Key result
Kinesiophobia showed no significant correlation with functional capacity in Phase II CABG patients (r = 0.099, p = 0.494), despite 88% of the population reporting high kinesiophobia.
Why the study?
Kinesiophobia after cardiac surgery is linked to reduced physical activity, non-adherence to cardiac rehabilitation, and deconditioning, but its correlation with functional capacity in Phase II CABG patients remains unclear.
Cross-Sectional (n=50)
No
Effect estimate: r = 0.099
p-value: p=0.494
In Phase II CABG patients, kinesiophobia was highly prevalent (88%) but did not significantly correlate with functional capacity as measured by the 6-minute walk test.
Kinesiophobia may not limit functional capacity after CABG; hypothesis-generating for rehabilitation strategies and requires prospective confirmation.
Background: Coronary Artery Bypass Graft surgery (CABG) remains the most performed cardiac surgery worldwide. Fear of movement (Kinesiophobia) after cardiac surgery is associated with physical activity and non-adherence to cardiac rehabilitation. It is observed that functional capacity is significantly reduced after cardiac surgery. Long term Kinesiophobia leads to avoidance behaviours and hampers the physical levels and leads to deconditioning. The aim of the study was to find out the Correlation between Kinesiophobia and Functional Capacity in Phase II Coronary Artery Bypass Graft patients. Subjects and Methods: 50 CABG patients in Phase II were included in the study. The Tampa Scale of Kinesiophobia- Short Version Heart (TSK-SV Heart) and Six Minute Walk Test were done in the CVTS-OPD. The Spearman rho correlation was done to find a correlation between Kinesiophobia and Functional Capacity. Results and Observations: It was observed that there was no correlation between TSK-SV Heart score (Kinesiophobia) and percent predicted value of 6MWT (Functional Capacity) with r = 0.099 and p value= 0.494. However, the mean of the total TSK-SV Heart score was 41.1 ± 4.743 which was high and 88% of the population reported high Kinesiophobia (score> 37). Conclusion: The results of the study showed no correlation but patients did report high Kinesiophobia and thus it should not be underestimated during cardiac rehabilitation. The possible reasons for high Kinesiophobia could be lack of awareness about the safety and level of physical activity, over-protective care givers, lack of attendance to cardiac rehabilitation post discharge, anxiety, and depression.
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Mistry et al. (2023) conducted a cross-sectional in Phase II Coronary Artery Bypass Graft (CABG) (n=50). Kinesiophobia was evaluated on Correlation between Kinesiophobia (TSK-SV Heart score) and Functional Capacity (percent predicted value of 6MWT) (r = 0.099, p=0.494). Kinesiophobia showed no significant correlation with functional capacity in Phase II CABG patients (r = 0.099, p = 0.494), despite 88% of the population reporting high kinesiophobia.
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