Latent profile analysis for kinesiophobia in patients undergoing coronary artery bypass grafting.
Qi Luo, Xiaojing Guo, Yi Xu and 2 others
PMID 42077231WHAT IT FOUND
Most patients undergoing CABG had moderate fear of movement.
A small high-fear group showed strong danger beliefs and avoidance. These profiles show that fear of movement differs between patients.
Key findings
01Latent profile analysis identified three kinesiophobia profiles: low (22.3%, n=66), moderate (75.3%, n=223), and high (2.4%, n=7).
02The high-kinesiophobia profile had mean total score 53.29 on the 17 to 68 scale.
03The high-kinesiophobia profile had z-scores above +2 standard deviations in most domains, especially perceived danger for heart problems and avoidance of exercise.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The study was done at one hospital in Beijing, so the profiles may not apply to patients in other settings. The high-kinesiophobia group had only 7 patients, so estimates for that small group are unstable. The design was cross-sectional, so it cannot show how kinesiophobia changes after surgery or whether the profiles predict recovery. Fear of movement was measured only by self-report, with no objective activity or functional capacity measures. Patients with psychiatric disorders, severe organ impairment, unstable cardiovascular events, or communication problems were excluded, so the findings may not apply to more distressed or medically unstable patients. The study did not measure anxiety or depression, so these could influence the profiles.
The easy way to misread this
Do not conclude that screening or tailored counseling will improve postoperative outcomes. This cross-sectional survey only grouped patients by self-reported fear around CABG, and the high-fear group had only 7 patients.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →