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Title: Effect of cardiac rehabilitation program on kinesiophobia and functional capacity in open heart surgery
Authors: Muhammad Bilal, Saira Jahan, Muhammad Zakria, Iqbal Ali Shah, Iqbal Tariq, Sumaiyah Obaid
Journal: The Rehabilitation Journal
Publisher: Human Easement Foundation
Country: Pakistan
Year: 2023
Volume: 7
Issue: 2
Language: English
Background: Open heart surgery is the major surgical procedure that is the most frequently conducted in general hospitals. Kinesiophobia and functional capacity are greatly compromised after open heart surgery. Cardiac rehabilitation helps in secondary prevention and minimizes different risk factors of cardiovascular disease.
Objective: To determine the effect of a cardiac rehabilitation program on kinesiophobia and functional capacity after open heart surgery.
Methodology: A quasi-experimental study was conducted at Rehman medical institute, Peshawar. The sample size was calculated as 45 by using G power, both male and female patients of aged 50 to 70 years who underwent open heart surgery were selected through a nonprobability purposive sampling technique from July 2021 to February 2022. Patients having any neurodegenerative disease, disorder of stance and gait, or drug intoxication were excluded. Pre and post-assessment after a week after was done using scale Tampa scale of kinesiophobia-11 for kinesiophobia and 6 minutes walk test for functional capacity. Phase 1 cardiac rehabilitation program was used as an intervention after open heart surgery. Paired t-test was applied to determine the mean difference in a group pre and post-interventional. SPSS version 23 was used to analyze the data.
Results: The Mean age of the patients was 59.71±5.01 years. The results showed a significant improvement in kinesiophobia (28.96±4.67 versus 21.76±3.51, p<0.001) and functional capacity on 6 MWT (227.11±74.40 versus 326.02±80.05, p<0.001) after cardiac rehabilitation program was observed in study participants enrolled.
Conclusion: The study concluded that cardiac rehabilitation programs have a significant effect on kinesiophobia and functional capacity after open heart surgery.
Keywords: cardiac rehabilitation, functional capacity, kinesiophobia, open heart surgery.
To determine the effect of a cardiac rehabilitation program on kinesiophobia and functional capacity after open heart surgery.
A quasi-experimental study was conducted at Rehman Medical Institute, Peshawar, from July 2021 to February 2022. A sample of 45 patients aged 50-70 years who underwent open heart surgery were selected using nonprobability purposive sampling. Patients with neurodegenerative disease, disorders of stance and gait, or drug intoxication were excluded. Pre and post-assessments were conducted one week after the intervention using the Tampa Scale of Kinesiophobia-11 for kinesiophobia and the 6-Minute Walk Test (6MWT) for functional capacity. Phase 1 cardiac rehabilitation was used as the intervention. Paired t-test was applied to analyze the data using SPSS version 23.
graph TD;
A["Patient Recruitment n=45, 50-70 yrs, post open heart surgery"] --> B["Exclusion Criteria Applied"];
B --> C["Intervention: Phase 1 Cardiac Rehabilitation"];
C --> D["Pre-assessment Kinesiophobia & Functional Capacity"];
D --> E["Post-assessment Kinesiophobia & Functional Capacity"];
E --> F["Data Analysis: Paired t-test"];
F --> G["Results & Conclusion"];
The study suggests that cardiac rehabilitation programs significantly improve both kinesiophobia and functional capacity in patients following open heart surgery. The improvements in kinesiophobia are attributed to gradual exercise progression, education, reassurance, and psychological support. Enhanced flexibility, strength, motor control, and physical training contribute to improved functional capacity, fostering a sense of competency and confidence. The authors note that including a control group would have been beneficial but was not feasible due to the standard practice of providing cardiac rehabilitation to all open-heart surgery patients in the study setting.
The study found significant improvement in kinesiophobia (mean difference of 7.2, p<0.001) and functional capacity on the 6MWT (mean difference of -98.91, p<0.001) after the cardiac rehabilitation program.
Cardiac rehabilitation programs have a significant positive effect on kinesiophobia and functional capacity in patients after open heart surgery.
1. Sample Size: The study enrolled 45 participants.
2. Age Range: Participants were aged between 50 and 70 years.
3. Publication Year: The study was published in 2023.
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