scholarly journals Perceptions of Kinesiophobia in Relation to Physical Activity and Exercise After Myocardial Infarction: A Qualitative Study

2020 ◽  
Vol 100 (12) ◽  
pp. 2110-2119
Author(s):  
Maria Bäck ◽  
Victoria Caldenius ◽  
Leif Svensson ◽  
Mari Lundberg
Keyword(s):  
Physical Activity ◽  
Myocardial Infarction ◽  
Qualitative Study ◽  
Cardiac Rehabilitation ◽  
Treatment Strategies ◽  
Internal Process ◽  
Fear Of Movement ◽  
External Process ◽  
Physical Activity And Exercise ◽  
New Treatment

Abstract Objective Physical activity and exercise are central components in rehabilitation after a myocardial infarction. Kinesiophobia (fear of movement) is a well-known barrier for a good rehabilitation outcome in these patients; however, there is a lack of studies focusing on the patient perspective. The aim of this study was to explore patients’ perceptions of kinesiophobia in relation to physical activity and exercise 2 to 3 months after an acute myocardial infarction. Methods This qualitative study design used individual semi-structured interviews. Face-to-face interviews were conducted with 21 patients post-myocardial infarction who were screened for kinesiophobia (≥32 on the Tampa Scale for Kinesiophobia Heart). The interviews were transcribed and analyzed according to an inductive content analysis. Results An overarching theme was defined as “coping with fear of movement after a myocardial infarction—a dynamic process over time” comprising 2 subthemes and explaining how coping with kinesiophobia runs in parallel processes integrating the patient’s internal process and a contextual external process. The 2 processes are described in a total of 8 categories. The internal process was an iterative process governed by a combination of factors: ambivalence, hypervigilance, insecurity about progression, and avoidance behavior. The external process contains the categories of relatives’ anxiety, prerequisites for feeling safe, information, and the exercise-based cardiac rehabilitation program. Conclusion Coping with fear of movement after a myocardial infarction is a dynamic process that requires internal and external support. To further improve cardiac rehabilitation programs, person-centered strategies that support the process of each person—as well as new treatment strategies to reduce kinesiophobia—need to be elaborated. Impact Patients with a myocardial infarction were found to be ambivalent about how they expressed their fear of movement; therefore, it is crucial for physical therapists to acknowledge signs of fear by listening carefully to the patient’s full story in addition to using adequate self-reports and tests of physical fitness. These results will inform the design, development, and evaluation of new treatment strategies, with the overall aim of reducing kinesiophobia and increasing physical activity and participation in exercise-based cardiac rehabilitation.

Experiences of physical activity and exercise in individuals with systemic sclerosis: A qualitative study

2020 ◽  
Vol 18 (2) ◽  
pp. 150-160 ◽  
Author(s):  
Henrik Pettersson ◽  
Annica Nordin ◽  
Elisabet Svenungsson ◽  
Helene Alexanderson ◽  
Carina Boström
Keyword(s):  
Physical Activity ◽  
Systemic Sclerosis ◽  
Qualitative Study ◽  
Physical Activity And Exercise

Perceptions of ‘physical activity’ and ‘exercise’ among people living with HIV: A qualitative study

2017 ◽  
Vol 24 (11) ◽  
pp. 473-482 ◽  
Author(s):  
Kyle Vader ◽  
Alya Simonik ◽  
Denine Ellis ◽  
Dirouhi Kesbian ◽  
Priscilla Leung ◽  
...  
Keyword(s):  
Physical Activity ◽  
Qualitative Study ◽  
People Living With Hiv ◽  
Physical Activity And Exercise ◽  
Living With Hiv

scholarly journals Factors That Affect Decisions About Physical Activity and Exercise in Survivors of Breast Cancer: A Qualitative Study

2012 ◽  
Vol 92 (4) ◽  
pp. 525-536 ◽  
Author(s):  
Antoinette P. Sander ◽  
Jessica Wilson ◽  
Nicole Izzo ◽  
Stephanie A. Mountford ◽  
Karen W. Hayes
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Qualitative Study ◽  
Concept Maps ◽  
Rapid Assessment ◽  
Breast Cancer Diagnosis ◽  
Decisional Balance ◽  
Activity Levels ◽  
Balance Scale ◽  
Physical Activity And Exercise

