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

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