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    Barthel Index for Activities of Daily Living (ADL)

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

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    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, (d. 2003) 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

    About the Creator
    Dorothea W. Barthel, PT