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    Patent Pending

    Barthel Index for Activities of Daily Living (ADL)

    Assesses functional independence, generally in stroke patients.
    When to Use

    Do you use the Barthel Index and want to contribute your expertise? Join our contributor team!

    Rank the patient's independence in the following areas:
    Independent
    +10
    Needs help
    +5
    Unable
    0
    Independent
    +5
    Unable
    0
    Independent
    +5
    Unable
    0
    Independent
    +10
    Needs help
    +5
    Unable
    0
    Continent
    +10
    Occasional accident
    +5
    Incontinent (or needs to be given enemas)
    0
    Continent
    +10
    Occasional accident
    +5
    Incontinent (catheterized, unable to manage alone)
    0
    Independent
    +10
    Needs help
    +5
    Unable
    0
    Independent
    +15
    Needs minor help (verbal or physical)
    +10
    Needs major help (1-2 people, physical), can sit
    +5
    Unable
    0
    Independent (but may use any aid, e.g. stick) >50 yards
    +15
    Walks with help of one person (verbal or physical) >50 yards
    +10
    Wheelchair independent, including corners, >50 yards
    +5
    Immobile or <50 yards
    0
    Independent
    +10
    Needs help (verbal, physical, carrying aid)
    +5
    Unable
    0

    Result:

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    Next Steps
    Evidence
    Creator Insights
    Dorothea W. Barthel, PT

    About the Creator

    Dorothea W. Barthel, PT, was an American physical therapist, best known for creating the eponymous Barthel Index with Dr. Florence Mahoney in 1965. The Barthel Index is one of the most widely-used assessments of functional independence.

    To view Dorothea W. Barthel, PT's publications, visit PubMed

    Are you Dorothea W. Barthel, PT? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    About the Creator
    Dorothea W. Barthel, PT
    Are you Dorothea W. Barthel, PT?