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.

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.

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.