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Barriers of physical activity (kinesiophobia) in patients subjected to cardiac rehabilitation

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Kocjan J., Knapik A.
Baltic Journal of Health and Physical Activity. The Journal of Gdansk University of Physical Education and Sport
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2014
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tom 06
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nr 4
Background: Comprehensive cardiac rehabilitation (CR) is a process designed to restore full physical, psychological and social activity and to reduce cardiovascular risk factors. Fear of movement may contribute to the occurrence and intensification of hypokinesia, and consequently affect the effectiveness of therapy. The aim of the study was to determine the level of barriers of physical activity in patients undergoing cardiac rehabilitation. The relationship between selected determinants (age and health selfassessment) and the kinesiophobia level were also examined. Material/Methods: 115 people aged 40-84 years were examined: 50 females (x = 63.46; SD = 11.19) and 65 males (x = 64.65; SD = 10.59) – patients undergoing cardiac rehabilitation at the Upper-Silesian Medical Centre in Katowice. In the present study, the Polish version of questionnaires: Kinesiophobia Causes Scale (KCS) and Short Form Health Survey (SF-36) were used. Questionnaires were supplemented by authors’ short survey. Results: The patients presented an elevated level of kinesiophobia, both in general as well as in individual components. In women, the kinesiophobia level was higher than in men. The psychological domain was a greater barrier of physical activity than the biological one. Strong, negative correlations of psychological and biological domains of kinesiophobia to physical functioning (SF-36) were noted in women. In the case of men, correlations were weaker, but also statistically significant. Conclusions: 1. Sex differentiates patients in their kinesiophobia level 2. Poor self-assessment of health is associated with a greater intensification of kinesiophobia 3. A high level of kinesiophobia may negatively affect cardiac rehabilitation process
2
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Impact of the second stage of cardiac rehabilitation on BMI in patients after cardiac incidents

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Mroczkowski B., Kurzaj M., Jacyno K., Rozek-Piechura K.
Health Problems of Civilization
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2019
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tom 13
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nr 3
Background. Cardiovascular disease is currently one of the leading causes of death in the world, and a major contributing factor is the increasing incidence of excessive body mass. On the other hand, reduction of body mass in patients who have experienced a myocardial infarction significantly reduces the risk of a second episode of cardiovascular disease. This in turn increases lifespan, improves quality of life, and reduces the number of premature deaths. Material and methods. The study included 41 people (14 women with an average age of 62.5 years and 27 men with an average age of 61.2 years) who experienced a cardiac incident between January 2015 and February 2016 and who were qualified for the second stage of cardiac rehabilitation conducted in accordance with applicable standards. Results. BMI did not correlate with the results of exercise tests. The training improved the fitness and endurance of the subjects and allowed reduction of body mass. Conclusions. After 8 weeks of the second stage of cardiac rehabilitation, there were significant changes in the BMI in patients undergoing the study. Exercise tolerance and physical capacity in all the groups was improved.
3
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Cardiac rehabilitation in heart failure. Part II. Does higher intensity means better outcome?

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Kujawska A., Perkowski R., Skierkowska N., Topka W., Gajos M., Androsiuk-Perkowska J., Cieslinska A., Przybysz B., Kwolik D., Siekacz D., Rybarczyk D., Kujawski S.
Central European Journal of Sport Sciences and Medicine
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2018
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tom 22
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nr 2
4
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Cardiac rehabilitation in heart failure. Part I. Mechanism

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Kujawska A., Husejko J., Marszalek A., Szczesniak Z., Topka W., Gajos M., Androsiuk-Perkowska J., Perkowski R., Skierkowska N., Kujawski S., Kedziora-Kornatowska K.
Central European Journal of Sport Sciences and Medicine
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2018
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tom 21
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nr 1
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