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rated in scale steps (0, 5 (0, 5, 10 (0, 5, 10, 15) dependent on the item. Journal of Neurological Neurosurgery and Psychiatry, 73, 188-190. Wade,., Hewer,. Improving the sensitivity of the Barthel Index for Stroke rehabilitation. Journal of Neurological Neurosurgery and Psychiatry, 50, 177-182. Outcome of comprehensive medical rehabilitation: measurement by pulses profile and the Barthel Index. Modifications to the Barthel Index include a variation of the 10-item version by Collin and Wade,4,10 that reordered the original 10 items, clarified the rating instructions, and modified the scores for each item based on a three point scoring system with a total score range. 1 needs some help, but can do at least half.

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Wade,., Collin,. Mahoney,., Barthel,. As mentioned previously, there is no definitive scoring system. Generally speaking, a score of 14 indicates some disability, usually compatible with the level of support found in the home, a score of 10 is compatible with discharge home, provided there is maximum support and a caretaker in attendance.4. Improving the sensitivity of the Barthel Index for stroke rehabilitation. Interestingly, when the Barthel was administered to geriatric patients, Ranhoff and Laake found that geriatric patients tended to overestimate their own abilities.15 This suggests, potentially, that the Barthel be administered by clinical staff. Parallel reliability of the functional independence measure and the barthel ADL index. A measure of disability.

Stick) 50 yards 15 Walks with help of one person (verbal or physical) 50 yards 10 Wheelchair independent, including corners, 50 yards 5 Immobile or 50 yards 0 Stairs Independent 10 Needs help (verbal, physical, carrying aid) 5 Unable 0 Result: Please fill out required. 1 independent in wheelchair, incl. Self-report accorded least well with the other methods; agreement was lowest for items on transfers, feeding, dressing, grooming and toileting.4 Roy. Shah reported alpha internal consistency coefficients.87.92 (admission and discharge) for the original scoring system.2 Wartski and Green retested 41 patients after a three-week delay and found that for 35 patients, test-retest scores fell within 10 points. The scores are designed to reflect the amount of time and assistance a patient requires. Without help 1 needs some help cutting or spreading 0 needs to be fed. Boston: Hebrew Rehabilitation Center for the Aged. Roy,., Togneri,., Hay,.,.

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