Barthel scale

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Barthel scale
SynonymsBarthel ADL index
Purposemeasure performance in activities of daily living

The Barthel scale is an

ordinal scale used to measure performance in activities of daily living (ADL). Each performance item is rated on this scale with a given number of points assigned to each level or ranking.[1] It uses ten variables describing ADL and mobility. A higher number is associated with a greater likelihood of being able to live at home with a degree of independence following discharge from a hospital. The amount of time and physical assistance required to perform each item are used in determining the assigned value of each item. External factors within the environment affect the score of each item. If adaptations outside the standard home environment are met during assessment, the participant's score will be lower if these conditions are not available. If adaptations to the environment are made, they should be described in detail and attached to the Barthel index.[2]

The scale was introduced in 1965,

test–retest reliability (0.89) as well as high correlations (0.74–0.8) with other measures of physical disability.[1]

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.

Variables

The ten variables addressed in the Barthel scale are:[3]

  • Presence or absence of fecal incontinence
  • Presence or absence of urinary incontinence
  • Help needed with grooming
  • Help needed with toilet use
  • Help needed with feeding
  • Help needed with transfers (e.g. from chair to bed)
  • Help needed with walking
  • Help needed with dressing
  • Help needed with climbing stairs
  • Help needed with bathing

See also

References

  1. ^ a b c O'Sullivan, Susan B; Schmitz, Thomas J (2007). Physical Rehabilitation, Fifth Edition. Philadelphia, PA: F.A. Davis Company. p. 385.
  2. ^ Carroll, Douglas. "Functional Evaluation: The Barthel Index" (PDF). Archived from the original (PDF) on 28 September 2011. Retrieved 12 May 2011.
  3. ^
    PMID 14258950
    .
  4. .
  5. .

External links