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<export-example>
  <doc>
    <id>602</id>
    <completedYear>2013</completedYear>
    <publishedYear/>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber/>
    <edition/>
    <issue/>
    <volume/>
    <type>article</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2018-04-24</completedDate>
    <publishedDate>2018-06-04</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Impact of joint contractures on functioning and social participation in older individuals--development of a standard set (JointConFunctionSet)</title>
    <abstract language="eng">Background Free movement of the limbs is a prerequisite of mobility and autonomy in old age. Joint contractures, i.e. restrictions in full range of motion of any joint due to deformity, disuse or pain, are common problems of frail older people, particularly in nursing home residents. &#13;
&#13;
Contractures are among the most unexplored and underreported syndromes in clinical and homecare settings. Epidemiological studies indicate a wide range of prevalence of joint contractures in older individuals between 20% and 80%. This variation is due to different definitions of contracture and varying diagnostic criteria or data collection methods, different research settings, sample size and study participants? characteristics. &#13;
&#13;
The aetiology of joint contractures is multifaceted. In older people contractures may be caused by a variety of health conditions and situations, but immobility due to an acute injury or disease seems to be the major risk factor. Upper limb joint contractures may result in loss of ability to dress or eat independently while lower limb contractures may lead to instability and inability to walk independently and higher risk of bed confinement. &#13;
&#13;
Joint contractures further increase the risk of other adverse patient outcomes like pain, pressure ulcers and risk of falls. Thus, joint contractures are a major cause for excess disability in older people with a significant impact on overall quality of life and functioning. Preventive and rehabilitation interventions targeting joint contractures may decrease morbidity, increase functioning and quality of life, and, ultimately, prevent long-term disability. In the United States of America, presence of joint contractures is an established indicator of quality of care in nursing facilities. &#13;
&#13;
In Germany, joint contracture risk assessment and prevention have recently been defined as a quality indicator of nursing home care that should be regularly monitored by experts from the statutory health insurance system. Nursing homes are obliged to report whether they regularly assess the risk of joint contracture and administer relevant preventive measures. In clinical settings, joint contractures are assessed by measuring the range of motion. &#13;
&#13;
However, from a patient- and nursing-oriented perspective the relevance of a systematic registration of contractures in care-dependent older people is unclear unless their impact on functioning is understood. Contracture assessment is only an intermediate step in the evaluation of patient-relevant outcomes such as quality of life, functioning, and the ability to participate in everyday life and social participation. Arguably, a clinical definition of joint contracture is difficult because the contracture?s severity is determined by the consequences on activities of daily living, quality of life and social participation. In addition, there is no consensus on aspects most relevant to the affected individuals. &#13;
&#13;
A variety of functional measures is currently used for the assessment and evaluation of geriatric patients. To date, there is no consensus on common concepts for the choice of outcome measures specifically for evaluating the impact of interventions targeted on joint</abstract>
    <parentTitle language="eng">BMC Geriatrics</parentTitle>
    <enrichment key="PeerReviewed">Ja</enrichment>
    <enrichment key="review.accepted_by">2</enrichment>
    <author>Martin Müller</author>
    <author>U. Fischer</author>
    <author>G. Bartoszek</author>
    <author>E. Grill</author>
    <author>G. Meyer</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Contractures</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Aged</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>80 and over</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>disabled persons</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>outcome assessment</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>geriatric rehabilitation</value>
    </subject>
    <collection role="ddc" number="30">Sozialwissenschaften, Soziologie</collection>
    <collection role="institutes" number="">Fakultät für Angewandte Gesundheits- und Sozialwissenschaften</collection>
    <thesisPublisher>Technische Hochschule Rosenheim</thesisPublisher>
  </doc>
  <doc>
    <id>591</id>
    <completedYear>2015</completedYear>
    <publishedYear/>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber/>
    <edition/>
    <issue/>
    <volume/>
    <type>article</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2018-06-04</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Prevalence of functioning and disability in older patients with joint contractures: a cross-sectional study</title>
    <parentTitle language="eng">European Journal of physical and rehabilitation medicine</parentTitle>
    <enrichment key="PeerReviewed">Ja</enrichment>
    <enrichment key="review.accepted_by">2</enrichment>
    <author>U. Fischer</author>
    <author>Martin Müller</author>
    <author>R. Strobl</author>
    <author>G. Bartoszek</author>
    <author>G. Meyer</author>
    <author>E. Grill</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Contractures</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Geriatric assessment</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>outcome assessment</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>social participation</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>cross-sectional studies</value>
    </subject>
    <collection role="ddc" number="30">Sozialwissenschaften, Soziologie</collection>
    <collection role="institutes" number="">Fakultät für Angewandte Gesundheits- und Sozialwissenschaften</collection>
    <thesisPublisher>Technische Hochschule Rosenheim</thesisPublisher>
  </doc>
  <doc>
    <id>593</id>
    <completedYear>2014</completedYear>
    <publishedYear/>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber/>
    <edition/>
    <issue/>
    <volume/>
    <type>article</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2018-06-04</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Patients' view on health-related aspects of functioning and disability of joint contractures: a qualitative interview study based on the International Classification of Functioning, Disability and Health</title>
    <abstract language="eng">Purpose: The aim of this study was to identify health-relevant aspects of functioning and disability of persons aged 65 years or older with joint contractures, to link the findings to corresponding ICF categories and to describe the patients’ perspective. &#13;
&#13;
Methods: We conducted 43 qualitative, semi-structured, face-to-face interviews with affected persons in two different locations (Witten, Munich) and in three different settings. Data were analyzed using the “meaning condensation procedure” and then linked to ICF categories. &#13;
&#13;
Results: From all interviews a total of 2499 single meaning-concepts were extracted which were linked to 324 different ICF categories. The participants in all settings mainly reported problems related to “Mobility of a single joint (b710)”, “Sensation of pain (b280)” and problems related to “Walking (d450)”. Almost all participants reported “Products and technology for personal indoor and outdoor mobility and transportation (e120)” as a relevant environmental factor. Conclusions: From the patients’ perspective, joint contractures have an impact on multifaceted aspects of functioning and disability, mainly body functions, environmental factors and activities and participation. The results of this study will contribute to the development of a standard instrument for measuring functioning, disability and health-relevant aspects for patients with joint contractures. &#13;
&#13;
Implications for Rehabilitation&#13;
Joint contractures are a major cause for the development of disability in older people.&#13;
Patients’ perspectives and their personal experiences have to be considered when assessing the impact of joint contractures.&#13;
The International Classification of Functioning, Disability and Health (ICF) is an appropriate framework for describing the patients’ multifaceted experience of joint contractures.</abstract>
    <parentTitle language="eng">Disability and Rehabilitation</parentTitle>
    <enrichment key="review.accepted_by">2</enrichment>
    <author>U. Fischer</author>
    <author>G. Bartoszek</author>
    <author>Martin Müller</author>
    <author>R. Strobl</author>
    <author>G. Meyer</author>
    <author>E. Grill</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>joint contracture</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Geriatrics</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>outcome assessment</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>qualitative research</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>social participation</value>
    </subject>
    <collection role="ddc" number="30">Sozialwissenschaften, Soziologie</collection>
    <collection role="institutes" number="">Fakultät für Angewandte Gesundheits- und Sozialwissenschaften</collection>
    <thesisPublisher>Technische Hochschule Rosenheim</thesisPublisher>
  </doc>
</export-example>
