Fear of movement in patients attending cardiac rehabilitation: A validation study

Keessen, Paul; Uijl, Iris den; Visser, Bart; Berg-Emons, Hendrika van den; Latour, Corine; Sunamura, Madoka; Jørstad, Harald T; Riet, Gerben ter; Reimer, Wilma J.M. Scholte op; Kraaijgenhagen, Roderik A; Hoeve, Nienke ter

doi:10.2340/16501977-2653

Cited by 15 publications

(28 citation statements)

References 19 publications

(29 reference statements)

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“…Many patients in this study believed that PA could result in injury to their heart. In our previous study, we validated the TSK-NL Heart questionnaire, and showed that `fear of injury’ is the main factor in the construct `kinesiophobia’ [ 25 ]. Fear of injury after an acute cardiac event is normal and understandable.…”

Section: Discussionmentioning

confidence: 99%

“…The TSK-NL Heart consists of 13 questions with a four-point answer scale with a minimum score of 13 and maximum score of 52 points. A score of > 28 is an indication of high levels of kinesiophobia [ 25 ]. This cut off score was used to divide the patients into two groups, a ‘low level of kinesiophobia’ group (LowKin) and a ‘high level of kinesiophobia’ group (HighKin).…”

Section: Methodsmentioning

confidence: 99%

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Factors related to fear of movement after acute cardiac hospitalization

Keessen

Latour

Duijvenbode

et al. 2020

BMC Cardiovasc Disord

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Background Fear of movement (kinesiophobia) after an acute cardiac hospitalization (ACH) is associated with reduced physical activity (PA) and non-adherence to cardiac rehabilitation (CR). Purpose To investigate which factors are related to kinesiophobia after an ACH, and to investigate the support needs of patients in relation to PA and the uptake of CR. Methods Patients were included 2–3 weeks after hospital discharge for ACH. The level of kinesiophobia was assessed with the Tampa Scale for Kinesiophobia (TSK-NL Heart). A score of > 28 points is defined as ‘high levels of kinesiophobia’ (HighKin) and ≤ 28 as ‘low levels of kinesiophobia’ (LowKin). Patients were invited to participate in a semi-structured interview with the fear avoidance model (FAM) as theoretical framework. Interviews continued until data-saturation was reached. All interviews were analyzed with an inductive content analysis. Results Data-saturation was reached after 16 participants (median age 65) were included in this study after an ACH. HighKin were diagnosed in seven patients. HighKin were related to: (1) disrupted healthcare process, (2) negative beliefs and attitudes concerning PA. LowKin were related to: (1) understanding the necessity of PA, (2) experiencing social support. Patients formulated ‘tailored information and support from a health care provider’ as most important need after hospital discharge. Conclusion This study adds to the knowledge of factors related to kinesiophobia and its influence on PA and the uptake of CR. These findings should be further validated in future studies and can be used to develop early interventions to prevent or treat kinesiophobia and stimulate the uptake of CR.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Factors related to fear of movement after acute cardiac hospitalization

Keessen

Latour

Duijvenbode

et al. 2020

BMC Cardiovasc Disord

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“…In addition, in a comprehensive review of sex differences in chronic pain, it was noted that women reported lower activities of daily living and higher levels of anxiety than men, 40 both of which are components of the EQ-5D-5L, the HRQOL scale used in this study. Additionally, the association between kinesiophobia and anxiety has been shown in patients undergoing cardiac rehabilitation, 41 which may explain why kinesiophobia was also stronger in women with high anxiety tendencies.…”

Section: Discussionmentioning

confidence: 98%

Sex Differences in the Mediating Effect of Kinesiophobia on Chronic Pain, Dysesthesia, and Health-Related Quality of Life in Japanese Individuals Aged 65 Years Old and Older Treated with Surgery for Lumbar Spinal Stenosis

Higuchi

Kondo²,

Watanabe³

et al. 2022

JPR

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“…Fear of movement or kinesiophobia is a common problem in patients with cardiac diseases, and this might influence adherence to CR. 21 This will be assessed through the Tampa Scale for Kinesiophobia (TSK‐NL Heart questionnaire), 21 , 22 consisting of 17 questions with a 4‐point answer scale. Lastly, self‐efficacy is measured using the General Self‐Efficacy Scale (GSE).…”

Section: Methodsmentioning

confidence: 99%

Heart failure and promotion of physical activity before and after cardiac rehabilitation (HF‐aPProACH): a study protocol

et al. 2021

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Aims Lifestyle changes, such as increasing physical activity (PA), are a cornerstone of treatment of patients with chronic heart failure (HF). However, improving PA in HF patients is challenging, and low participation rates for cardiac rehabilitation (CR) as well as relapse to low PA levels after CR are major issues. We designed a randomized controlled trial to investigate if PA monitoring with motivational feedback before and after centre-based CR in HF patients with reduced ejection fraction (HFrEF) will lead to a clinically meaningful increase in physical fitness. Methods and results A randomized controlled trial will be conducted in a sample of 180 HFrEF patients (New York Heart Association Class II/III) who are referred to 12-week standard CR. Patients will be randomized (2:1) to (1) standard of care (SoC) plus wearing a PA monitoring device (Fitbit Charge 3) with personalized step goals, feedback and motivation or (2) SoC only. The intervention lasts ±7 months: 4-5 weeks before CR, 12 weeks during CR and 12 weeks after CR. Measurements will take place at three time points. The primary endpoint is the change in the distance in 6-min walking test (6MWT) over the entire study period. Other endpoints include step count, grip strength, quality of life and all-cause mortality or hospitalization. Conclusions HF-aPProACH will provide novel information on the effectiveness of remote PA stimulation and feedback before, during and after standard CR using a commercially available device to improve physical fitness in HFrEF patients.

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Fear of movement in patients attending cardiac rehabilitation: A validation study

Cited by 15 publications

References 19 publications

Factors related to fear of movement after acute cardiac hospitalization

Factors related to fear of movement after acute cardiac hospitalization

Sex Differences in the Mediating Effect of Kinesiophobia on Chronic Pain, Dysesthesia, and Health-Related Quality of Life in Japanese Individuals Aged 65 Years Old and Older Treated with Surgery for Lumbar Spinal Stenosis

Heart failure and promotion of physical activity before and after cardiac rehabilitation (HF‐aPProACH): a study protocol

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