Effect of cardiac rehabilitation program on kinesiophobia and functional capacity in open heart surgery

Abstract

Background: Open heart surgery is the major surgical procedure which 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 cardiac rehabilitation program on kinesiophobia and functional capacity after open heart surgery.Methodology: A quasi experimental study was conducted at Rehman medical institute, Peshawar. Sample size was calculated as 45 by using G power, both male and female patients of aged50 to 70 years underwent open heart surgery were selected through nonprobability purposive sampling technique from July 2021 to February 2022. Patients having any neurodegenerative disease, disorder of stance and gait, drug intoxication were excluded. Preand 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 the 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 significant effect on kinesiophobia and functional capacity after open heart surgery.

Keywords

• cardiac rehabilitatio
• functional capacity
• kinesiophobia
• open heart surgery.