Cardiovascular diseases remain the number one global concern for morbidity and mortality.
Experience of angina with activity or at rest in patients with coronary artery disease
(CAD) can induce kinesiophobia (fear of movement).
1
In this group of patients, kinesiophobia, often underestimated, may not be irrational
but intricately connected with causing self-harm from an adverse cardiac event.
2
Kinesiophobia, along with anxiety and depression, which are commonly reported in
older adults with cardiovascular diseases, can negatively impact self-efficacy and
engagement in physical activity and exercise.
3
,4
Guidelines on moderate-intensity exercise in patients with CAD are well established.
5
Research shows that high-intensity interval training as an alternative exercise modality
is safe; however, more research is needed for its adoption into practice, especially
in older adults with CAD. The purpose of this study was to investigate the effects
of a physical therapist–assisted combined high-intensity interval training and resistance
exercise program on kinesophobia in older adults with CAD. Additionally, we also examined
if such a program can improve anxiety, depression, and overall physical activity in
this population.- Piepoli M.F.
- Hoes A.W.
- Agewall S.
- et al.
2016 European Guidelines on cardiovascular disease prevention in clinical practice:
The Sixth Joint Task Force of the European Society of Cardiology and Other Societies
on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives
of 10 societies and by invited experts). Developed with the special contribution of
the European Association for Cardiovascular Prevention & Rehabilitation (EACPR).
Eur Heart J. 2016; 37: 2315-2381
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References
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- Fear of movement (kinesiophobia)—An underestimated problem in Polish patients at various stages of coronary artery disease.Ann Agric Environ Med. 2019; 27: 56-60
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- 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts). Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR).Eur Heart J. 2016; 37: 2315-2381
- Psychometric properties of the TSK-11: A shortened version of the Tampa Scale for Kinesiophobia.Pain. 2005; 117: 137-144
- The Hospital Anxiety and Depression Scale.Acta Psychiatr Scand. 1983; 67: 361-370
- International Physical Activity Questionnaire: 12-country reliability and validity.Med Sci Sports Exerc. 2003; 35: 1381-1395
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- Can high-intensity interval training improve physical and mental health outcomes? A meta-review of 33 systematic reviews across the lifespan.J Sports Sci. 2020; 38: 430-469
Article info
Publication history
Published online: September 03, 2021
Footnotes
The authors declare no conflicts of interest.
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© 2021 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
