Kinesiophobia and Associated Factors in Patients With Myocardial Infarction

Hazal Yakut Ozdemir1, Sevgi Ozalevli2, Elvan Felekoglu3

  • 1Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Izmir Deomkrasi University, Izmir, Turkey.

PubMed

Insights

Kinesiophobia, or fear of movement, is prevalent in myocardial infarction (MI) patients, negatively impacting physical activity and quality of life. Addressing this fear is crucial for improving clinical outcomes in cardiac rehabilitation.

Area of Science:

  • Cardiology
  • Psychology
  • Rehabilitation Medicine

Background:

  • Kinesiophobia is a known barrier to recovery in various conditions.
  • Limited research exists on kinesiophobia in myocardial infarction (MI) patients.
  • Understanding kinesiophobia's impact is vital for optimizing cardiac patient care.

Purpose of the Study:

  • To investigate the prevalence of kinesiophobia in MI patients.
  • To examine the relationship between kinesiophobia and clinical outcomes.
  • To assess the correlation with physical activity, quality of life, and psychological distress.

Main Methods:

  • Cross-sectional study of 42 MI patients.
  • Utilized TSK-SV Heart, IPAQ-SF, 6MWT, HADS, mMRC, CCI, and MacNew HRQoL questionnaires.
  • Correlational analysis to assess relationships between variables.

Main Results:

  • High kinesiophobia (71.4%) was observed in MI patients (mean TSK-SV Heart score: 39.24).
  • Kinesiophobia strongly correlated with physical activity (IPAQ-SF, 6MWT) and dyspnea (mMRC).
  • High kinesiophobia was linked to lower quality of life and higher anxiety, depression, and comorbidity scores.

Conclusions:

  • Kinesiophobia is common in MI patients and a significant risk factor for physical and psychosocial dysfunction.
  • Early and late-stage intervention for kinesiophobia is recommended in cardiac rehabilitation.
  • Targeting kinesiophobia can enhance functional independence and physical activity levels in MI survivors.

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