Original Article: JRCRS. 2026:14(2): 92-97
6-Assessment of Kinesiophobia in Postoperative Cardiac Patients: A Cross-Sectional Study
Naeem Uddin1, Hayat Ullah2, Sara Alam3, Seema Gul4
1 Managing Director, Dir Rural Development Organization-KP, Pakistan
2 Physical Therapist, Rehab Care Clinic, Peshawar, Pakistan
3 Rehab House Officer, Hayatabad Medical Complex, Peshawar, Pakistan
4 Lecturer, Khyber Medical University, Peshawar, Pakistan
Read Full-Text Full-Text PDF DOI: https://dx.doi.org/10.53389/JRCRS.2026140206
ABSTRACT:
Background: Cardiac surgeries are commonly and successfully performed to treat various cardiovascular disorders. Postoperative cardiac rehabilitation is essential to minimize the negative effects of surgery. Despite this, cardiac rehabilitation is not routinely practiced in many developing countries. Subsequently, patients often avoid physical activity and exercise due to fear or lack of guidance.
Objective: To evaluate the level of fear of movement and exercise in patients attending cardiac rehabilitation.
Methodology: This was a cross-sectional study conducted on post-operative cardiac patients visiting cardiac rehabilitation department at Peshawar Institute of Cardiology. A total of 277 patients (mean age 50.9±15 years) were recruited in the study through convenience sampling technique. Both male (n= 126) and female (n=91) were included in the study. All the patients were assessed for fear of movement by using Tampa scale for kinesiophobia. Data was analyzed through Statistical Package for the Social Sciences (SPSS).
Results: The results of this study reported that fear of movement was significantly higher in male; majority reporting severe to debilitating kinesiophobia (49.44%). Overall (62.6%) patients reported severe form of fear to movement, (16.4%) reported debilitating kinesiophobia while 38% reported mild fear post-operatively in all phases of outpatient cardiac rehabilitation.
Conclusion: It was established that severe debilitating fear of movement is prevalent across all age groups and phases of cardiac rehabilitation, though these factors did not show a statistically significant association with fear levels. The only statistically significant association observed was between gender and fear; males reporting higher levels of kinesiophobia compared to females.
Keywords: Cardiac rehabilitation, Fear of movement, Kinesiophobia