Introduction
Breast cancer is the most common cancer among women worldwide. While the incidence of breast cancer increases every year, the survival rate also increases at the same rate [1]. Treatment approaches for breast cancer may cause various side effects. Neoadjuvant and adjuvant therapies result in widespread severe pain and physical or psychological deficits in the upper extremity [2]. Shoulder pain and limitation of movement at the postoperative period lead to functional  disabilities and avoidance of movements.
Studies show that virtual rehabilitation is as effective as standard physiotherapy for improving upper extremity function in other disorders. Xbox 360 Kinect™ from Microsoft is a virtual reality method which improves upper extremity functionality and has great potential for individuals in coping with pain after breast cancer surgery. 
Objectives
Our study aimed to investigate the effectiveness of upper extremity virtual rehabilitation program on pain, functionality and kinesophobia in patients undergoing breast cancer surgery.
Methods 
Twenty-five patients who underwent unilateral breast cancer surgery and axillary dissection have adjuvant treatment were evaluated.
Fifteen women aged between 30-60 years who completed the second postoperative week completed the therapy program two sessions per week for six weeks. Pain severity was determined using Visual Analog Scale (VAS), functionality was detected using Disabilities of the Arm Shoulder and Hand (DASH) scale, fear of movement was evaluated using Tampa Kinesiophobia Scale (TKS) at the onset and end of the treatment. The treatment program consisted of 35 minutes Kinect games, 5 minutes scar tissue massage and 5 minutes glenohumeral joint mobilization.
Results
No adverse effects and complications reported during the program. The patients’ demographic variables are in Table 1. Paired-t-test showed  that pain level was significantly decreased (p<0.001) and the DASH score was significantly improved (p<0.001) after the treatment. TKS scores were also significantly decreased (p<0.001) (Table 2).
Conclusions
This study demonstrates that Microsoft Xbox 360 Kinect technology can be used as a method for coping with pain in the early postoperative period after breast cancer surgery. 
The results suggest that virtual reality therapy can provide a significant improvement in functionality and fear of movement.

05 - EFFECTS OF VIRTUAL REALITY THERAPY ON UPPER EXTREMITY PAIN AND FUNCTIONALITY AFTER BREAST CANCER SURGERY