Effect of Wii-console Based Exercise on Shoulder Range of Motion for Post-mastectomy Lymphedema Patients

Study Overview
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Brief Summary
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PURPOSE: To determine the effect of wii-console based exercise on shoulder ROM of both sides for post-mastectomy patients, and highlighting the effect of dominancy.

Detailed Description
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Breast cancer has been the focused of many studies because it significantly affects both in developed and developing countries worldwide (Cameirão et al, 2008). Lymphedema affects the range of motion of shoulder causing disability and affection of function. Wii-console systems can be used as training tools to promote intensive training directed towards specific deficits and guide the patients in task-oriented activities. Moreover, it allows a real-time high-resolution monitoring, where is possible to have a quantitative assessment of relevant properties of the impairment, performance and recovery. On the other hand, virtual reality environment demand focus and attention of the patient, motivate the patient to perform the exercises, and provide a sense of achievement to the user (Torre et al, 2015). HYPOTHESES: The wii-console based exercise will have no effect on shoulder ROM for post-mastectomy patients.

Official Title
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Effect of Wii-console Based Exercise on Shoulder Range of Motion for Post-mastectomy

Conditions
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Postmastectomy Lymphedema

Intervention / Treatment
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* Other: traditional physical therapy session
* Other: wii console based exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All the patients will be females. Patients undergone mastectomy with lymph nodes dissection. all developed lymphedema after the surgery. Exclusion Criteria: Vision problems. Medically instable patients. Balance disorders. Other musculoskeletal condition of shoulders.

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: wii console based exercise group<br>the patient will recieve wii console based exercise in addition to traditional physical therapy session | Other: traditional physical therapy session<br>* manual lymph drainage-pneumatic compression and skin care<br>Other: wii console based exercise<br>* execise session using the wii console video games<br>|
| Other: control group<br>the patient will recieve only the traditional physical therapy session | Other: traditional physical therapy session<br>* manual lymph drainage-pneumatic compression and skin care<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| shoulder range of motion | flexion, extension, abduction, adduction , internal rotation and external rotation | 4 weeks |