Father and son fight cancer together through custom workouts at UAlberta Cancer Rehabilitation Clinic

    Ongoing study shows Alberta Cancer Exercise program helps cancer patients and survivors going through treatment and recovery

    By Amy Knezevich on December 10, 2019

    (Edmonton) As James Leskiw wraps up his last exercise session of the program at the University of Alberta’s Cancer Rehabilitation Clinic this week, he is grateful to have his father by his side—working out with him. 

    Alongside his dad Terry, who is a cancer survivor himself, James has been participating in the Alberta Cancer Exercise (ACE) program at the University of Alberta’s Faculty of Rehabilitation Medicine. He was diagnosed with a brain tumor last year, has finished radiation plus chemotherapy and is finishing up another round of chemotherapy treatments.  

    “James is the love of my life, we’re hunters, fishermen, we do a lot together,” said Terry, 73. “At first I was just driving James and waiting for him, but when Margie McNeely found out I’d had prostate cancer, I got into the program as well. When you have something like this happen, you realize the little things in life are important, and the little things that we do as a family together.”

    “I think it’s really cool to do this with my dad,” said James, 42.

    James completes exercises in the
    Cancer Rehabilitation Clinic as part
    of the ACE program.

    ACE is a study that is examining how best to offer exercise programming for individuals undergoing or recovering from cancer treatment. Since starting in January 2017, over 1,500 Albertans with cancer have taken part in the ACE program across the province. The program is now offered at 18 sites in seven cities: Edmonton, Calgary, Red Deer, Medicine Hat, Lethbridge, Fort McMurray and Grande Prairie. The study is supported by Alberta Innovates and the Alberta Cancer Foundation.

    “Research shows that exercise has many benefits for cancer patients and survivors, at any stage of their treatment and recovery. The goal of the ACE program is to support cancer patients and survivors to take part in exercise in a setting that feels comfortable and welcoming,” said Margie McNeely, ACE study lead and director of the Cancer Rehabilitation Clinic.
     
    Some of the participants in ACE are in remission, some are just starting treatment and some of the participants have advanced cancer and may be on and off cancer treatments to control their disease. 

    “Many of these individuals will live a long time with cancer. For these patients and survivors, their needs in terms of rehabilitation are ongoing and we want to support them in maintaining the best possible quality of life,” said McNeely, who is also a professor in the Department of Physical Therapy

    The ACE program is tailored to each participant’s fitness level and designed to address personal fitness or lifestyle goals. Many of the participants experience benefits from taking part in the program including having more energy, improved strength and physical fitness, and better overall health and wellness. McNeely’s ACE team is now working with some of the cancer groups to tailor the program to specifically meet their needs, providing a more customized approach. 

    James and Terry have a friendly competition
    to see who can hold a plank the longest at
    the Cancer Rehabilitation Clinic.

    “ACE has definitely made a difference... we believe that physically fit patients tolerate chemotherapy and radiation treatment better. Every patient we have had on ACE has reported back that the program has been well organized and positively impacted their quality of life. We are strong advocates of ACE,” said Dr. Jacob Easaw, neuro-oncologist at the Cross Cancer Institute and associate professor in the Division of Medical Oncology in the Faculty of Medicine & Dentistry.

    “I started in July, and since then I’ve gone through chemo and the side effects have been negligible. The worst thing I get is fatigued, but the recovery from that has really improved. When the fatigue hits I have to nap around three hours, but then as I come off the chemo cycle, the recovery is so much quicker, I don’t have to nap, or the nap is 20 minutes,” said James. 

    “It’s hard to put numbers on that, but I attribute it to the activity, and I also have an overall feeling of well-being now which is amazing.”

    “I’m just sold on this whole thing. It’s the little things they do; they can adjust my program so that it makes me feel better. They all have their expertise. And they’re a chatty group that boost your morale!” said Terry.

    The ACE study is not a funded program, so their next step is to determine how best to implement the program as part of care, and ensure that all Albertans with cancer, regardless of location of residence, have access to, and can benefit from, supported exercise.