Mahoney FI, Barthel D.

“Functional evaluation: the Barthel Index.”

Maryland State Med Journal 1965;14:56-61

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I➜The Barthel Index is a very simple scoring system, consisting of 10 common ADL activities, administered through direct observation. These are assessed for independence/dependence and scored via an arbitrary weighting system (originally applied to reflect nursing care and social acceptability). Eight of the ten items represent activities related to personal care; the remaining 2 are related to 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 scale was introduced in 1965 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 and further refinements were introduced in 1989. The BI is regarded as reliable, although its use in clinical trials in stroke medicine is inconsistent.



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