Effect of Thera-Band Versus Swiss Ball Exercises on Postural Stability in Post Mastectomy Lymphedema
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Cairo University
- Enrollment
- 64
- Locations
- 1
- Primary Endpoint
- Center of Pressure (COP)
Overview
Brief Summary
The purpose of the study is to determine the effect of Thera-band exercises versus Swiss ball exercises on postural stability in unilateral post mastectomy lymphedema.
Detailed Description
The need for this study develops from the lack of information in the published studies about the effectiveness of Thera-band exercises and Swiss ball exercise on balance in unilateral post mastectomy lymphedema.
Lymphedema is a chronic and progressive condition associated with functional impairment of the body segment.
The asymmetry between hemi Corp related to the range of motion, muscle strength, sensory stimuli and volume, reduce the ability to perceive and integrate information on the maintenance of the center of gravity and postural balance.
The damage in the balance of patients with breast cancer is pointed out in the literature and is related to factors related to surgical intervention, adjuvant treatment, or even unilateral asymmetry caused by upper limb lymphedema.
Core stability exercises improve neuromuscular system performance that causes the optimal lumbar-pelvic -hip chain mobility and good acceleration and deceleration, appropriate muscular balance, proximal stability and good function.
Progressive resistance training interventions designed to increase strength and reduce the falls in elderly were effective in reducing both rate of falls and risk of falling, especially when some form of balance exercise was an integral part of the program.
The present study is designed to investigate the effect of Thera-band exercises versus Swiss ball exercises on balance in unilateral post mastectomy lymphedema.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 30 Years to 50 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients are females.
- •Patient with post mastectomy unilateral lymphedema.
- •Their age will range from (30-50) years.
- •Patients will be given their informed consent.
Exclusion Criteria
- •Musculoskeletal disorders that will impair performance during training and tests.
- •Uncontrolled cardiovascular or pulmonary diseases.
- •Neurological and renal disorders.
- •Metabolic or vascular disease with a neurological component such as diabetes.
- •Malignant conditions.
- •Primary lymphedema.
- •Psychiatric illness, severe behavior or cognitive disorders.
- •Uncooperative patients.
- •Pregnancy.
Outcomes
Primary Outcomes
Center of Pressure (COP)
Time Frame: 8 weeks
The Wii Balance Board (WBB) will be used to measure the Center of Pressure (COP), which represents the point location of the vertical ground reaction force vector. This outcome reflects the user's weight distribution and is a key indicator of balance and postural control. COP will be assessed in both the mediolateral (X-axis: left-right) and anteroposterior (Y-axis: front-back) directions, allowing evaluation of postural sway and dynamic weight shifting during balance tasks.
Total Force (Weight)
Time Frame: 8 weeks
Total vertical ground reaction force will be calculated by summing the readings from all four pressure sensors on the WBB. This measure provides an estimate of the user's body weight and enables monitoring of force fluctuations during dynamic or static postural tasks, serving as an indirect marker of load-bearing and movement initiation or compensation patterns.
Load Distribution
Time Frame: 8 weeks
The WBB will quantify the distribution of body weight across the left vs. right and front vs. back regions of the platform. This load distribution outcome helps identify asymmetries in stance or postural alignment, which can be critical in populations with balance deficits or musculoskeletal impairments. The measure allows for detailed analysis of postural strategy and weight-bearing preference.
Secondary Outcomes
- Limb volume measurement(8 weeks)
Investigators
Afkar Zaki Abdullah Elbanouby
Principal Investigator
Cairo University