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Table 3 Typology of 48 typical person-environment fit constellations, with the ICF as conceptual framework and scoring patterns that quantify range (i.e. functional limitations/use of mobility devices involved) and severity of accessibility problems

From: Typology of person-environment fit constellations: a platform addressing accessibility problems in the built environment for people with functional limitations

Type

Accessibility problem

Aspect of functioningb

Environmental context

Environmental barrier examplec

No of items

 

Scoring patterna

ICF block

ICF category

T1

04000000000000

Purposeful sensory experiences

Watching

Stairs Kitchen/laundry room/utility kitchen

Poor illumination of walking area and/or handrails.

3

T2

13000000000000

Purposeful sensory experiences/Applying knowledge

Watching/Focusing attention

Paths and roadways/Seating places Stairs

Visual pattern on the surface of stair treads camouflages edges of treads.

5

T3

13300010000011

Purposeful sensory experiences/Applying knowledge/Walking and moving

Watching/Focusing attention/Walking short distance

Entrance door/ramps Lifts Kitchen/laundry room/utility kitchen Paths and roadways/Seating places Indoor, except hygiene/kitchen Entrance door/ramps Stairs

Complicated/illogical routes to/from entrance.

9

T4

00030030000011

Purposeful sensory experiences/Changing and maintaining body position

Listening/Maintaining a standing position

Lifts

No visual signal when the lift arrives.

1

T5

42300000000000

Applying knowledge/Purposeful sensory experiences/Communicating, receiving/

Applying knowledge, other specified/Watching/Non-verbal messages

Lifts Kitchen/laundry room/utility kitchen Hygiene area Indoor, except hygiene/kitchen

Illogical design of controls.

4

T6

33300300011000

Applying knowledge/Purposeful sensory experiences/Use of communication devices/Carrying, moving and handling objects

Applying knowledge/Watching/Using communication device Manipulating

Entrance door/ramps Kitchen/laundry room/utility kitchen Hygiene area Indoor, except hygiene/kitchen

Complicated/illogical opening procedure. Also includes entry phone.

4

T7

00000003000300

Changing and maintaining body position

Standing

Kitchen/laundry room/utility kitchen

Low working surfaces

1

T8

00000030000003

Changing and maintaining body position

Sitting/Standing

Hygiene area

Wash-basin placed at a height for use only when standing

2

T9

00000000000010

Changing and maintaining body position

Maintaining a standing position

Hygiene area

Grab bars in low position.

1

T10

00000000000110

Changing and maintaining body position

Maintaining a standing position

Kitchen/laundry room/utility kitchen Hygiene area Indoor, except hygiene/kitchen

Controls in low position

3

T11

00002010000023

Changing and maintaining body position

Sitting/Standing/Maintaining a sitting/standing position/

Kitchen/laundry room/utility kitchen Hygiene area Sitting out place/balcony/suppl housing

No surface at a height suitable for sitting while working.

5

T12

00001000000332

Changing and maintaining body position

Sitting/Standing/Maintaining a sitting/standing position

Hygiene area

Insufficient space for stool, bath board, or equivalent, or other problem in shower/bath.

3

T13

00000000000001

Changing and maintaining body position

Transferring oneself while sitting

Hygiene area

Toilet 48 cm or higher. Including seat.

2

T14

00100101210000

Changing and maintaining body position/Purposeful sensory experience

Maintaining a sitting position/Watching

Hygiene area

Toilet roll holder in inaccessible position

1

T15

11103330000141

Changing and maintaining body position/Purposeful sensory experiences/Applying knowledge

Maintaining a standing position/Watching/Focusing attention

Hygiene area Stairs

No grab bar at shower/bath and/or toilet.

3

T16

00003230000030

Changing and maintaining body position/Walking and moving

Maintaining a standing position Walking

Lifts Paths and roadways/Seating places

No seat in lift.

2

T17

00001110000010

Changing and maintaining body position/Walking and moving

Maintaining a sitting/standing position/Climbing stairs

Stairs Lifts Paths and roadways/Seating places

Handrails placed too high/low

8

T18

00000000320000

Carrying, moving and handling objects

Carrying in the hands

Kitchen/laundry room/utility kitchen

Hobs with ordinary rings. Also includes gas stoves, coil stoves, etc.

