there aged ranged from 37 to 67 years old with BCRL, in Group-A
      had been dealt with water-based exercise was conducted at a hydrotherapy pool for the Eden
      Health care, cairo, The pool measures 8 × 15 m and ranges from 1 to 1.8 m in depth with
      access via steps. Interventions were conducted predominately in the deeper section of the
      pool so participants immerse their neck in water.

      Control group, Group B: 25 female Patients there aged ranged from 37 to 67 years old with
      BCRL, in control group had been dealt Land-based exercise program: Supervised program
      consisted of 60-min sessions, three times a week, over 8 weeks. The exercise program
      consisted of the first 10 minutes for warm-up exercise with a small softball, fit -ball,
      mobility and stretching exercise. Then 30-40 minutes for strength development with different
      materials and positions, that require more body control and increase joint motion. Then the
      last 10 minutes for cooling down for stretching exercise for the arm muscles .
    

Intervention name(s): aquatic based exercise.; land-based exercise.
Intervention type(s): Other; Other
Intervention description(s): exercise under water with the patient standing in a swimming pool, for 60 minswith water to the neck and then practice the arm exercise plus the diaphragmatic breathing exercise. The duration of the exercise programs was selected to be 60 minutes, 3 days per week for 8-week intervention; land-based exercise session for 60 minutes for 8 weeks in the form of warm-up, strengthening, and cooling down exercise.Land-based exercise program: Supervised program consisted of 60-min sessions, three times a week, over 8 weeks. The exercise program consisted of the first 10 minutes for warm-up exercise with a small softball, fit -ball, mobility and stretching exercise. Then 30-40 minutes for strength development with different materials and positions, that require more body control and increase joint motion. Then the last 10 minutes for cooling down for stretching exercise for the arm muscles [14]. Women were asked to exercise continuously for 60 mins, by performing the arm exercises by repeating the session, and were instructed to exercise at moderate intensity .
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Aquatic exercise-; Land based exercise; lymphedema