- The Barthel Scale/Index (BI) is an ordinal scale used to measure performance in activities of daily living (ADL).
- Patients with stroke, patients with other neuromuscular or musculoskeletal disorders, oncology patients (>18 years old).
Items and Scoring
- The Barthel includes 10 personal activities: feeding, personal toileting, bathing, dressing and undressing, getting on and off a toilet, controlling bladder, controlling bowel, moving from wheelchair to bed and returning, walking on level surface (or propelling a wheelchair if unable to walk) and ascending and descending stairs.
- Each item is rated in terms of whether the patient can perform the task independently, with some assistance, or is dependent on help based on observation (0=unable, 1=needs help, 2=independent). The final score is x 5 to get a number on a 100 point score
- The MBI/BI is simple to administer.
- Requires training if administered by direct observation.
Time to administer
- -Self report: 2-5 minutes;
- Direct observation: 20 minutes.
Interpreting Barthel scores
- 0-20: “total” dependency
- 21-60: “severe” dependency
- 61-90: “moderate” dependency
- 91-99: “slight” dependency
- Most studies apply the 60/61 cutting point. Note- the Barthel Index should not be used alone for predicting outcomes
YOU CAN USE THIS FORM BELOW TO ASSESS YOUR PATIENT AND PRINT IT OUT OR SAVE AS PDF FILE.
- Mahoney FI, Barthel D, Functional Evaluation: The Barthel Index, Maryland State Medical Journal 1965;14, 56-61
- Collin C, Wade DT, Davies S, Horne V. The Barthel ADL Index: a reliability study. Int Disabil Stud. 1988; 10(2):61-63.
- Wade DT, Collin C. The Barthel ADL Index: a standard measure of physical disability? Int Disabil Stud. 1988;10(2):64-67.