Fear of movement a common problem among patients with coronary artery disease

November 23, 2012

A doctoral thesis at Sahlgrenska Academy, University of Gothenburg, Sweden, has found that one out of five patients with coronary artery disease experience such a great fear of movement (kinesiophobia) that their health may suffer as a result.

Due to fear that movement will harm them, many patients with coronary artery disease avoid exercise and physical activity. Kinesiophobia, which is a normal psychological reaction in the acute stage after a coronary event, prevents many patients from participating in a cardiac rehabilitation program.

A doctoral thesis by researchers at Sahlgrenska Academy, University of Gothenburg, demonstrates that kinesiophobia is more common than previously believed. Doctoral student Maria Bäck looked at 332 patients with coronary artery disease six months after the acute cardiac event. She found occurrence of kinesiophobia in one out of every five patients.

"The situation is serious," Ms. Bäck says. "Patients with kinesiophobia were less likely to participate in cardiac rehabilitation, performed worse on muscle tests and reported less physical activity, primarily medium and high-frequency activities. They also experienced poorer quality of life, as well as higher degrees of anxiety and depression, than patients without kinesiophobia.

This is the first study exploring kinesiophobia in patients with coronary artery disease. The phenomenon is familiar to clinical practitioners, however, and studies of other patient populations - particular those with chronic pain - have found that kinesiophobia poses an obstacle to successful rehabilitation.

Ms. Bäck's thesis shows that attending exercise-based cardiac rehabilitation decreases the odds for kinesiophobia. The researchers concluded that patients with kinesiophobia must be identified as early as possible after a cardiac event, if they are to follow through on exercise-based cardiac rehabilitation.

"Exercise-based cardiac rehabilitation clearly reduces mortality and morbidity and has a salutary psychological impact," Ms. Bäck says. "So designing targeted interventions for rehabilitation of patients with kinesiophobia is extremely important."
-end-
Contact:

Maria Bäck, doctoral student at the Institute of Medicine, Sahlgrenska Academy, University of Gothenburg maria.m.back@vgregion.se

Johan Herlitz, M.D., Professor, +46 734 612002, johan.herlitz@gu.se

University of Gothenburg

Related Physical Activity Articles from Brightsurf:

Physical activity in the morning could be most beneficial against cancer
The time of day when we exercise could affect the risk of cancer due to circadian disruption, according to a new study with about 3,000 Spanish people  

Physical activity and sleep in adults with arthritis
A new study published in Arthritis Care & Research has examined patterns of 24-hour physical activity and sleep among patients with rheumatoid arthritis, lupus, and knee osteoarthritis.

Regular physical activity seems to enhance cognition in children who need it most
Researchers at the Universities of Tsukuba and Kobe re-analyzed data from three experiments that tested whether physical activity interventions lead to improved cognitive skills in children.

The benefits of physical activity for older adults
New findings published in the Scandinavian Journal of Medicine & Science in Sports reveal how physically active older adults benefit from reduced risks of early death, breast and prostate cancer, fractures, recurrent falls, functional limitations, cognitive decline, dementia, Alzheimer's disease, and depression.

Physical activity may protect against new episodes of depression
Increased levels of physical activity can significantly reduce the odds of depression, even among people who are genetically predisposed to the condition.

Is physical activity always good for the heart?
Physical activity is thought to be our greatest ally in the fight against cardiovascular disease.

Physical activity in lessons improves students' attainment
Students who take part in physical exercises like star jumps or running on the spot during school lessons do better in tests than peers who stick to sedentary learning, according to a UCL-led study.

Physical activity may attenuate menopause-associated atherogenic changes
Leisure-time physical activity is associated with a healthier blood lipid profile in menopausal women, but it doesn't seem to entirely offset the unfavorable lipid profile changes associated with the menopausal transition.

Are US adults meeting physical activity guidelines?
The proportion of US adults adhering to the 'Physical Activity Guidelines for Americans' from the US Department of Health and Human Services didn't significantly improve between 2007 and 2016 but time spent sitting increased.

Children from disadvantaged backgrounds do less vigorous physical activity
Children from disadvantaged backgrounds and certain ethnic minority backgrounds, including from Pakistani and Bangladeshi backgrounds, have lower levels of vigorous physical activity, according to researchers at the University of Cambridge.

Read More: Physical Activity News and Physical Activity Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.