A Yoga Program for Arm Lymphoedema

INTERVENTION: All particiapnats will attend a single self managment seminar prior to commencement of the intervention. Self management for BCRL includes simplified self massage, exercise, the use of compression and appropriate skin care. The intervention group will also attend Yoga classes. Yoga practice including adapted physical postures, guided relaxation and meditation delivered as 4 X weekly group classes of 90 minutes duration and home practice of 30 minutes 6X per week overall duration of the intervention is 4 weeks CONDITION: Breast cancer related lymphoedema (BCRL) PRIMARY OUTCOME: Reduction in lymphoedema status as measured by bioimpedance spectroscopy (extracellular fluid), perometry (arm volume and circumference), tonometry (fibrotic induration) and self reported symptom scales and compared to the unaffected arm. SECONDARY OUTCOME: Increase in quality of life as measured using the Short Form 36 (SF‐36), Adult Hope Scale (Snyder 2005) and a visual analogy scale on a global quality of life (QOL) question INCLUSION CRITERIA: Women who have been treated for breast cancer more than 12 months previously, are disease free and have developed symptoms of BCRL as a result