THE Patient Name: ___________________________
BARTHEL Rater
Name: ___________________________
INDEX Date:
___________________________
Activity Score
FEEDING
0 = unable
5 = needs help cutting, spreading
butter, etc., or requires modified diet
10 = independent
______
BATHING
0 = dependent
5 = independent (or in shower) ______
GROOMING
0 = needs to help with personal care
5 = independent face/hair/teeth/shaving
(implements provided) ______
DRESSING
0 = dependent
5 = needs help but can do about half unaided
10 = independent (including buttons,
zips, laces, etc.) ______
BOWELS
0 = incontinent (or needs to be given
enemas)
5 = occasional accident
10 = continent ______
BLADDER
0 = incontinent, or catheterized and
unable to manage alone
5 = occasional accident
10 = continent ______
TOILET USE
0 = dependent
5 = needs some help, but can do
something alone
10 = independent (on and off, dressing,
wiping) ______
TRANSFERS (BED TO CHAIR AND BACK)
0 = unable, no sitting balance
5 = major help (one or two people,
physical), can sit
10 = minor help (verbal or physical)
15 = independent ______
MOBILITY (ON LEVEL SURFACES)
0 = immobile or < 50 yards
5 = wheelchair independent, including
corners, > 50 yards
10 = walks with help of one person
(verbal or physical) > 50 yards
15 = independent (but may use any aid;
for example, stick) > 50 yards ______
STAIRS
0 = unable
5 = needs help (verbal, physical,
carrying aid)
10 = independent
______
TOTAL (0–100): ______
Provided by the Internet Stroke Center
— www.strokecenter.org
The Barthel ADL Index: Guidelines
1.
The index should
be used as a record of what a patient does, not as a record of what a patient
could do.
2.
The main aim is to
establish degree of independence from any help, physical or verbal, however
minor and for whatever reason.
3.
The need for
supervision renders the patient not independent.
4.
A patient's
performance should be established using the best available evidence. Asking the
patient, friends/relatives and nurses are the usual sources, but direct
observation and common sense are also important. However direct testing is not
needed.
5.
Usually the
patient's performance over the preceding 24-48 hours is important, but
occasionally longer periods will be relevant.
6.
Middle categories
imply that the patient supplies over 50 per cent of the effort.
7.
Use of aids to be
independent is allowed.
References
Mahoney FI, Barthel D. “Functional evaluation: the Barthel Index.” Maryland
State Medical Journal 1965;14:56-61.
Used with permission.
Loewen SC, Anderson BA. “Predictors of stroke outcome using objective
measurement scales.”
Stroke. 1990;21:78-81.
Gresham GE, Phillips TF, Labi ML. “ADL status in stroke: relative merits of
three standard indexes.”
Arch Phys Med Rehabil. 1980;61:355-358.
Collin C, Wade DT, Davies S, Horne
V. “The Barthel ADL Index: a reliability
study.”
Int Disability Study.1988;10:61-63.
Copyright Information
The Maryland State Medical Society
holds the copyright for the Barthel Index.
It may be used freely for noncommercial purposes with the following citation:
Mahoney FI, Barthel D. “Functional evaluation: the Barthel Index.” Maryland
State Med Journal 1965;14:56-61.
Used with permission.
Permission is required to modify the
Barthel Index or to use it for commercial purposes.
Provided by
the Internet Stroke Center — www.strokecenter.org
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