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The Barthel Index (BI) is a measure of independence in activities of daily living (ADL). In the modified Barthel Index (MBI), a five-point system replaced the original two or three or four point rating system. Based on this modified measure, the performance evaluation tool MBI (PET-MBI) was developed in Japan.
Total possible scores range from 0 \u2013 20, with lower scores indicating increased disability. If used to measure improvement after rehabilitation, changes of more than two points in the total score reflect a probable genuine change, and change on one item from fully dependent to independent is also likely to be reliable.
The MBI developed by Shah et al. [5] is a 100-point rating scale of a patient's ability to perform 10 kinds of ADL. Each activity is assigned a numeric value according to the patient's requirement for assistance. Lower scores indicate less independence, whereas higher scores indicate greater independence.
For the Barthel Index, a score of 95 or 100 (the Barthel Index was measured in 5-point increments between 0 and 100) was considered a favorable outcome.
Using the Barthel Index, their functional status was assessed by self-report and by observation of performance.

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The Barthel Index (BI)-100 is used to measure geriatric patients' activities of daily living (ADL).
Proposed guidelines for interpreting Barthel scores are that scores of 0-20 indicate \u201ctotal\u201d dependency, 21-60 indicate \u201csevere\u201d dependency, 61-90 indicate \u201cmoderate\u201d dependency, and 91-99 indicates \u201cslight\u201d dependency.
The Modified Barthel Index (MBI) with a five-step scoring system was developed by Shah et al. [5) and has greater sensitivity and reliability compared to the original version.
Our results showed that the Barthel Index is a reliable measure, with adequate internal consistency and valid to measure the functional independence of cancer patients in palliative care.
Modified Barthel ADL index* Measure of physical disability used widely to assess behaviour relating to activities of daily living for stroke patients or patients with other disabling conditions. It measures what patients do in practice. Assessment is made by anyone who knows the patient well.

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