Faculty and Staff : Full-Time Faculty

Lawrence P. Cahalin, PhD, PT, Board Certified Cardiopulmonary Clinical Specialist

Primary Appointment
Department of Physical Therapy, Miller School of Medicine, Clinical Professor

Education
PhD, Gerontology (2010) University of Massachusetts Boston;
MA in Physical Therapy (1992), University of Iowa; PT
BS in Physical Therapy (1982), Saint Louis University

Service
Editorial Board Member of Physiotherapy Theory and Practice – An International Journal of Physical Therapy,
Editorial Board Member of Cardiopulmonary Physical Therapy Journal of the American Physical Therapy Association
Editorial Board Member of Frontiers in Physiology Journal.

Awards
2014 Fellow, American Heart Association
2012 Linda Crane Lectureship, American Physical Therapy Association
2009 Greene Memorial Lecturer, Springfield College, Springfield, Massachusetts
2007 Irma S. Ruebling Saint Louis University Distinguished Speaker, Saint Louis, Missouri

Clinical Focus
Dr. Cahalin is Board Certified in Cardiopulmonary Physical Therapy. He has 33 years of clinical experience in physical therapy. His clinical practice has focused on independent exercise testing, cardiac and pulmonary rehabilitation, physical therapy for patients with end-stage heart and lung disease before and after heart or lung transplantation, and breathing retraining.

Research Focus
Dr. Cahalin has an interest and expertise in exercise testing, exercise training, and assessment of functional capacity. He also has a strong interest and expertise in the testing and training of the respiratory muscles in both healthy subjects and patients with heart and lung disease. His training in both physical therapy and gerontology has provided him with clinical and research skills to better appreciate and understand the effects of aging in older adults with and without heart and lung disease. He is particularly interested in understanding and implementing methods to promote favorable health behaviors in adults. Much of his work has examined the dynamic interaction between the cardiac and pulmonary systems at rest and during exercise with the goal of improving diagnoses, functional performance, and quality of life. He has made significant contributions to science and clinical research addressing (1) the safety of exercise testing, (2) the clinical utility of the 6-minute walk test in heart failure and end-stage lung disease, (3) inspiratory muscle testing and training in heart failure, (4) the clinical utility of heart rate recovery during maximal and submaximal exercise, and (5) promoting the development and implementation of worksite health and wellness programs as vehicles to prevent non-communicable disease and provide cardiac rehabilitation.

Selected Publications:
Peres Costa I, Fernandes Silva MG, Santos Alves VLD, Aletti F, Stirbulov R, Costa
D, Cahalin LP, Arena R, Sampaio LMM. Reliability of the shuttle walk test with controlled incremental velocity in patients with difficult-to-control asthma. J Cardiopulm Rehabil Prev (in press).

Pinkstaff SO, McNeil A, Arena R, Cahalin L. Healthy Living Medicine in the Workplace: More Work to Do. Prog Cardiovasc Dis. 2016 Dec 27. pii: S0033-0620(16)30144-X. doi: 10.1016/j.pcad.2016.12.007. [Epub ahead of print] Review.

Wong ML, Anderson RG, Garcia K, Housmann EM, McHale E, Goldberger GS, Cahalin LP. The effect of inspiratory muscle training on respiratory variables in a patient with ankylosing spondylitis: A case report. Physiotherapy Theory and Practice (in press).

Ricard P, Cahalin LP. Cardiovascular and pulmonary research: The year (2015) in review. Cardiopulm Phys Ther J 2016;27(3):70-79.

Babu AS, Arena R, Myers J, Padmakumar R, Maiya AG, Cahalin LP, Waxman AB, Lavie CJ. Exercise intolerance in pulmonary hypertension: mechanism, evaluation and clinical implications. Expert Rev Respir Med 2016 May 18. [Epub ahead of print].

Sebio R, Yanez-Brage MI, Gimenez-Moolhuyzen E, Valenza MC, Reychler G,Cahalin LP. Impact of a pre-operative pulmonary rehabilitation program on functional performance in patients undergoing video-assisted thoracic surgery for lung cancer. Arch Bronconeumol 2016;52(5):231-232.

Arena R, Lavie CJ, Cahalin LP, Briggs PD, Guizilini S, Daugherty J, Chan WM, Borghi-Silva A. Transforming cardiac rehabilitation into broad-based healthy lifestyle programs to combat noncommunicable disease. Expert Rev Cardiovasc Ther 2015:1-14. [Epub ahead of print] PMID: 26511659.

Campos FV, Tomazi Neves LM, Da Silva VZ, Cipriano GF, Chiappa GR, Cahalin L, Arena R, Cipriano G Jr. Hemodynamic Effects Induced by Transcutaneous Electrical Nerve Stimulation in Apparently Healthy Subjects: a Systematic Review with Meta-Analysis. Arch Phys Med Rehabil 2015 Sep 15. pii: S0003-9993(15)01167-3. doi: 10.1016/j.apmr.2015.08.433. [Epub ahead of print] PMID: 26384939.

