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Barthel Index

The Barthel Index Scoring Form is used to assess functional independence in activities of daily living. It evaluates 10 areas of function including feeding, bathing, grooming, dressing, bowel and bladder control, toilet use, transfers, mobility, and stairs. For each area, patients are given a score from 0 to 15 to indicate their level of independence, with higher scores representing greater independence. The total score can range from 0 to 100 or 0 to 105 depending on the version used. Guidelines for administering and scoring the index are also provided.

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1K views1 page

Barthel Index

The Barthel Index Scoring Form is used to assess functional independence in activities of daily living. It evaluates 10 areas of function including feeding, bathing, grooming, dressing, bowel and bladder control, toilet use, transfers, mobility, and stairs. For each area, patients are given a score from 0 to 15 to indicate their level of independence, with higher scores representing greater independence. The total score can range from 0 to 100 or 0 to 105 depending on the version used. Guidelines for administering and scoring the index are also provided.

Uploaded by

Chu Ai Reen
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Barthel Index Scoring Form

Patient Name: _____________________ Rater Name:_____________________ Date:____________ 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 SCORE= _____________

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.

Date created: 1/2000 Last reviewed: 8/2004 Reviewed/Approved by: L. Schwamm, M.D. / Acute Stroke Team

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