Barthel Index

Basic activity performance after stroke

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/shaving (implements provided)

    Dressing

  • 0 = dependent
  • 5 = needs help but can do about half unaided

    Bowels

  • 0 = incontinent (or needs to be given enemas)
  • 5 = occasional accident
  • 10 = continent

    Bladder

  • 0 = incontinent, or catheterized and unable to manage alone
  • 5 = occasional accident
  • 10 = continent

    Toilet use

  • 0 = dependent
  • 5 = needs some help, but can do something alone
  • 10 = independent (on and off, dressing, wiping)

    Transfers (bed to chair and back)

  • 0 = unable, no sitting balance
  • 5 = major help (one or two people, physical), can sit
  • 10 = minor help (verbal or physical)
  • 15 = independent

    Mobility (on level surfaces)

  • 0 = immobile or < 50 yards (45 meters)
  • 5 = wheelchair independent, including corners, > 50 yards (45 meters)
  • 10 = walks with help of one person (verbal or physical) > 50 yards (45 meters)
  • 15= independent (but may use any aid; for example, stick) > 50 yards (45 meters)

    Stairs

  • 0 = unable
  • 5 = needs help (verbal, physical, carrying aid)
  • 10 = independent

    Reference

    StrokeCenter.org