Original Research Article
Year: 2018 | Month: June | Volume: 8 | Issue: 6 | Pages: 81-86
Evaluation of Fear Avoidance Belief and Kinesiophobia in Patients after Undergoing In-Patient Cardiac Rehabilitation Post Cardiac Surgery
Shruti Prabhakaran Nair1, Ronak Harania2, Vijayendra Rajguru1
MGM College of Physiotherapy, Navi Mumbai - 410209, Maharashtra, India
Corresponding Author: Shruti Prabhakaran Nair
Background: Many patients undergoing cardiac rehabilitation do not have the habit of exercising regularly and get discouraged from it very quickly. Based on clinical experience, patients with coronary artery diseases (CAD) often have doubts on the safety of performing physical activity due to the disease, and consequently they avoid physical activity. Avoidance behavior is adaptive as a natural response to acute injury. Aim of the study was to evaluate Fear avoidance belief and Kinesiophobia in patients after undergoing in-patient cardiac rehabilitation post cardiac surgery.
Methods: In total 30 patients posted for planned cardiac surgery were recruited according to the inclusion criteria. Tampa Scale of Kinesiophobia (TSK) was used to measure kinesiophobia or fear of movement and Fear Avoidance Belief questionnaire- physical activity (FABQ-pa) scales was used to measure patient’s belief with regards to effect of physical activity both pre-operatively and after in-patient cardiac rehabilitation post cardiac surgery.
Results: Majority of cardiac patients included in the study had coronary artery disease and rheumatic heart disease. Patients presented an elevated level of kinesiophobia and fear avoidance belief to physical activity pre-operatively. Kinesiophobia and fear avoidance to physical activity reduces significantly after undergoing in-patient cardiac rehabilitation post cardiac surgery. Student’s t test revealed a statistically significant reduction in the scores of TSK and FABQ (pa) after undergoing in-patient cardiac rehabilitation post operatively (p=0.00).
Conclusion: In-patient cardiac rehabilitation helps in reducing Fear avoidance belief (physical activity) and kinesiophobia in patients post cardiac surgery.
Key words: Kinesiophobia, Fear avoidance belief, cardiac rehabilitation.