Myers J, Arena R, Cahalin LP, Labate V, Guazzi M. Cardiopulmonary exercise testing in heart failure. Curr Probl Cardiol 2015;40(8):322-372.

Cahalin LP, Kaminsky L, Lavie CJ, Briggs P, Cahalin BL, Myers J, Forman DE, Patel M, Pinkstaff SO, Arena R. Development and implementation of a worksite health and wellness program: A focus on non-communicable disease. Prog Cardiovasc Dis 2015 Apr 13. pii: 2047487315580445. [Epub ahead of print].

Guazzi M, Arena R, Pellegrino M, Bandera F, Generati G, Labate V, Alfonzetti E, Villani S, Gaeta MM, Halle M, Haslbauer R, Phillips SA, Cahalin LP. Prevalence and Characterization of Exercise Oscillatory Ventilation in Apparently Healthy Individuals at Variable Risk for Cardiovascular Disease: a Subanalysis of the EURO-EX Trial. Eur J Prev Cardiol 2015, Apr 13. pii: 2047487315580445. [Epub ahead of print].

Arena R, Cahalin LP, Borghi-Silva A, Myers J. The effect of exercise training on the pulmonary arterial system in patients with pulmonary hypertension. Prog Cardiovasc Dis. 2015;57(5):480-8. doi: 10.1016/j.pcad.2014.03.008. Epub 2014 Mar 27.

Cahalin LP, Arena R. Novel Methods of Inspiratory Muscle Training via the Test of Incremental Respiratory Endurance (TIRE). Exerc Sport Sci Rev. 2015;43(2):84-92. doi: 10.1249/JES.0000000000000042.

Cahalin LP, Arena RA. Breathing exercises and inspiratory muscle training in heart failure. Heart Fail Clin. 2015;11(1):149-72. doi: 10.1016/j.hfc.2014.09.002.

Phillips SA, Vuckovic K, Cahalin LP, Baynard T. Defining the system: contributors to exercise limitations in heart failure. Heart Fail Clin. 2015;11(1):1-16.

Neves LMT, Cahalin LP, Silva VZM, Silva ML, Arena R, Spielholz NI, Cipriano G. Effect of chronic neuromuscular electrical stimulation on primary cardiopulmonary exercise test variables in heart failure patients: A systematic review and meta-analysis. Int J Cardiol Metabolic & Endocrine. 2014;5:28-35.

Gaunaurd IA, Gómez-Marín OW, Ramos CF, Sol CM, Cohen MI, Cahalin LP, Cardenas DD, Jackson RM. Physical activity and quality of life improvements of patients with idiopathic pulmonary fibrosis completing a pulmonary rehabilitation program. Respir Care. 2014;59(12):1872-9. doi: 10.4187/respcare.03180. Epub 2014 Sep 2.

Hillegass E, Fick A, Pawlik A, Crouch R, Perme C, Chandrashekar R, Butler-McNamara S, Cahalin LP. Supplemental Oxygen Utilization during Physical Therapy Interventions: Official Guidelines from the Cardiovascular and Pulmonary Section. Cardiopulm Phys Ther J 2014;25(2):1-24.

Forman DE, Daniels KM, Cahalin LP, Zavin A, Allsup K, Cao P, Santhanam M, Joseph J, Arena R, Lazzari A, Schulze PC, Lecker SH. Analysis of skeletal muscle gene expression patterns and the impact of functional capacity in patients with systolic heart failure. J Card Fail. 2014 Jun;20(6):422-30. doi: 10.1016/j.cardfail.2014.03.007. Epub 2014 Apr 2.

Jackson RM, Gómez-Marín OW, Ramos CF, Sol CM, Cohen MI, Gaunaurd IA, Cahalin LP, Cardenas DD. Exercise Limitation in IPF Patients: A Randomized Trial of Pulmonary Rehabilitation. Lung. 2014 Jun;192(3):367-76. doi: 10.1007/s00408-014-9566-9. Epub 2014 Apr 5.

Cahalin LP, Arena R, Labate V, Bandera F, Lavie CJ, Guazzi M. Heart Rate Recovery After the 6-minute Walk Test Rather Than Distance Ambulated Is a Powerful Prognostic Indicator in Heart Failure Reduced and Preserved Ejection Fraction: A Comparison with Cardiopulmonary Exercise Testing. Eur J Heart Failure 15(5):519-527, 2013.

Cahalin LP, Arena R, Guazzi M, Cipriano G, Chiappa G, Lavie CJ, Forman DE. Inspiratory Muscle Training in Heart Disease and Heart Failure – A Review of the Literature with a Focus on Method of Training and Outcomes. Expert Rev Cardiovasc Ther 11(2):161-177, 2013.

Cahalin LP, Blessey RL, Kummer D, Simard M: The safety of exercise testing performed independently by physical therapists. J. Cardiopul Rehabil 7:269-276, 1987.

Courses Taught:
PTS 671: Therapeutic Physiology (DPT: Primary Instructor)
PTS 775: Clinical Decision Making II (DPT: Co-Instructor)
PTS 744: Integrated Sports and Leisure (DPT: Co-Instructor)
PTS 799: Research Practicum (PhD: Primary Instructor)