Çakal Beyza, Yıldırım Meriç, Emren Sadık Volkan
Institute of Health Sciences, Dokuz Eylul University, İzmir, Turkey.
Faculty of Physical Therapy and Rehabilitation, Dokuz Eylul University, İzmir, Turkey.
Postepy Kardiol Interwencyjnej. 2022 Sep;18(3):246-254. doi: 10.5114/aic.2022.122892. Epub 2022 Dec 17.
Kinesiophobia is an important risk factor for physical activity and exercise restrictions. It is important to assess kinesiophobia and identify high-risk patients to help prevent sedentary behaviour and increase exercise participation among cardiac patients.
To evaluate kinesiophobia and its association with physical performance, health-related quality of life (HRQOL), patients' limitations and symptoms, and disease history in patients with coronary artery disease (CAD).
Fifty-two patients diagnosed with CAD were enrolled in this study. Kinesiophobia was assessed with the Tampa Scale of Kinesiophobia for Heart. The 5× Sit-to-Stand Test (5-STST), the Timed Up and Go Test (TUGT), and the 6-Minute Walk Test (6-MWT) were used to assess physical performance. Patients' limitations and symptoms and HRQOL were evaluated with the Cardiovascular Limitations and Symptoms Profile. CAD duration and history of myocardial infarction (MI) were also recorded.
87.2% of the patients had high level of kinesiophobia, which was higher in patients with previous MI compared to patients without history of MI ( = 0.031). Kinesiophobia was positively correlated with 5-STST duration, TUGT duration, angina, shortness of breath, HRQOL, and CAD duration, and it was negatively correlated with 6-MWT distance ( < 0.05). According to regression analysis, only angina was a significant predictor for kinesiophobia ( = 0.014). Kinesiophobia was found to be a predictor of physical performance and HRQOL ( < 0.05).
Levels of kinesiophobia are high in patients with CAD, especially in those with a history of MI. Angina is a predictor of kinesiophobia while kinesiophobia is a predictor of both physical performance and HRQOL in CAD patients.
运动恐惧是身体活动和运动受限的重要风险因素。评估运动恐惧并识别高危患者对于预防心脏病患者的久坐行为和增加运动参与度很重要。
评估冠心病（CAD）患者的运动恐惧及其与身体机能、健康相关生活质量（HRQOL）、患者的功能受限和症状以及疾病史的关联。
本研究纳入了52例诊断为CAD的患者。采用心脏运动恐惧坦帕量表评估运动恐惧。采用5次坐立试验（5-STST）、计时起立行走试验（TUGT）和6分钟步行试验（6-MWT）评估身体机能。采用心血管功能受限和症状概况评估患者的功能受限和症状以及HRQOL。还记录了CAD病程和心肌梗死（MI）病史。
87.2%的患者存在高水平的运动恐惧，有MI病史的患者比无MI病史的患者运动恐惧水平更高（P = 0.031）。运动恐惧与5-STST持续时间、TUGT持续时间、心绞痛、呼吸急促、HRQOL和CAD病程呈正相关，与6-MWT距离呈负相关（P < 0.05）。根据回归分析，仅心绞痛是运动恐惧的显著预测因素（P = 0.014）。运动恐惧被发现是身体机能和HRQOL的预测因素（P < 0.05）。
CAD患者的运动恐惧水平较高，尤其是有MI病史的患者。心绞痛是运动恐惧的预测因素，而运动恐惧是CAD患者身体机能和HRQOL的预测因素。
