This study will be a randomized controlled trial. The purpose of the study is to evaluate the therapeutic effect of Wii Fit balance board games on balance in patients with osteoporosis post mastectomy.

Women with breast cancer face an increased risk of osteoporosis, necessitating screening and treatment to prevent fractures due to aging and treatment effects. Osteoporosis exacerbates balance issues, raising fall risks among these patients. The treatments often lead to accelerated bone loss and compromised musculoskeletal support, amplifying their vulnerability to fractures. Integrated management strategies that enhance bone health and balance rehabilitation are essential for this group. Post-mastectomy systematic movement exercises are vital for maintaining activity and preventing posture issues, significantly improving balance. Additionally, the use of interactive systems like Wii Fit has shown to effectively aid balance training and improve overall physical function for breast cancer patients, making it a valuable component of at-home rehabilitation programs to reduce fall risk and enhance quality of life.

Inclusion Criteria:

• The subject selection will be according to the following criteria:

  1. All patients are female.
  2. Age ranges from 40_60 years.
  3. All patients suffering from balance dysfunctions resulting from osteoporosis after mastectomy.
  4. All participants will have informed consent to participate in this study.
  5. All patients will participate in the study after 6 months of receiving chemotherapy and diagnosed with osteoporosis.
  6. All patients will follow the same diet .
  7. Ability to stand and ambulate independently

Exclusion Criteria:

• Patients will be excluded from the study if they met any of the following criteria:

  1. Patients with visual or hearing, vestibular impairment. 25
  2. Patients with Previous breast cancer surgery on the present or contralateral side.
  3. Patients receiving hormonal therapy
  4. Patients with Active or metastatic cancer focus.
  5. Patients with Venous thrombosis.
  6. Osteoarticular and/or Rheumatological disorders, significantly disturbing balance.
  7. Patients with severe orthopedic injuries to the lower extremities (e.g. Ankle fracture, joint fusion or joint replacement).
  8. Patients with neurological disturbances that cause impaired balance such as hemiparesis, ataxia, vertigo and vestibular disturbances.
  9. Patients with mental disorders.
  10. Pregnant patients.
  11. Patients with diabetes mellitus.