Page namespace (page_namespace ) | 0 |
Page title without namespace (page_title ) | 'Barthel scale' |
Full page title (page_prefixedtitle ) | 'Barthel scale' |
Old page wikitext, before the edit (old_wikitext ) | '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.<ref name="O'Sullivan">{{cite book|last=O'Sullivan|first=Susan B|title=Physical Rehabilitation, Fifth Edition|year=2007|publisher=F.A. Davis Company|location=Philadelphia, PA|pages=385|coauthors=Schmitz, Thomas J}}</ref>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. <ref>{{cite web|last=Carroll|first=Douglas|title=Functional Evaluation: The Barthel Index|url=http://www.strokecenter.org/trials/scales/barthel_reprint.pdf|accessdate=12 May 2011}}</ref>
The scale was introduced in 1965,<ref name=MahoneyBarthel>{{cite journal | author=Mahoney F. Barthel D | title=Functional evaluation: the Barthel Index | journal=Md Med J | year=1965 | volume=14 | pages=61–65 | pmid=14258950}}</ref> 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,<ref>{{cite journal | author=Granger CV, Dewis LS, Peters NC, Sherwood CC, Barrett JE | title=Stroke rehabilitation: analysis of repeated Barthel index measures | journal=Arch Phys Med Rehabil | year=1979 | month=January | volume=60 | issue=1 | pages=14–7 | pmid=420565}}</ref> and further refinements were introduced in 1989.<ref>{{cite journal |author=Shah S, Vanclay F, Cooper B |title=Improving the sensitivity of the Barthel Index for stroke rehabilitation |journal=J Clin Epidemiol |volume=42 |issue=8 |pages=703–9 |year=1989 |pmid=2760661 |doi=10.1016/0895-4356(89)90065-6}}</ref> The barthel index signifies one of the first contributions to the functional status literature and it represents [[Occupational therapist]]s' lengthy period of inclusion of functional mobility and ADL measurement within their scope of practice.<ref>{{cite book|last=O'Sullivan|first=Susan B|title=Physical Rehabilitation, Fifth Edition|year=2007|publisher=F.A. Davis Company|location=Philadelphia, PA|pages=385|coauthors=Schmitz, Thomas J}}</ref> The scale is regarded as reliable, although its use in [[clinical trial]]s in stroke medicine is inconsistent.<ref>{{cite journal |author=Sulter G, Steen C, De Keyser J |title=Use of the Barthel index and modified Rankin scale in acute stroke trials |journal=Stroke |volume=30 |issue=8 |pages=1538–41 |year=1999 |month=August |pmid=10436097 |doi= |url=http://stroke.ahajournals.org/cgi/content/full/30/8/1538}}</ref> 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<ref name=MahoneyBarthel/>:
* 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==
* [[Modified Rankin Scale]]
==References==
{{reflist}}
==External links==
* [http://www.patient.co.uk/showdoc/40001654/ Patient.co.uk], online calculator
* [http://www.strokecenter.org/trials/scales/barthel.pdf Stroke Center] (deviates from other versions)
[[Category:Rehabilitation medicine]]
[[ja:バーセル指数]]' |
New page wikitext, after the edit (new_wikitext ) | '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.<ref name="O'Sullivan">{{cite book|last=O'Sullivan|first=Susan B|title=Physical Rehabilitation, Fifth Edition|year=2007|publisher=F.A. Davis Company|location=Philadelphia, PA|pages=385|coauthors=Schmitz, Thomas J}}</ref>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. <ref>{{cite web|last=Carroll|first=Douglas|title=Functional Evaluation: The Barthel Index|url=http://www.strokecenter.org/trials/scales/barthel_reprint.pdf|accessdate=12 May 2011}}</ref>
The scale was introduced in 1965,<ref name=MahoneyBarthel>{{cite journal | author=Mahoney F. Barthel D | title=Functional evaluation: the Barthel Index | journal=Md Med J | year=1965 | volume=14 | pages=61–65 | pmid=14258950}}</ref> 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,<ref>{{cite journal | author=Granger CV, Dewis LS, Peters NC, Sherwood CC, Barrett JE | title=Stroke rehabilitation: analysis of repeated Barthel index measures | journal=Arch Phys Med Rehabil | year=1979 | month=January | volume=60 | issue=1 | pages=14–7 | pmid=420565}}</ref> and further refinements were introduced in 1989.<ref>{{cite journal |author=Shah S, Vanclay F, Cooper B |title=Improving the sensitivity of the Barthel Index for stroke rehabilitation |journal=J Clin Epidemiol |volume=42 |issue=8 |pages=703–9 |year=1989 |pmid=2760661 |doi=10.1016/0895-4356(89)90065-6}}</ref> The barthel index signifies one of the first contributions to the functional status literature and it represents [[Occupational therapist]]s' lengthy period of inclusion of functional mobility and ADL measurement within their scope of practice.<ref name="O'Sullivan"/> The scale is regarded as reliable, although its use in [[clinical trial]]s in stroke medicine is inconsistent.<ref>{{cite journal |author=Sulter G, Steen C, De Keyser J |title=Use of the Barthel index and modified Rankin scale in acute stroke trials |journal=Stroke |volume=30 |issue=8 |pages=1538–41 |year=1999 |month=August |pmid=10436097 |doi= |url=http://stroke.ahajournals.org/cgi/content/full/30/8/1538}}</ref> 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<ref name=MahoneyBarthel/>:
* 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==
* [[Modified Rankin Scale]]
==References==
{{reflist}}
==External links==
* [http://www.patient.co.uk/showdoc/40001654/ Patient.co.uk], online calculator
* [http://www.strokecenter.org/trials/scales/barthel.pdf Stroke Center] (deviates from other versions)
[[Category:Rehabilitation medicine]]
[[ja:バーセル指数]]' |