Provided by the Internet Stroke Center www .s tro k e ce nt er .

org
THE Patient Name:
BARTHEL Rater Name:
INDEX Date:
Activity Score
FEEDING
0 = unable
5 = needs help cutting, spreading butter, etc., or requires modified diet
10 = independent
BATHING
0 = dependent
5 = independent (or in shower)
GROOMING
0 = needs to help with personal care
5 = independent face/hair/teeth/shaing (implements proided)
DRESSING
0 = dependent
5 = needs help but can do about half unaided
10 = independent (including buttons, !ips, laces, etc.)
BOWELS
0 = incontinent (or needs to be gien enemas)
5 = occasional accident
10 = continent
BLADDER
0 = incontinent, or catheteri!ed and unable to manage alone
5 = occasional accident
10 = continent
TOILET SE
0 = dependent
5 = needs some help, but can do something alone
10 = independent (on and off, dressing, wiping)
TRANSFERS !BED TO "HAIR AND BA"#$
0 = unable, no sitting balance
5 = ma"or help (one or two people, ph#sical), can sit
10 = minor help (erbal or ph#sical)
15 = independent
MOBILIT% !ON LE&EL SRFA"ES$
0 = immobile or $ 50 #ards
5 = wheelchair independent, including corners, % 50 #ards
10 = wal&s with help of one person (erbal or ph#sical) % 50 #ards
15 = independent (but ma# use an# aid' for e(ample, stic&) % 50 #ards
STAIRS
0 = unable
5 = needs help (erbal, ph#sical, carr#ing aid)
10 = independent
TOTAL !'()''$:
Provided by the Internet Stroke Center www .s tro k e ce nt er .org
T*e Bart*e+ ADL In,e-: G.i,e+ine/
1. )he inde( should be used as a record of what a patient does, not as a record of what a patient could do.
*. )he main aim is to establish degree of independence from an# help, ph#sical or erbal, howeer
minor and for whateer reason.
+. )he need for superision renders the patient not independent.
,. - patient.s performance should be established using the best aailable eidence. -s&ing the
patient, friends/relaties and nurses are the usual sources, but direct obseration and common sense
are also important. /oweer direct testing is not needed.
5. 0suall# the patient.s performance oer the preceding *,1,2 hours is important, but occasionall# longer
periods will be releant.
3. 4iddle categories impl# that the patient supplies oer 50 per cent of the effort.
01 0se of aids to be independent is allowed.
Re2erence/
4ahone# 56, 7arthel 8. 95unctional ealuation: the 7arthel 6nde(.:
Maryland State Medical Journal 1;35'1,:53131. 0sed with permission.
<oewen =>, -nderson 7-. 9?redictors of stro&e outcome using ob"ectie measurement scales.:
St r oke . )33'45):0676)1
@resham @A, ?hillips )5, <abi 4<. 9-8< status in stro&e: relatie merits of three standard inde(es.:
Ar ch Phys Med R ehabil. )36'48):9::79:61
>ollin >, Bade 8), 8aies =, /orne C. 9)he 7arthel -8< 6nde(: a reliabilit# stud#.:
In t Dis ab ility Stu d y. )3664)':8)7891
"o;yri<*t In2ormation
)he 4ar#land =tate 4edical =ociet# holds the cop#right for the 7arthel 6nde(. 6t ma# be used freel# for
non1 commercial purposes with the following citation:
4ahone# 56, 7arthel 8. 95unctional ealuation: the 7arthel 6nde(.:
Maryland State Med Journal 1;35'1,:53131. 0sed with permission. ?ermission is
required to modif# the 7arthel 6nde( or to use it for commercial purposes.