Barthel scale
The Barthel scale or Barthel ADL index is a scale used to measure performance in basic Activities of Daily Living. The Barthel Index is an ordinal scale. Each performance item is rated on this ordinal scale with a given number of points assigned to each level or ranking.[1]It uses ten variables describing activities of daily living (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 hospital. The amount of time and physical assistance required to perform each item are used in determining the assigned va lue of each item. External factors within the environment effects 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,[3] and yielded a score of 0-20. Although this original version is still widely used, it was modified by Granger et al. in 1979, when it came to include 0-10 points for every variable,[4] and further refinements were introduced in 1989.[5] The barthel index signifies one of the first contributions to the functional status literature and it represents Occupational therapists' lengthy period of inclusion of functional mobility and ADL measurement within their scope of practice.[6] The scale is regarded as reliable, although its use in clinical trials in stroke medicine is inconsistent.[7] It has however, been used extensively to monitor functional changes in individuals receiving in-patient rehabilitation, mainly in predicting the functional outcomes related to stroke. The barthel index has demonstrated high interrator reliability (0.95) and test re-test reliability (0.89) as well as high correlations (0.74-0.8) with other measures of physical disability.<ref name="O'Sullivan">
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
- and help needed with bathing
See also
References
- ^ O'Sullivan, Susan B (2007). Physical Rehabilitation, Fifth Edition. Philadelphia, PA: F.A. Davis Company. p. 385.
{{cite book}}: Unknown parameter|coauthors=ignored (|author=suggested) (help) - ^ Carroll, Douglas. "Functional Evaluation: The Barthel Index" (PDF). Retrieved 12 May 2011.
- ^ a b Mahoney F. Barthel D (1965). "Functional evaluation: the Barthel Index". Md Med J. 14: 61–65. PMID 14258950.
- ^ Granger CV, Dewis LS, Peters NC, Sherwood CC, Barrett JE (1979). "Stroke rehabilitation: analysis of repeated Barthel index measures". Arch Phys Med Rehabil. 60 (1): 14–7. PMID 420565.
{{cite journal}}: Unknown parameter|month=ignored (help)CS1 maint: multiple names: authors list (link) - ^ Shah S, Vanclay F, Cooper B (1989). "Improving the sensitivity of the Barthel Index for stroke rehabilitation". J Clin Epidemiol. 42 (8): 703–9. doi:10.1016/0895-4356(89)90065-6. PMID 2760661.
{{cite journal}}: CS1 maint: multiple names: authors list (link) - ^ O'Sullivan, Susan B (2007). Physical Rehabilitation, Fifth Edition. Philadelphia, PA: F.A. Davis Company. p. 385.
{{cite book}}: Unknown parameter|coauthors=ignored (|author=suggested) (help) - ^ Sulter G, Steen C, De Keyser J (1999). "Use of the Barthel index and modified Rankin scale in acute stroke trials". Stroke. 30 (8): 1538–41. PMID 10436097.
{{cite journal}}: Unknown parameter|month=ignored (help)CS1 maint: multiple names: authors list (link)
External links
- Patient.co.uk, online calculator
- Stroke Center (deviates from other versions)