AbstractBackgroundExercise has many benefits for survivors of breast cancer, yet only half of this population regularly exercise. Fear has been identified as a barrier to exercise for people with neuromusculoskeletal conditions but has been minimally explored in women with breast cancer.ObjectivesThe purposes of this study were: (1) to investigate factors that affected decisions about physical activity and exercise in survivors of breast cancer and (2) to determine whether fear was a factor.DesignThis investigation was a grounded-theory qualitative study. Qualitative data were triangulated with data from 2 quantitative scales that measured participants' beliefs about exercise and their activity levels.MethodsThirty-four survivors of breast cancer in 8 focus groups participated in semistructured interviews that were recorded, transcribed, and coded. Concept maps created for each group were merged to develop themes. Beliefs about physical activity and exercise were assessed with the Decisional Balance Scale. The Rapid Assessment of Physical Activity was used to assess behaviors regarding physical activity and exercise before and after the breast cancer diagnosis.ResultsParticipants generally believed that exercise was beneficial (Decisional Balance Scale score: X̅=28.1 [of a maximum score of 44], SD=7.6, range=10–43). Participants decreased the amount of physical activity or exercise during treatment but increased the amount of exercise beyond prediagnosis levels after treatment (Rapid Assessment of Physical Activity score: median=6, range=2–7). Three prominent themes described participants' behaviors regarding physical activity or exercise: values and beliefs about exercise, facilitators and barriers that were both similar to those affecting the general population and cancer specific, and lack of or inaccurate information about safe exercise.ConclusionsSurvivors who were active were not afraid to exercise. However, concern about lymphedema and knowledge about safe and effective exercise programs influenced choices regarding physical activity and exercise.

scholarly journals Oncology and Cardiac Rehabilitation: An Underrated Relationship

2020 ◽  
Vol 9 (6) ◽  
pp. 1810
Author(s):  
E. Venturini ◽  
G. Iannuzzo ◽  
A. D’Andrea ◽  
M. Pacileo ◽  
L. Tarantini ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Cardiovascular Diseases ◽  
Cardiac Rehabilitation ◽  
Long Term Effects ◽  
Mortality And Morbidity ◽  
Close Relationship ◽  
Causes Of Mortality ◽  
Physical Activity And Exercise

Cancer and cardiovascular diseases are globally the leading causes of mortality and morbidity. These conditions are closely related, beyond that of sharing many risk factors. The term bidirectional relationship indicates that cardiovascular diseases increase the likelihood of getting cancer and vice versa. The biological and biochemical pathways underlying this close relationship will be analyzed. In this new overlapping scenario, physical activity and exercise are proven protective behaviors against both cardiovascular diseases and cancer. Many observational studies link an increase in physical activity to a reduction in either the development or progression of cancer, as well as to a reduction in risk in cardiovascular diseases, a non-negligible cause of death for long-term cancer survivors. Exercise is an effective tool for improving cardio-respiratory fitness, quality of life, psychological wellbeing, reducing fatigue, anxiety and depression. Finally, it can counteract the toxic effects of cancer therapy. The protection obtained from physical activity and exercise will be discussed in the various stages of the cancer continuum, from diagnosis, to adjuvant therapy, and from the metastatic phase to long-term effects. Particular attention will be paid to the shelter against chemotherapy, radiotherapy, cardiovascular risk factors or new onset cardiovascular diseases. Cardio-Oncology Rehabilitation is an exercise-based multi-component intervention, starting from the model of Cardiac Rehabilitation, with few modifications, to improve care and the prognosis of a patient’s cancer. The network of professionals dedicated to Cardiac Rehabilitation is a ready-to-use resource, for implementing Cardio-Oncology Rehabilitation.

Abstract 289: Variation In 24-hour Physical Activity Patterns By Demographic And Psychological Factors In Women With Myocardial Infarction

2020 ◽  
Vol 13 (Suppl_1) ◽  
Author(s):  
Chorong Park ◽  
Brittany A Larsen ◽  
Yuhe Xia ◽  
Harmony R Reynolds ◽  
Tanya M Spruill
Keyword(s):  
Physical Activity ◽  
Myocardial Infarction ◽  
African American ◽  
Depressive Symptoms ◽  
Cardiac Rehabilitation ◽  
African American Women ◽  
Psychological Factors ◽  
High Stress ◽  
American Women ◽  
Wrist Actigraphy

