modified-barthel-index
modified-barthel-index
1989)
Patient name: ____________________________________________ Date: ______________________
0 Dependent in ambulation.
The patient must be able to wear braces if required, lock and unlock
these braces assume standing position, sit down, and place the
15 necessary aids into position for use. The patient must be able to
crutches, canes, or a walkarette, and walk 50 meters without help or
supervision.
The patient is able to get on/off the toilet, fasten clothing and use toilet
10 paper without help. If necessary, the patient may use a bed pan or
commode or urinal at night but must be able to empty it and clean it.
The patient needs help to assume appropriate position, and with bowel
2
movement facilitatory techniques.
The patient can assume appropriate position but cannot use facilitatory
5 techniques or clean self without assistance and has frequent accidents.
Bowel control Assistance is required with incontinence aids such as pad, etc.
The patient can control bowels and has no accidents, can use
10
suppository, or take an enema when necessary.
Bladder The patient is generally dry by day, but not at night and needs some
5
control assistance with the devices.
The patient is generally dry by day and night but may have an
8 occasional accident or need minimal assistance with internal or external
devices.
The patient can wash his/her hands and face, comb hair, clean teeth
and shave. A male patient may use any kind of razor but must insert the
5 blade, or plug in the razor without help, as well as retrieve it from the
drawer or cabinet. A female patient must apply her own make-up, if
used, but need not braid or style her hair.
Independence in feeding with prepared tray, except may need meat cut,
8 milk carton opened or jar lid etc. The presence of another person is not
required.
Index item Score Description
Feeding The patient can feed self from a tray or table when someone puts the
(Continued) 10 food within reach. The patient must put on an assistive device if
needed, cut food, and if desired use salt and pepper, spread butter, etc.
Total score:
Score Interpretation
00 - 20 Total dependence
21 - 60 Severe dependence
61 - 90 Moderate dependence
91 - 99 Slight dependence
- 100 Independence
Score Prediction
Unlikely to go home
Less than 40 Dependent in mobility
Dependent in self-care
References
Granger, V., Dewis, L., Peters, W., Sherwood, C., & Barrett, J. (1979). Stroke rehabilitation analysis of
repeated Barthel Index measures. Archives of Physical and Medical Rehabilitation, 60, 14 - 17.
Hasselkus, B. (1982). Barthel self-care index and geriatric home care patients. Physical and
Occupational Therapy in Geriatrics, 1, 11 - 22.
Leonard, R., & McGovern, L. (2010). The Barthel Index in an acute geriatric setting. Australian
Occupational Therapy Journal, 39(3), 41–43. https://doi.org/10.1111/j.1440-1630.1992.tb01758.x
Shah, S., Cooper, B., & Maas, F. (1992). The Barthel Index and ADL evaluation in stroke rehabilitation
in Australia, Japan, the UK, and the USA. Australian Occupational Therapy Journal, 39(1), 5–13.
https://doi.org/10.1111/j.1440-1630.1992.tb01729.x
Shah, S., & Cooper, B. (1991). Documentation for measuring stroke rehabilitation outcomes. Australian
Medical Record Journal, 21(3), 88–95. https://doi.org/10.1177/183335839102100304
Shah, S., Vanclay, F., & Cooper, B. (1989). Improving the sensitivity of the Barthel Index for stroke
rehabilitation. Journal of Clinical Epidemiology, 42(8), 703–709. https://doi.org/10.1016/0895-
4356(89)90065-6