Barthel index

Barthel Index is a widely used measure in the field of rehabilitation medicine to assess the functional independence of patients with neurological disorders, orthopedic conditions, and other conditions that affect physical functioning. It was first introduced by Dr. Dorothea Barthel in the 1960s.

Overview

The Barthel Index is a simple, 10-item ordinal scale used to measure performance in activities of daily living (ADL). Each performance item is rated on this scale with a given number of points assigned to each level or ranking. It uses ten variables describing ADL and 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.

Components

The Barthel Index consists of the following components:

• Feeding
• Bathing
• Grooming
• Dressing
• Bowel control
• Bladder control
• Toilet use
• Transfers (bed to chair and back)
• Mobility (on level surfaces)
• Stairs climbing

Each component is scored from 0 (dependent) to 15 (independent), with a total score ranging from 0 to 100.

Usage

The Barthel Index is used in both clinical settings and research. In clinical settings, it is used to assess a patient's level of independence before and after intervention, and to help plan for the patient's discharge from hospital. In research, it is used as an outcome measure to assess the effectiveness of interventions and treatments.

Limitations

While the Barthel Index is a useful tool, it has some limitations. It does not assess cognitive function, social interaction, mood, or quality of life. It also may not be sensitive enough to detect small changes in function.

See also

• Functional Independence Measure
• Katz Index of Independence in Activities of Daily Living
• Lawton Instrumental Activities of Daily Living Scale