Barthel Index of Activities of Daily Living – ADL

Barthel Index of Activities of Daily Living

[select name="bowels" value="0|1|2"] <-- Bowels
0 = incontinent (or needs to be given enemas) 
1 = occasional accident (once/week) 
2 = continent 

[select name="bladder" value="0|1|2"] <-- Bladder
0 = incontinent, or catheterized and unable to manage 
1 = occasional accident (max. once per 24 hours) 
2 = continent (for over 7 days) 

[select name="grooming" value="0|1"] <-- Grooming
0 = needs help with personal care 
1 = independent face/hair/teeth/shaving (implements provided) 

[select name="toilet" value="0|1|2"] <-- Toilet use
0 = dependent 
1 = needs some help, but can do something alone 
2 = independent (on and off, dressing, wiping) 

[select name="feeding" value="0|1|2"] <-- Feeding
0 = unable 
1 = needs help cutting, spreading butter, etc. 
2 = independent (food provided within reach) 

[select name="transfer" value="0|1|2|3"] <-- Transfer
0 = unable – no sitting balance 
1 = major help (one or two people, physical), can sit 
2 = minor help (verbal or physical) 
3 = independent 

[select name="mobility" value="0|1|2|3"] <-- Mobility
0 = immobile 
1 = wheelchair independent, including corners, etc. 
2 = walks with help of one person (verbal or physical) 
3 = independent (but may use any aid, e.g., stick) 

[select name="dressing" value="0|1|2"] <-- Dressing
0 = dependent 
1 = needs help, but can do about half unaided 
2 = independent (including buttons, zips, laces, etc.) 

[select name="stairs" value="0|1|2"] <-- Stairs
0 = unable 
1 = needs help (verbal, physical, carrying aid) 
2 = independent up and down 

[select name="bathing" value="0|1"] <-- Bathing
0 = dependent 
1 = independent (or in shower) 

Total Score --> [calc memo="number" value="score1=(bowels)+(bladder)+(grooming)+(toilet)+(feeding)+(transfer)+(mobility)+(dressing)+(stairs)+(bathing)"] / 20
Interpretation Lower scores indicate increased disability. If used to measure improvement after rehabilitation, changes of more than two points in the total score reflect a probable genuine change, and change on one item from fully dependent to independent is also likely to be reliable.
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reference:  
[link url="//www.ncbi.nlm.nih.gov/pubmed/3403500" memo="#1"] Collin C, Wade DT, Davies S, Horne V. The Barthel ADL Index: a reliability study. Int Disabil Stud. 1988;10(2):61-63. 
[link url="//www.ncbi.nlm.nih.gov/pubmed/14258950" memo="#2"] Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Md State Med J. 1965;14:61-65.
[link url="//www.ncbi.nlm.nih.gov/pubmed/3042746" memo="#3"] Wade DT, Collin C. The Barthel ADL Index: a standard measure of physical disability? Int Disabil Stud. 1988;10(2):64-67.
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