The impact on kinesiophobia (fear of movement) by clinical variables for patients with coronary artery disease

Bäck, Maria; Cider, Åsa; Herlitz, Johan; Lundberg, Mari; Jansson, Bengt

doi:10.1016/j.ijcard.2011.12.107

Cited by 81 publications

(103 citation statements)

References 31 publications

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“…A previous study has shown that an excessive fear of movement, i.e. kinesiophobia, was present in 20% of patients with CAD and that kinesiophobia had a negative influence on variables important to rehabilitation outcomes [26]. Other studies have revealed that patients with CAD expressed concern about the risk of another myocardial infarction through physical exertion [23, 27].…”

Section: Discussionmentioning

confidence: 99%

Important aspects in relation to patients’ attendance at exercise-based cardiac rehabilitation – facilitators, barriers and physiotherapist’s role: a qualitative study

Bäck

Öberg

Krevers

2017

BMC Cardiovasc Disord

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BackgroundIn order to improve attendance at exercise-based cardiac rehabilitation (CR), a greater insight into patients’ perspectives is necessary. The aim of the study was to explore aspects that influence patients’ attendance at exercise-based CR after acute coronary artery disease (CAD) and the role of the physiotherapist in patients’ attendance at exercise-based CR.MethodsA total of 16 informants, (5 women; median age 64.5, range 47-79 years), diagnosed with CAD, were included in the study at the Cardiology Department, Linköping University Hospital, Sweden. Qualitative interviews were conducted and analysed according to inductive content analysis.ResultsFour main categories were identified: (i) previous experience of exercise, (ii) needs in the acute phase, (iii) important prerequisites for attending exercise-based CR and (iv) future ambitions. The categories demonstrate that there are connections between the past, the present and the future, in terms of attitudes to facilitators, barriers and the use of strategies for managing exercise. An overall theme, defined as existential thoughts, had a major impact on the patients’ attitudes to attending exercise-based CR. The interaction and meetings with the physiotherapists in the acute phase were described as important factors for attending exercise-based CR. Moreover, informants could feel that the physiotherapists supported them in learning the right level of effort during exercise and reducing the fear of exercise.ConclusionsThis study adds to previous knowledge of barriers and facilitators for exercise-based CR that patients with CAD get existential thoughts both related to exercise during the rehabilitation process and for future attitudes to exercise. This knowledge might necessitate greater attention to the physiotherapist-patient interaction. To be able to tailor exercise-based CR for patients, physiotherapists need to be aware of patients' past experiences of exercise and previous phases of the rehabilitation process as these are important for how patients’ perceive their need and ability of exercise.Electronic supplementary materialThe online version of this article (doi:10.1186/s12872-017-0512-7) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Important aspects in relation to patients’ attendance at exercise-based cardiac rehabilitation – facilitators, barriers and physiotherapist’s role: a qualitative study

Bäck

Öberg

Krevers

2017

BMC Cardiovasc Disord

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“…Finally, duration in CR (i.e. months participating in the program) showed inverse results compared to the literature 23 . In our study, patients that are participating in CR for more than 6 months had significantly greater kinesiophobia.…”

Section: Discussionmentioning

confidence: 61%

“…Criterion validity was assessed by comparing TSK-SV Heart scores by gender 21 , level of education 22 , family income 22 , and duration in CR 23 . T-tests and Pearson's correlation were used as applicable.…”

Section: Discussionmentioning

confidence: 99%

“…Although the occurrence of kinesiophobia in patients with CAD is not known, this condition has been shown to have a negative influence in the outcome of rehabilitation and is consequently of importance in the clinical setting 23 . The validation of the Portuguese version of the TSK-SV Heart followed strict norms, since the process of adapting an instrument to be used by a different population requires a greater effort than simply translation and idiomatic and semantic analysis 17 .…”

Section: Discussionmentioning

confidence: 99%

“…Two hundred sixty nine (89.6%) patients had a high level of kinesiophobia (TSK-SV Heart total scores > 37) 14,23 . Regarding the 4 areas of the TSK-SV Heart, participants rated fear (2.76±2.37) and dysfunction (2.76±1.73) as the higher theoretical frameworks related to kinesiophobia.…”

Section: Descriptive Analysis Of the Occurrence Of Kinesiophobia Amonmentioning

confidence: 99%

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Validation of the portuguese version of the tampa scale for kinesiophobia heart (TSK-SV heart)

Ghisi

Santos

Felipe

et al. 2017

Rev Bras Med Esporte

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Introduction: It has been shown that kinesiophobia has a negative influence on the outcomes of cardiac rehabilitation and consequently is important for the clinical setting. Objective: The objective of this study was to translate, culturally adapt, and psychometrically validate the Tampa Scale for Kinesiophobia Heart (TSK-SV Heart) to Brazilian Portuguese. Methods: The Portuguese version was tested in 300 patients in cardiac rehabilitation. Test-retest reliability was assessed by intraclass correlation coefficient, internal consistency by Cronbach’s alpha, and criterion validity was assessed with respect to patients’ education, income, duration of cardiac rehabilitation, and sex. Results: After intraclass correlation coefficient analysis, one item was excluded. All four areas were considered internally consistent (α >0.7). Significant differences between mean total scores and income (p<0.01) supported the criterion validity. Two hundred sixty-nine (89.6%) patients had a high level of kinesiophobia (scores > 37). Conclusions: The Brazilian Portuguese version of TSK-SV Heart demonstrated sufficient reliability, consistency and validity, supporting its use in future studies.

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Scared for the scar: fearsome impact of acute cardiovascular disease on perceived kinesiophobia (fear of movement)

Brunetti

Guerra

Ieva

et al. 2017

Clinical Cardiology

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Background To assess levels of kinesiophobia (fear of movement) in patients hospitalized for acute cardiovascular disease. Hypothesis Increased levels of kinesiophobia can be found in subjects hospitalized for acute cardiovascular disease. Methods Seventy‐four consecutive patients admitted for acute coronary syndrome and 58 for acute heart failure were enrolled in the study and assessed by the Tampa Scale for the evaluation of kinesiophobia. Subjects were compared with a reference population with stable coronary artery disease and healthy controls. Results No significant differences were found between acute coronary syndrome and acute heart failure in terms of kinesiophobia, even considering the rates of high kinesiophobia (Tampa score >37) and the 4 groups of questionnaire items (danger, fear, avoidance, dysfunction). Differences, however, were significant comparing our population with an historical population of subjects with stable coronary artery disease and controls (43 ± 5 vs 35 ± 7 vs 33 ± 6, P < 0.0001 in both cases). A significant correlation was found between the grade of kinesiophobia in the Tampa Scale and the age of subjects (r = 0.27, P = 0.001) and inversely with level of education (r = −0.33, P < 0.0001). Conclusions Increased levels of kinesiophobia can be found in subjects hospitalized for acute cardiovascular disease. Kinesiophobia is related to age and education. Kinesiophobia should be carefully considered in subjects hospitalized in acute cardiac care units.

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The impact on kinesiophobia (fear of movement) by clinical variables for patients with coronary artery disease

Cited by 81 publications

References 31 publications

Important aspects in relation to patients’ attendance at exercise-based cardiac rehabilitation – facilitators, barriers and physiotherapist’s role: a qualitative study

Important aspects in relation to patients’ attendance at exercise-based cardiac rehabilitation – facilitators, barriers and physiotherapist’s role: a qualitative study

Validation of the portuguese version of the tampa scale for kinesiophobia heart (TSK-SV heart)

Scared for the scar: fearsome impact of acute cardiovascular disease on perceived kinesiophobia (fear of movement)

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