Introduction: Despite the importance of physical activity (PA) for cardiovascular health, there is a scarcity of data on objectively measured PA in women with myocardial infarction (MI). We aim to describe 24-hour PA patterns and examine their variation by demographic and psychological factors in women with MI. Methods: Participants were enrolled in an ongoing multicenter trial of stress management in women with a history of MI. Participants completed self-reported psychological measures and 7-days of wrist-actigraphy monitoring (GT3X, Actigraph) at baseline (≥2 months post-MI). PA volumes were defined as the average vector magnitude (VM) counts per minute (cpm), a metric incorporating movement across all three axes of the accelerometer. This approach minimizes loss of information related to use of cut-points and describes accumulated 24-hour PA volumes. Hourly VM cpm were plotted to visualize 24-hour PA patterns and compared by age groups, race, elevated depressive symptoms (Patient Health Questionnaire-9 ≥5), and high stress levels (top quartile of Perceived Stress Scale-10). Due to the skewness, VM cpm were log-transformed and linear regression analysis was conducted to identify correlates of overall 24-hour PA. Results: Analyses included 85 participants (age = 59.9 ± 13.0, 20% African American, 16% participating in cardiac rehabilitation, 70% elevated depressive symptoms, 25% high stress). Patterns of PA across 24 hours differed by age, race, stress and depressive symptoms (Figure 1). For example, African American women with MI had peak PA later in the day than non-African American women, and less PA overall. Women with high (vs. low) stress had less PA overall and a less pronounced evening drop in PA, which may affect sleep. Those with elevated (vs. low) depressive symptoms showed lower PA levels, especially during the late afternoon and evening. After adjusting for age, race and cardiac rehabilitation, overall 24-hour PA volumes (log of average VM cpm) were significantly lower with higher stress (b = -0.26, p = 0.02) and elevated depressive symptoms (b = -0.22, p = 0.04). Conclusion: These findings may be considered to identify women with MI who may benefit from interventions to increase PA, which could reduce risk of recurrent CVD. Our data on timing of PA may be helpful in the tailored design of such programs.

scholarly journals Understanding myocardial infarction

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1378 ◽  
Author(s):  
Moussa Saleh ◽  
John A Ambrose
Keyword(s):  
Myocardial Infarction ◽  
Cardiogenic Shock ◽  
Treatment Strategies ◽  
Bed Rest ◽  
Early Discharge ◽  
The Future ◽  
Medical Therapies ◽  
New Treatment ◽  
Radical Shift

Over the last 40 years, our understanding of the pathogenesis of myocardial infarction has evolved and allowed new treatment strategies that have greatly improved survival. Over the years, there has been a radical shift in therapy from passive healing of the infarction through weeks of bed rest to early discharge usually within 2 to 3 days as a result of immediate reperfusion strategies and other guideline-directed medical therapies. Nevertheless, challenges remain. Patients who develop cardiogenic shock still face a high 30-day mortality of at least 40%. Perhaps even more important is how do we identify and prevent patients from developing myocardial infarction in the first place? This article discusses these milestones of therapy and considers important issues for progress in the future.

scholarly journals Selection process for botulinum toxin injections in patients with chronic-stage hemiplegic stroke: a qualitative study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sawako Arai ◽  
Yuko Fukase ◽  
Akira Okii ◽  
Yoshimi Suzukamo ◽  
Toshimitsu Suga
Keyword(s):  
Botulinum Toxin ◽  
Qualitative Study ◽  
Creative Thinking ◽  
Selection Process ◽  
Family Members ◽  
Treatment Strategies ◽  
Theory Approach ◽  
Negative Events ◽  
The Status ◽  
New Treatment

Abstract Background Botulinum toxin (BT) injection is a new treatment for spasticity with hemiplegia after stroke. How a patient decides to receive BT injections after becoming aware of the treatment remains unclear. In this exploratory qualitative study, we aimed to investigate patients’ decision-making about treatment strategies in collaboration with family and health professionals and to identify conflicts in patients’ feelings about BT treatment. Methods The study included six patients with stroke sequelae. Data were collected using comprehensive interviews and were analyzed using the grounded theory approach and trajectory equifinality modeling. Results After patients learned about BT treatment, they clearly exhibited the following two concurrent perceptions: “the restriction of one’s life due to disabilities” and “the ability to do certain things despite one’s disabilities.” Some patients reported a “fear of not being able to maintain the status quo owing to the side effects of BT.” To alleviate this fear, timely support from family members was offered, and patients overcame anxiety through creative thinking. However, there were also expressions that revealed patients’ difficulties dealing with negative events. These factors influenced the patients’ development of “expectations of BT” or “hesitations about BT.” Conclusions To establish treatment strategies in collaboration with patients, healthcare professionals should show supportive attitudes and have discussions with patients and their family members to help patients resolve their conflicts and should establish treatment strategies that maintain the positive aspects of patients’ lives.

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