Program Goals Periodization Do's & Dont's Breathing Exercise Progression Exercise Tips... and More Phase 1 Phase 2 Phase 3 Phase 4 Beyond Phase 4: Abdominals Spinal Stabilization Lower Extremities Adjuvant Treatments Above & Beyond Equipment Sample Pages Contact Order the Book Browse the Book: Excerpts from Equipment Use equipment with guidance from your physicians and therapists. Everyone should begin with or return to Phase 1 after every surgical procedure in order to practice safe, optimal postures and techniques. Be certain to obtain as much information as possible to reduce the risk of lymphedema, which can occur spontaneously and indefinitely. (Refer to Resources page for Lymphedema web sites.) Phases 1 and 2: Immediately post-surgery to 6 weeks post-surgery: No equipment immediately post-surgery. Dowel may be used 1 - 2 weeks after surgery upon recommendation of physician/physical therapist. (Yardstick or taut towel may be substituted sooner.) After full healing, very light weights (1 lb.) or rubber tubing may be added. Phase 3: 6-10 weeks post-surgery: After 6-10 weeks, include stronger resistive bands or rubber tubing, dowel, Swiss Ball®, and 1 or 2 lb. dumbbells (for experienced exercisers only) with guidance from therapists. Phase 4, 10 weeks post-surgery; Beyond Phase 4; and Above & Beyond: Continue with light resistance training (Thera-bands® and weights) and range of motion exercises (dowel or yardstick) for upper body. For certain upper body, abdominal, and spinal stabilization exercises, a Swiss Ball® and/or a light (1-2 lb.) medicine ball may be used upon recommendation of physician or physical therapist (Beyond Phase 4 and Above & Beyond - experienced exercisers only). Use resistive bands and light ankle weights for lower body exercises (start with one pound, gradually increase weight, and never exceed three pounds on ankles). Ankle weights - for experienced exercisers only. EQUIPMENT OVERVIEW: EXCERPTS Use of Equipment is dependent upon the particular type of surgery (lumpectomy, mastectomy, lymph node dissection, sentinel node biopsy, type of reconstruction), treatments, progress of post-surgery healing, fitness level prior to surgery, present state of health/level of fitness, and individual physical conditions. Staying Abreast exercises can be implemented by newly diagnosed patients as well as long-term survivors and individuals who have already completed surgeries and treatments, yet prefer to participate in a program that adheres to the safety guidelines of a rehabilitative protocol specific to breast cancer. The indications for use of equipment are dependent, nonetheless, on the current fitness level and physical requirements of each person. We suggest that all participants start at a safe, appropriate level and progress gradually with exercises and use of equipment. It is also our recommendation to address fitness questions to physical therapists or certified rehabilitation specialists trained and experienced in the care of breast cancer patients. Go to the top of this page. Back to the previous page.

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