Synergic effect of compression in the reduction of arm lymphedema during controlled active exercising using a facilitating device

INTERVENTION: The study will examine the effect of compression during active exercising using a facilitating apparatus, on arm lymphedema resulting from breast cancer treatment, with a difference in volume of 200 mL between arms compared with the normal arm, diagnostic criterion (clinical) for lymphedema. The compression used is made national material‐polyester and cotton, low elasticity (>15mmHg) involving whole member (arm and forearm). It is put on the arm immediately before starting exercise. The method for performing each step of study with compression and without compression. Will randomly enrolled in the study patients from a rehabilitation group. The apparatus that will used is denominated 'pulley system' and is a vertical iron wheel fixed to a 30 cm‐high support on a metal bench placed at a distance of 10 cm from the patient's body. The patient revolves the wheel and thus elevates the shoulder and stretches the arm. The patients will submitted to two series of active exercises separate by a duration of 1 week, using this facilitating device, one session with compression and one session without compression in a random order. The total time for evaluation using compression will be one hour, divided into four intervals of 12 minutes of exercise using the device and three minutes of rest. For activity without compression is the same test time. The patient will remain seated with the spinal column properly aligned. CONDITION: Arm lymphedema resulting from breast cancer PRIMARY OUTCOME: Reduction in the volume of the lymphedematous arms of patients utilizing a facilitating exercising device associated with a compression. Evaluation will achieved by water volumetry before and immediately after the session. SECONDARY OUTCOME: The aim of this study is to reduce the volume in the limbs with lymphedema after exercise, using device facilitator mechanism. In secondary time a proposal the study is the evaluation of that device in this same group of individuals without the use of compression. The evaluated will water volumetry. INCLUSION CRITERIA: Lymphedema patients after breast cancer Patients undergoing treatment will require written permission from their physician Without active infection and skin lesion Patients must sign a consent form to participate