It has been great to be involved with the Journal for the past 5 years as a reviewer and then as an Associated Editor. Becoming the Journal's interim Editor-in-Chief is an honor and a privilege. I must thank Dr. Sean Collins for helping my editorial career. He has been the only Editor-in-Chief that I have worked with, and he has taught me the essential balance between meeting the needs of the Journal's audience and scientific rigor. I must also thank the Academy, Associated Editors, and the Editorial Board for trusting me with this important task. I will make sure to continue the great work the Journal has been doing for the past decade.
In this issue, we are pleased to offer readers a variety of articles including a literature review, a clinical perspective, 2 research reports, and a case report, which demonstrates the rich and diverse group of authors conducting research in our field. Ricard et al1 put together a literature review article summarizing their 2021 CSM presentation about ‟The Year (2020) in review.” Here, the authors reviewed relevant clinical information in several cardiovascular and pulmonary topics such as intensive care unit, cardiac surgery, sex and gender, heart transplant, inspiratory muscle training, and more. In addition, Bitzer et al2 share in their clinical perspective a screening algorithm to help guide physical and occupational therapy evaluation readiness and treatment decisions for patients with COVID-19 in the acute care setting. Some of the screening factors included defining and identifying stages of disease severity, assessment of laboratory values, monitoring oxygen stability, and other factors impacting patient mobility.
In an international collaboration from Canada, France, and Iran, Kasawara et al3 studied sex differences in abdominal exercises and respiratory pressures and the relationship between mobility, pneumonia, and hospital stay and costs. The authors found that the twist curl-up exercise elicited larger abdominal muscles' activation than the pelvic tilt exercise, and this activation is different between young healthy males and females. In addition, from Australia, Lloyd et al4 studied the relationship between mobility, pneumonia, and hospital stay and costs. The authors conducted a longitudinal (12 months) observational study of 347 individuals hospitalized with community-acquired pneumonia to determine the relationship between mobility level and hospital stay and costs. The results demonstrated that mobility deterioration during acute pneumonia has a significant impact on hospital stay and costs. Finally, Stam et al5 present a very interesting case study about cardiovascular compromise in patients with spinal cord injury, focusing on autonomic dysreflexia, cardiac pacing abnormality, and orthostatic hypotension. The authors present here a 62-year-old man with spinal cord injury with several cardiac and hemodynamic events that required special management form both the medical and physical therapy perspective.
These articles, and those already published ahead-of-print, confirm that the Journal is in a strong position. I look forward to continuing our mission of disseminating relevant clinical and scientific research in the area of cardiovascular and pulmonary physical therapy. This is the way to keep the torch burning.
1. Ricard PEH, McHugh HF, Ramsey S. Cardiovascular and pulmonary research: the year (2020) in review. Cardiopulmon Phys Ther. 2021;32(4):130-139.
2. Bitzer GD, Green K, Christopherson R, et al. Adapting physical therapy management of patients with COVID-19 in the acute care setting: A clinical perspective. Cardiopulmon Phys Ther. 2021;32(4):140-146.
3. Kasawara KT, Delafontaine A, Tajali S, et al. Sustained abdominal exercises affect abdominal muscle activation and maximal expiratory pressures differently in healthy men and women. Cardiopulmon Phys Ther. 2021;32(4):147-155.
4. Lloyd M, Callander E, Simons K, et al. Mobility deterioration during acute pneumonia illness is associated with increased hospital length of stay and health service costs: An observational study. Cardiopulmon Phys Ther. 2021;32(4):156-166.
5. Stam D, Pernu J. Clinical implications for cardiovascular compromise in patients with spinal cord injury: A case study of autonomic dysreflexia, cardiac pacing abnormality, and orthostatic hypotension in contemporary physical therapy management. Cardiopulmon Phys Ther. 2021;32(4):167-177.