1

T19

00000000024000

Carrying, moving and handling objects

Grasping/Manipulating/Releasing Turning or twisting

Kitchen/laundry room/utility kitchen Hygiene area Indoor, except hygiene/kitchen Lifts

Use requires fingers (i.e. isolated grip, e.g. pinch and lateral grip).

10

T20

00000000034010

Carrying, moving and handling objects

Hand and arm use, other specified

Kitchen/laundry room/utility kitchen Hygiene area Indoor, except hygiene/kitchen

Use requires hands.

3

T21

02200000032000

Carrying, moving and handling objects/Purposeful sensory experiences

Manipulating/Turning or twisting/Watching

Kitchen/laundry room/utility kitchen Hygiene area Indoor, except hygiene/kitchen

Very small controls.

3

T22

01101101300013

Carrying, moving and handling objects/Purposeful sensory experiences/Changing and maintaining body position

Reaching/Watching/Maintaining a sitting/standing position

Kitchen/laundry room/utility kitchen Hygiene area Indoor, except hygiene/kitchen

Inappropriate design of wardrobes/clothes cupboards.

2

T23

03304332434334

Carrying, moving and handling objects/Purposeful sensory experiences/Changing and maintaining body position

Reaching/Watching/Maintaining a sitting/standing position

Kitchen/laundry room/utility kitchen

Wall-mounted cupboards and shelves placed high

1

T24

10000300010010

Carrying, moving and handling objects/Applying knowledge

Grasping/Manipulating/Releasing/Focusing attention

Kitchen/laundry room/utility kitchen Hygiene area Indoor, except hygiene/kitchen

Use requires intact fine motor control.

3

T25

20100200011010

Carrying, moving and handling objects/Applying knowledge

Grasping/Manipulating/Releasing/Applying knowledge, other specified

Kitchen/laundry room/utility kitchen Hygiene area Indoor, except hygiene/kitchen

Complex manoeuvres (more than one operation/movement) and good precision required.

3

T26

10000200014030

Carrying, moving and handling objects/Applying knowledge

Hand and arm use, unspecified/Focusing attention

Kitchen/laundry room/utility kitchen Hygiene area Indoor, except hygiene/kitchen

Use requires two hands.

3

T27

00000002311024

Carrying, moving and handling objects/Changing and maintaining body position

Reaching/Maintaining a sitting/standing position

Lifts Kitchen/laundry room/utility kitchen Hygiene area Indoor, except hygiene/kitchen

Controls placed too high/low. Refers to both outside and inside the lift

5

T28

00000030010031

Carrying, moving and handling objects/Changing and maintaining body position

Grasping/Manipulating/Maintaining a body position, other specified

Kitchen/laundry room/utility kitchen Hygiene area Indoor, except hygiene/kitchen

High force required to activate controls.

3

T29

00003330304033

Carrying, moving and handling objects/Changing and maintaining body position

Pushing/Pulling/Maintaining a sitting/standing position

Entrance door/ramps Lifts

Heavy doors without automatic opening.

2

T30

00000001004414

Carrying, moving and handling objects/Changing and maintaining body position

Pushing/Pulling/Maintaining a sitting/standing position

Kitchen/laundry room/utility kitchen

Door swings (inner doors) which impede accessibility to storage units.

1

T31

00003210334034

Carrying, moving and handling objects/Changing and maintaining body position

Reaching/Maintaining a sitting/standing position

Sitting out place/balcony/suppl housing

Refuse bin difficult to reach

2

T32

00000000404333

Carrying, moving and handling objects/Changing and maintaining body position

Reaching/Maintaining a sitting/standing position

Kitchen/laundry room/utility kitchen

Shelves too deep. Deeper shelves require pullout shelves/turntable units.

1

T33

00001120300211

Carrying, moving and handling objects/Changing and maintaining body position

Reaching/Maintaining a sitting/standing position

Hygiene area

Grab bar difficult to reach/inappropriately positioned (NOT as regards height).

