To evaluate the effect of home-based exercise plan mediated by a digital health application on kinesiophobia and functional capacity in sedentary post myocardial infarction patients. Evidence suggest that digital health application significantly improve physical activity level in patient following cardiac event by providing personalized exercise plan, real time feed back, progress tracking and motivational features which enhanced adherence and engagement in rehabilitation program. This study could offer a viable le solution for overcoming barrier to rehabilitation particularly for those unable to access traditional clinic-based program
3 months post myocardial infarction patient
Sitting hours >8
IPAQ < 600 Mets minutes
Unstable Angina
Recurrent Myocardial infarction
Recent surgery or Procedure
Heart failure, Arrhythmia
Parallel
Intervention group
Other interventionWalking at home for 15-30 minutes 3 times per day for 4 weeks. Activity plan is calendar on mobile health app. Mobile placed in pocket or bag before starting walk and mark activity on calendar.
Control group
Other interventionWalking at home for 15-30 minutes 3 times per day for 4 weeks. Manual record of walking and date.
Kinesiophobia
Changes from baseline to 4 weeks after intervention, measured through the TSK-SV Heart specifically focuses on assessing Kinesiophobia in the context of cardiac conditions or symptoms. It include questions related to fear of engaging in physical activity due to concerns about cardiac events (such as heart palpitations, chest pain, or shortness of breath) during exercise or daily activities. The 17 item TSK total scores range from 17 to 68 where the lowest 17 means no or negligible Kinesiophobia, and the higher scores indicate an increasing degree of Kinesiophobia.
Functional Capacity
Changes from baseline to 4 weeks after intervention, measured through six minute walk test which is a sub-maximal exercise test used to assess functional capacity and endurance. The distance covered over a time of 6 minutes is used as the outcome by which to compare changes in performance capacity.
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