caa a22 4500 606191208 CHVBK 20210128100859.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00391-015-0895-y doi (NATIONALLICENCE)springer-10.1007/s00391-015-0895-y Impact of joint contracture on older persons in a geriatric setting [Elektronische Daten] A cross-sectional study [G. Bartoszek, U. Fischer, E. Grill, M. Müller, S. Nadolny, G. Meyer] Gelenkkontrakturen älterer Menschen in einem geriatrischen Setting Eine Querschnittsstudie Background: Joint contractures are a common phenomenon in older persons and are assessed by measuring the range of motion; however, little is known about the impact of joint contractures on activities of daily living (ADL). Objectives: The aim of the study was to identify problems related to joint contracture of older persons in a geriatric setting using the international classification of functioning, disability and health (ICF) as a framework. Material and methods: A cross-sectional study was conducted between February and July 2013 in nursing homes (n = 11) and geriatric rehabilitation hospitals (n = 3) in North Rhine-Westphalia, Germany. The study population included persons aged ≥ 65 years with at least one diagnosis of joint contracture. If the participant was unable to adequately answer the best informed next of kin or staff nurse acted as a proxy. A questionnaire with 124 ICF categories was completed through face-to-face interviews with the participants. Results: A total of 149 participants were included in the study. The mean age was 77.6±6.9 years and 69.8 % were women. Problems in climbing (94.0 %), walking long distances (92.6 %) and kneeling (92.6 %) were most frequently identified. The most often identified facilitators in environmental factors were health services, systems and policies (93.2 %), whereas the leading barrier was climate (30.3 %). Conclusion: Joint contractures have a huge impact on functioning and social participation and particularly on personal mobility. From the nursing and rehabilitation perspective, assessments should not only measure joint mobility but also determine and quantify the consequences of contractures on ADL. Springer-Verlag Berlin Heidelberg, 2015 Questionnaire nationallicence Activities of daily living nationallicence Outcome assessment health care nationallicence Geriatric nursing nationallicence Social participation nationallicence Fragebogen nationallicence Querschnittsstudie nationallicence Ergebnisorientiertes Assessment im Gesundheitswesen nationallicence Geriatrische Pflege nationallicence Soziale Teilhabe nationallicence Bartoszek G. Faculty of Health, School of Nursing Science, Witten/Herdecke University, Stockumer Str. 12, 58453, Witten, Germany aut Fischer U. Institute for Medical Information Processing, Biometrics and Epidemiology, Ludwig-Maximilians-Universität München, Munich, Germany aut Grill E. Institute for Medical Information Processing, Biometrics and Epidemiology, Ludwig-Maximilians-Universität München, Munich, Germany aut Müller M. Institute for Medical Information Processing, Biometrics and Epidemiology, Ludwig-Maximilians-Universität München, Munich, Germany aut Nadolny S. Faculty of Health, School of Nursing Science, Witten/Herdecke University, Stockumer Str. 12, 58453, Witten, Germany aut Meyer G. Faculty of Health, School of Nursing Science, Witten/Herdecke University, Stockumer Str. 12, 58453, Witten, Germany aut Zeitschrift für Gerontologie und Geriatrie Springer Berlin Heidelberg 48/7(2015-10-01), 625-632 0948-6704 48:7<625 2015 48 391 https://doi.org/10.1007/s00391-015-0895-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00391-015-0895-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bartoszek G. Faculty of Health, School of Nursing Science, Witten/Herdecke University, Stockumer Str. 12, 58453, Witten, Germany aut NATIONALLICENCE 700 1- Fischer U. Institute for Medical Information Processing, Biometrics and Epidemiology, Ludwig-Maximilians-Universität München, Munich, Germany aut NATIONALLICENCE 700 1- Grill E. Institute for Medical Information Processing, Biometrics and Epidemiology, Ludwig-Maximilians-Universität München, Munich, Germany aut NATIONALLICENCE 700 1- Müller M. Institute for Medical Information Processing, Biometrics and Epidemiology, Ludwig-Maximilians-Universität München, Munich, Germany aut NATIONALLICENCE 700 1- Nadolny S. Faculty of Health, School of Nursing Science, Witten/Herdecke University, Stockumer Str. 12, 58453, Witten, Germany aut NATIONALLICENCE 700 1- Meyer G. Faculty of Health, School of Nursing Science, Witten/Herdecke University, Stockumer Str. 12, 58453, Witten, Germany aut NATIONALLICENCE 773 0- Zeitschrift für Gerontologie und Geriatrie Springer Berlin Heidelberg 48/7(2015-10-01), 625-632 0948-6704 48:7<625 2015 48 391