Barthel Index

Mahoney & Barthel et al‚ 1965
1.    Feeding (if food needs to be cut up = help)
2.    Moving from wheelchair to bed and return (includes sitting up in bed)
3.    Personal toilet (wash face‚ comb hair‚ shave‚ clean teeth)
4.    Getting on and off toilet (handling clothes‚ wipe‚ flush)
5.    Bathing self
6.    Walking on level surface (or if unable to walk‚ propel wheelchair) *score only if unable to walk
7.    Ascend and descend stairs
8.    Dressing (includes tying shoes‚ fastening fasteners)
9.    Controlling bowels
10.Controlling bladder
Granger et al‚ 1981
1.    Drink from cup/feed from dish
2.    Dress upper body
3.    Dress lower body
4.    Don brace or prosthesis
5.    Grooming
6.    Wash or bathe
7.    Bladder continence
8.    Bowel continence
9.    Care of perineum/clothing at toilet
10.Transfer‚ chair
11.Transfer‚ toilet
12.Transfer‚ tub or shower
13.Walk on level 50 yards or more
14.Up and down stairs for one flight or more
15.Wheelchair/50 yards—only if not walking

Mahoney‚ FI.‚ Wood‚ OH.‚ Barthel‚ DW. (1958). Rehabilitation of chronically ill patients: the influence of complications on the final goal. South Med J‚ 51:605–609.

Mahoney‚ FI.‚ Barthel‚ DW. (1965). Functional evaluation: the Barthel Index. Maryland State Med J‚14:62.

Shah‚ S.‚ Vanclay‚ F.‚ Cooper‚ B. (1989).  Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol‚ 42:703–709.

Granger‚ CV.‚ Albrecht‚ GL.‚ Hamilton‚ BB. (1979). Outcome of comprehensive medical rehabilitation: measurement by PULSES Profile and the Barthel Index. Arch Phys Med Rehabil‚ 60:145–154.

Granger‚ CV. (1982).Health accounting functional assessment of the long-term patient. In: Kottke FJ‚ Stillwell GK‚ Lehmann JF‚ eds. Krusen’s handbook of physical medicine and rehabilitation. 3rd ed. Philadelphia: WB Saunders‚253–274.

Collin‚ C.‚ Wade‚ DT.‚ Davies‚ S‚ et al. (1988). The Barthel ADL Index: a reliability study. Int Disabil Stud‚ 10:61–63.

Granger‚ CV.‚ Hamilton‚ BB.‚ Gresham‚ GE.‚ et al. (1989). The stroke rehabilitation outcome study: Part II. Relative merits of the total Barthel Index score and a four-item subscore in predicting patient outcomes. Arch Phys Med Rehabil‚ 70:100–103

McDowell‚ Ian. (2006). Measuring Health: A Guide to Rating Scales and Questionnaires‚ Third Edition. OXFORD UNIVERSITY PRESS