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Invited Commentary

E Dean, PhD, PT, is Associate Professor, University of British Columbia, School of Rehabilitation Sciences, 2211 Wesbrook Mall, Vancouver, British Columbia, Canada V6T 2B5; Clinical Associate, Physiotherapy Department, Royal Columbian Hospital, New Westminster, British Columbia, Canada; and Clinical Associate, Physiotherapy Department, St Paul's Hospital, Vancouver, British Columbia, Canada

This excerpt was created in the absence of an abstract.

I appreciate the opportunity to reflect and provide a commentary on the article by Thomas and McIntosh. It is only through dialogue and the exchange of ideas that the specialty of cardiopulmonary physical therapy can advance.

The Dichotomy

The study by Thomas and McIntosh highlights a dichotomy that has emerged as the cardiopulmonary specialty strives toward establishing a scientific basis for practice. On the one hand, the tools available to evaluate the effectiveness of conventional components of treatment have increased in number and sophistication. In keeping with this thrust, Thomas and McIntosh have applied a sophisticated statistical tool, namely, a meta-analysis, to pool the results across studies. Meta-analysis was applied in this study to help resolve conflicting results related to the effects of incentive spirometry, intermittent breathing, and deep breathing exercises on preventing postoperative complications in patients following upper abdominal surgery....

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Author Response

Jackie A Thomas and John M McIntosh
Physical Therapy 1994 74: 15-16. [Abstract] [PDF]

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