{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T23:02:00Z","timestamp":1792364520911,"version":"4.4.0"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2020,9,4]],"date-time":"2020-09-04T00:00:00Z","timestamp":1599177600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>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\u2019 perceptions of kinesiophobia in relation to physical activity and exercise 2 to 3\u00a0months after an acute myocardial infarction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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 (\u226532 on the Tampa Scale for Kinesiophobia Heart). The interviews were transcribed and analyzed according to an inductive content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>An overarching theme was defined as \u201ccoping with fear of movement after a myocardial infarction\u2014a dynamic process over time\u201d comprising 2 subthemes and explaining how coping with kinesiophobia runs in parallel processes integrating the patient\u2019s 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\u2019 anxiety, prerequisites for feeling safe, information, and the exercise-based cardiac rehabilitation program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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\u2014as well as new treatment strategies to reduce kinesiophobia\u2014need to be elaborated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>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\u2019s 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ptj\/pzaa159","type":"journal-article","created":{"date-parts":[[2020,9,3]],"date-time":"2020-09-03T15:13:16Z","timestamp":1599145996000},"page":"2110-2119","source":"Crossref","is-referenced-by-count":88,"title":["Perceptions of Kinesiophobia in Relation to Physical Activity and Exercise After Myocardial Infarction: A Qualitative Study"],"prefix":"10.1093","volume":"100","author":[{"given":"Maria","family":"B\u00e4ck","sequence":"first","affiliation":[{"name":"Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Unit of Physiotherapy , , S-581 83 Link\u00f6ping, Sweden; and Department of Occupational Therapy and Physiotherapy, Sahlgrenska University Hospital, Gothenburg, Sweden"},{"name":"Link\u00f6ping University , , S-581 83 Link\u00f6ping, Sweden; and Department of Occupational Therapy and Physiotherapy, Sahlgrenska University Hospital, Gothenburg, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Caldenius","sequence":"additional","affiliation":[{"name":"Previa, Occupational Healthcare Service , Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leif","family":"Svensson","sequence":"additional","affiliation":[{"name":"Department of Medicine , , Solna, Sweden"},{"name":"Karolinska Institutet , , Solna, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mari","family":"Lundberg","sequence":"additional","affiliation":[{"name":"Division of Physiotherapy, Department of Health and Rehabilitation , , University of Gothenburg, Gothenburg, Sweden; and Division of Physiotherapy, Department of Neurobiology, , Karolinska Institutet, Huddinge, Sweden"},{"name":"Institute of Neuroscience and Physiology , , University of Gothenburg, Gothenburg, Sweden; and Division of Physiotherapy, Department of Neurobiology, , Karolinska Institutet, Huddinge, Sweden"},{"name":"Care Sciences and Society , , University of Gothenburg, Gothenburg, Sweden; and Division of Physiotherapy, Department of Neurobiology, , Karolinska Institutet, Huddinge, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,9,4]]},"reference":[{"key":"2023011806104275000_ref1","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1093\/eurheartj\/ehz859","article-title":"European Society of Cardiology: cardiovascular disease statistics 2019","volume":"41","author":"Timmis","year":"2020","journal-title":"Eur Heart J."},{"key":"2023011806104275000_ref2","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD012264","article-title":"Exercise-based cardiac rehabilitation for coronary heart disease","volume":"1","author":"Anderson","year":"2016","journal-title":"Cochrane Database Syst Rev."},{"key":"2023011806104275000_ref3","article-title":"Secondary prevention through comprehensive cardiovascular rehabilitation: from knowledge to implementation. 2020 update. 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