“…In 1996, Dr. Don McKenzie, MD, PhD, a sportsmedicine physician from Vancouver, Canada, formed the first all-breast-cancer-survivor dragon boat team, Abreast in a Boat, and demonstrated that strenuous, upper body exercise in the form of dragon boat training, a predominantly aerobic form of exercise, did not induce or exacerbate lymphedema symptoms [20]. Dragon boat training is now widely advocated as a safe and beneficial form of exercise for survivors of breast cancer [22].…”