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The MBI developed by Shah et al. [5] is a 100-point rating scale of a patients ability to perform 10 kinds of ADL. Each activity is assigned a numeric value ing to the patients requirement for assistance. Lower scores indicate less independence, whereas higher scores indicate greater independence.
What is the Modified Barthel Index? The Modified Barthel Index (available here) uses the same 10 items as the Barthel Index, but a 5-level ordinal scale is used: 1=unable to perform task, 2=attempts task but unsafe, 3=moderate help required, 4=minimal help required, 5=fully independent.
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Subjects reported their ability for each function using a score of 0 (dependent), or 5 (needs some help but can do something alone), or 10 (independent). The Barthel index is the sum of the score ranging from 0 to 100, with 100 being the most independent level of function.
The scale used to measure independence in ADLs uses ratings from 0 to 3. A score of zero represents complete independence (no impairment), while 3 represents complete dependence (impairment). Each item measures the level of impairment of the individual, regardless of how much help they might be receiving at present.
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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.
Total possible scores range from 0 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.

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