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Abstract. BACKGROUNDThe importance of evaluating disability outcome measures is well recognised. The Functional Independence Measure (FIM) was developed to be a more comprehensive and sensitive measure of disability than the Barthel Index (BI).
In addition, one study showed that a Barthel-Index between 6 and 14 points (moderate to severe impairment) was associated with a higher risk of falling than a Barthel-Index ⩽5 points (severe impairment). A patient with a Barthel-Index ⩽5 points is bedridden, which results in a decreased risk of falling.
The Original Barthel Index The scoring is as follows: 0 = unable, 1 = needs assistance/help, 2 = independent. The for the ten items are summed and x 5 to get a total score out of 100. Proposed guidelines for interpreting Barthel scores are as follows: scores of 0-20 indicate total dependency.
Feeding. 10 = Independent. Moving from wheelchair to bed and return. 15 = Independent in all phases of this activity. Doing personal toilet. Getting on and off toilet. Bathing self. Walking on a level surface. Ascending and descending stairs. Dressing and undressing.
It may be used freely for noncommercial purposes with the following citation: Mahoney FI, Barthel D. Functional evaluation: the Barthel Index. Maryland State Medical Journal1965;14:56-61. Used with permission.
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Proposed guidelines for interpreting Barthel scores are as follows: scores of 0-20 indicate total dependency. scores of 21-60 indicate severe dependency. scores of 61-90 indicate moderate dependency.
Original 10-item version (Mahoney Barthel, 1965). Refers to the following 10 categories: feeding, bathing, grooming, dressing, control, bladder control, toileting, chair transfer, ambulation and stair climbing.
Barthel Index (BI) The BI is reported in the literature as a robust and widely used functional assessment scale assessing performance across 10 domains of individual function: feeding, bathing, grooming, dressing, control, bladder control, toileting, chair transfer, ambulation, stair climbing.

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