Barthel Index for Activities of Daily Living (ADL)
Assesses functional independence in basic activities of daily living.
INSTRUCTIONS
Rate the patient’s actual performance in each of 10 activities based on the level of assistance required. Use the best available evidence, generally reflecting performance over the preceding 24–48 hours.
Feeding*
Unable to feed self0
Needs some help with feeding+5
Independent+10
Bathing*
Grooming*
Dressing*
Dependent0
Needs help but completes at least half independently+5
Independent+10
Bowel control*
Incontinent or requires enemas to be administered0
Occasional accident+5
Continent+10
Bladder control*
Incontinent, or catheterised and unable to manage independently0
Occasional accident+5
Continent+10
Toilet use*
Dependent0
Needs some help+5
Independent+10
Transfers between bed and chair*
Unable to transfer or lacks sitting balance0
Requires major physical assistance but can sit+5
Requires minor physical or verbal assistance+10
Independent+15
Mobility on level surfaces*
Immobile or travels less than 50 yards0
Independent wheelchair mobility for more than 50 yards+5
Walks more than 50 yards with assistance from one person+10
Walks more than 50 yards independently, with an aid if needed+15