1

T34

00000000000034

Walking and moving

Moving around using equipment

Paths and roadways/Seating places Entrance door/ramps Lift Sitting out place/balcony/suppl hous Indoor, except hygiene/kitchen

Insufficient manoeuvring space at seating places.

10

T35

03303301000034

Walking and moving/Purposeful sensory experiences

Walking/Moving around using equipment/Watching

Paths and roadways/Seating places Sitting out place/balcony/suppl housing Entrance door/ramps Lifts Indoor, except hygiene/kitchen Kitchen/laundry room/utility kitchen

Irregular/uneven surface (irregular surfacing, joins, sloping sections cracks, holes).

12

T36

03300040000012

Walking and moving/Purposeful sensory experiences

Walking/Moving around using equipment/Watching

Parking

Passenger loading zones far from entrance.

1

T37

01103333000034

Walking and moving/Purposeful sensory experiences

Walking/Moving around using equipment/Watching

Parking Paths and roadways/Seating places

No stable, even, non-slip surface in car park (loose gravel, sand, clay, etc.).

2

T38

01100000000030

Walking and moving/Purposeful sensory experiences

Climbing stairs/Moving around using equipment/Watching

Stairs

Projecting nosing/open-riser stairs.

1

T39

03300000000033

Walking and moving/Purposeful sensory experiences

Moving around using equipment/Watching

Paths and roadways/Seating places Entrance door/ramps

Furniture placed in the path of travel.

2

T40

01100000000014

Walking and moving/Purposeful sensory experiences

Moving around using equipment/Watching

Entrance door/ramps

Door swing that obstructs use. Refers to door leaves that obtrude when opening and/or closing.

1

T41

23403330000033

Walking and moving/Purposeful sensory experiences/Applying knowledge

Walking/Moving around using equipment/Watching/Applying knowledge, other specified

Entrance door/ramps Lift

Doors that do not stay in open position/close quickly.

2

T42

13303330000032

Walking and moving/Purposeful sensory experiences/Applying knowledge

Walking/Climbing stairs/Moving around using equipment/Watching/Applying knowledge, other specified

Paths and roadways/Seating places Stairs

Routes with steps.

11

T43

12012001000033

Walking and moving/Purposeful sensory experiences/Applying knowledge

Walking/Moving around using equipment/Watching/Focusing attention

Paths and roadways/Seating places

Poor/uneven/dazzling lighting along circulation paths.

1

T44

13302303000033

Walking and moving/Purposeful sensory experiences/Applying knowledge

Walking/Moving around using equipment/Watching/Focusing attention

Lifts

Wide gap between the lift and the building floor.

1

T45

30000003000033

Walking and moving/Applying knowledge

Moving around using equipment/Applying knowledge, other specified

Parking

No marked parking for people with functional limitations within 10 m of the entrance.

1

T46

40001140000012

Walking and moving/Applying knowledge

Walking/Applying knowledge, other specified

Parking

Parking place far from entrance.

1

T47

00000200000034

Walking and moving/Changing and maintaining body position

Moving around using equipment/Maintaining a body position, other specified

Indoor, except hygiene/kitchen Hygiene area

Insufficient manoeuvring spaces where turning is necessary.

2

T48

00003330000033

Walking and moving/Moving around using transportation/Changing and maintaining body position/Carrying, moving and handling objects

Walking/Using transport/Moving around using equipment Maintaining a standing position/Climbing stairs/Pushing/Pulling

Paths and roadways/Seating places Entrance door/ramps Sitting out place/balcony/suppl housing Lifts Parking

Rough/unstable ground at seating places

11

  1. Note: a type is defined by the combination of characteristics of a particular person-environment fit constellation
  2. aFor functional limitations related to each position of the scoring pattern, see Table 1. Severity grades from 0 (=no problem) to 4 (=impossibility)
  3. bInternational classification of functioning, disability and health [21]
  4. cEnvironmental barrier items from the Housing Enabler checklist for the housing environment [10]