Functional status
Barthel Index of ADLs
Select the option that best matches the patient performance for each activity. Scores range from 0 (total dependency) to 100 (independent). Use consistent interviews or direct observation to improve reliability.
Feeding
Bathing
Grooming
Dressing
Bowels
Bladder
Toilet use
Transfers (bed to chair and back)
Mobility on level surfaces
Stairs
Total score
100
IndependentPatient is independent in basic activities of daily living. Encourage community reintegration and endurance training.
How to Use This Calculator
Gather objective information
Use direct observation when possible. Otherwise rely on trained caregivers or nursing reports for each activity.
Score the best current performance
Choose the option describing what the patient can do with their usual devices or setup, not their worst moment.
Review the total and interpretation
Use the dependency banding to communicate needs, set rehab goals, and plan follow-up assessments.
Formula
Total score = sum of points across the 10 activities of daily living (maximum 100).
Common interpretation bands:
- 0-20: Total dependency
- 21-60: Severe dependency
- 61-90: Moderate dependency
- 91-99: Slight dependency
- 100: Independent
Full Description
The Barthel Index measures ability in fundamental activities of daily living, including personal care, continence, transfers, and mobility. It is widely used in stroke, spinal cord injury, geriatric medicine, and rehabilitation programs to monitor recovery.
Combine this score with cognition, communication, and instrumental ADL assessments for a rounded view of independence. Large changes in score over time often signal progress or setbacks that should trigger review of therapy goals and care plans.
Frequently Asked Questions
How long does scoring take?
Experienced clinicians can complete the Barthel Index in about five to ten minutes when information is readily available.
Can two clinicians score differently?
Some variation occurs. Improve agreement by training staff, using shared definitions, and documenting the usual patient setup.
How often should I reassess?
Reassess at admission, discharge, weekly during inpatient rehab, or whenever functional status changes noticeably.
Does the Barthel Index inform home care planning?
Yes. Scores guide equipment selection, caregiver hours, and eligibility for therapy or long-term support services.