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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.
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.
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.
Reliability and Validity Correlated with a motor ability index, the Barthel Index was given a . 73 to . 77 rating. The Barthel Index was agreed to be a reliable instrument in foreseeing mortality and easy to use.
The Barthel index is a 10-item instrument measuring functional independence in personal activities of daily living (ADL). The total score of Barthel index was 100. In this, we considered anyone with a score

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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.
to detecting change (1=unable to perform task, 2=attempts task but unsafe, 3=moderate help required, 4=minimal help required, 5=fully independent). Shah and coll. (1989) note that a score of 0-20 suggests total dependence, 21-60 severe dependence, 61-90 moderate dependence and 91-99 slight dependence.
ADL self-performance measures what the resident actually did (not what he or she might be capable of doing) within each ADL category over the prior seven days, ing to a performance-based scale. ADL self-performance coding ranges from 0 (independent) to 4 (total dependence).

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