Examining Functioning and Contextual Factors in Individuals with Joint Contractures from the Health Professional Perspective Using the ICF: An International Internet-Based Qualitative Expert Survey

Rehabil Nurs. 2016 May-Jun;41(3):170-8. doi: 10.1002/rnj.190. Epub 2014 Nov 25.


Purpose: The aim of this study was to identify disease-related aspects of functioning and disability in people with joint contractures from a health professionals' perspective and to describe the findings, using categories of the International Classification of Functioning, Disability, and Health (ICF).

Design: An Internet-based expert survey.

Methods: We asked international health professionals for typical problems in functioning and important contextual factors of individuals with joint contractures using an Internet-based open-ended questionnaire. All answers were linked to the ICF according to established rules. Absolute and relative frequencies of the linked ICF categories were reported.

Findings: Eighty experts named 1785 meaning units which could be linked to 256 ICF categories. Among the categories, 24.2% belonged to the component Body Functions, 20.7% to Body Structures, 36.3% to Activities and Participation, and 18.8% to Environmental Factors.

Conclusion: Health professionals addressed a large variety of functional problems and multifaceted aspects due to the symptom joint contractures.

Clinical relevance: International health professionals reported a large variety of aspects of functioning and health, which are related to joint contractures.

Keywords: Contracture; activities of daily living; expert opinion; geriatric assessment; social participation.

MeSH terms

  • Activities of Daily Living
  • Adult
  • Aged
  • Contracture / diagnosis*
  • Contracture / physiopathology*
  • Cross-Sectional Studies
  • Disability Evaluation*
  • Disabled Persons / rehabilitation
  • Disabled Persons / statistics & numerical data
  • Female
  • Humans
  • International Classification of Functioning, Disability and Health*
  • Internet
  • Male
  • Middle Aged
  • Rehabilitation Nursing / methods*
  • Surveys and Questionnaires*