Physical Therapy Cancer Rehabilitation Implementation Practice
Background
Margaret (Margie) McNeely is a Professor in the Department of Physical Therapy at the University of Alberta in Edmonton, Canada. She currently holds a joint appointment in the Department of Oncology (Division of Radiation Oncology) and performs clinical rehabilitation research in partnership with the Supportive Care Services, Cancer Care Alberta. She is the current Director of the Cancer Rehabilitation Clinic in Corbett Hall https://www.ualberta.ca/rehabilitation/about-us/student-resources/student-clinics-and-programs/cancer-rehabilitation-clinic/index.html.
Professional Interests
Current Research Projects (click on study title for more information)
Alberta Moving Beyond Breast Cancer (AMBER)
CIHR Team in Physical Activity and Breast Cancer Survivorship Cohort Study. Leads: Dr. Kerry Courneya and Dr. Christine Friedenreich. Co-principal applicant: Dr. McNeely. Centres: Edmonton: Cross Cancer Institute and University of Alberta; Calgary: Holy Cross Centre and University of Calgary.
Funding: Canadian Institutes of Health Research
Alberta Cancer Exercise Hybrid Effectiveness-Implementation Study (ACE)
The primary purpose of this proposed 5-year hybrid effectiveness and implementation study is to evaluate the relative benefit from, and implementation of an Alberta wide clinic-to-community-based cancer exercise model of care - the Alberta Cancer Exercise (ACE) Program. Lead: Dr. McNeely. Co-leads: Dr. Nicole Culos-Reed and Ms. Melissa Shea-Budgell. Sites: Across Alberta. Local Edmonton sites: Cancer Rehab Clinic (University of Alberta), Don Wheaton YMCA, Castledowns YMCA and Wellspring Edmonton.
Funding: Alberta Innovates Cancer Prevention Research Opportunity
Heal-Me Personalized Online Nutrition and Exercise Routines (PiONEeR)
The purpose of this study is to compare 12-weeks of virtual multidisciplinary programming provided at three levels of support intensity to determine impacts on clinical outcomes, acceptability, and cost amongst outpatients with cancer, liver disease, or lung disease.
Participants will be randomized to one of three groups: (i) standard care, (ii) a personnel-light app-based intervention, (iii) a personnel-intensive app-based intervention. Participants randomized to standard care will receive exercise and nutrition resources as well as a Garmin watch. Participants in the experimental groups will receive standard care, plus a 12-week multidisciplinary app-based personalized program involving 12 weeks of exercise programming and 10-weeks of nutrition programming. Participants in study group 3 will receive additional one-on-one care.
Co-Leads: Dr. Puneeta Tandon and Dr. Margaret McNeely
Funding: Alberta Innovates COVID-19 grant
EXCEL: Exercise for Cancer to Enhance Living Well (EXCEL)
As cancer survivorship numbers grow, a focus on positive health in survivorship is essential. Exercise is an evidence-based effective self-management strategy that benefits all cancer survivors (CS). However, the majority of research and the limited development of evidence-based clinical or community programs in exercise and cancer has been conducted almost exclusively in urban academic and clinical settings, with very limited implementation outreach to "hard to reach" CS.
In this proposed cancer exercise hybrid implementation effectiveness research, over 5 years we will use an integrated knowledge translation approach to move the current evidence-base that clearly supports the role of exercise in cancer survivorship, into sustainable and effective community-based or online settings that will optimize the delivery of exercise to rural/remote and underserved CS (RCS). Implementing and evaluating the proposed Exercise Oncology Survivorship (EOS) partnership model will result in a sustainable resource to support the implementation and delivery of exercise oncology programs in rural Canadian communities.
Lead: Dr. Nicole Culos-Reed; Co-PIs: Dr. Melanie Keats, Dr. Daniel Santa Mina, and Dr. Margaret McNeely
Funding: Canadian Cancer Society, Canadian Institutes of Health Research and Alberta Cancer Foundation
Soon to be re-initiated!
Decongestive Exercise and Compression for Breast Cancer Related Lymphedema Management (DREAM)
Women who have undergone breast cancer surgery may develop swelling of the arm on the side the breast cancer occurred. If the swelling becomes chronic it is called lymphedema. This study will examine the effect of a 12-week decongestive progressive resistance exercise with advanced compression on breast cancer related lymphedema. Our objective is to determine if breast cancer survivors are willing and able to wear advanced compression while exercising and if the combination will help to reduce their lymphedema. Twenty-four breast cancer survivors from Edmonton, Alberta will be enrolled in the one-year long study.
Graduate Student project: Mona Al Onazi, PT, PhDc; Principal Investigator: Dr. Margaret McNeely
Funding: Investigator Initiated Trials: Cross Cancer Institute
PTher 504 Therapeutic Exercise: PNF, Aquatic Therapy and Chronic Edema sections
PTher 548 Long-term Conditions: Oncology module
Rehab 503 Interdisciplinary Practice: Head and Neck Cancer Elective
Dr. McNeely's lab is full. She is not accepting new graduate students at this time.
Started: 2019
Chapter published in: Cancer Rehabilitation: Principles and Practices, 2nd Edition.
Stubblefield M, Editor. Demos Medical Publishing