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Barthel's Index of Activities of Daily Living (BAI)
Although used fairly universally in hospitals for assessing patients with severe disabilities, more sensitive indices (e.g. Assessment of Motor and Process Skills (AMPS)) are required in the community1,2
Click on the appropriate option and click on "calculate" button to add up score.
NB: the aim is to establish the degree of independence from any help.
Modified Barthel Score3
This modification further increases the sensitivity of the score (maximum 100), without increasing difficulty undertaking test or time involved
| Items | Unable to perform task | Attempts task but unsafe | Moderate help required | Minimal help required | Fully independent |
| Personal Hygiene | 0 |
1 |
3 |
4 |
5 |
| Bathing Self | 0 |
1 |
3 |
4 |
5 |
| Feeding | 0 |
2 |
5 |
8 |
10 |
| Toilet | 0 |
2 |
5 |
8 |
10 |
| Stair Climbing | 0 |
2 |
5 |
8 |
10 |
| Dressing | 0 |
2 |
5 |
8 |
10 |
| Bowel Control | 0 |
2 |
5 |
8 |
10 |
| Bladder Control | 0 |
2 |
5 |
8 |
10 |
| Ambulation (wheelchair) |
0 (0) |
3 (1) |
8 (3) |
12 (4) |
15 (5) |
| Chair-Bed Transfers | 0 |
3 |
8 |
12 |
15 |
Document references
- Joint report of the Royal College of Physicians (RCP) and the British Geriatrics Society (BGS) 1992, London, RCG and BGS
- Wade D; Measurement of Neurological Rehabilitation. OUP. 1992
- Shah S, Vanclay F, Cooper B; Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol. 1989;42(8):703-9. [abstract]
DocID: 1845
Document Version: 20
DocRef: bgp1654
Last Updated: 6 Oct 2008
Review Date: 6 Oct 2010
The authors and editors of this article are employed to create accurate and up to date content reflecting reliable research evidence, guidance and best clinical practice. They are free from any commercial conflicts of interest.
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