The Barthel Index is the most extensively researched scale and is considered superior to and more robust than any other ADL scale. The Barthel scores can gauge the need for care and help to report therapeutically meaningful and valid information of patient outcomes. Rehabilitation workers can feel confident in advocating the use of the Bl, as modified by Shah et al in 1989, as the preferred measure of ADL.
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References
1.
MurdockC.A critical evaluation of the Barthel Index, part 1. Br J Occup Ther1992; 55(3): 109–11.
2.
MurdockC.A critical evaluation of the Barthel Index, part 2. Br J Occup Ther1992; 55(4): 153–56.
3.
MahoneyFIBarthelDW. Functional evaluation: The Barthel Index. Md State Med J1965; 14: 61–65.
4.
DombovyMLSandokBABasfordJR. Rehabilitation for stroke: A review. Stroke1986; 17: 363–69.
5.
ShahSVanclayFCooperB.Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol1989; 42: 703–709.
6.
American College of Physicians.Comprehensive functional assessment for elderly patients. Ann Int Med1988; 109: 70–72.
7.
GaugerABBrownellWMRussellWWRetterRW. Evaluation of levels of subsistence. Arch Phys Med Rehabil1984; 44: 286–92.
8.
SarnoJESarnoMTLevitaE.The functional life scale. Arch Phys Med Rehabil1973; 54: 214–20.
9.
KatzS.NIA conference on assessment. Assessing self-maintenance: Activities of daily living. J Am Geriatr Soc1983; 31: 721–25.
10.
WadeDTWoodVALangtonCHewerR.Recovery after stroke — The first 3 months. J Neurol Neurosurg Psychiatry1985; 48: 7–13.
11.
FortinskyRHGrangerCVSeltzerGB. The use of functional assessment in understanding home care needs. Med Care1981; 19: 489–97.
12.
YerxaEBurnett-BeaulieuSStockySAzonS.Development of the satisfaction in the performance scaled questionnaire. Am J Occup Ther1988; 42: 215–221.
13.
ShahSVanclayFCooperB.Predicting discharge status at commencement of stroke rehabilitation. Stroke1989; 20: 766–69.
14.
KoyanoWShibataHNakazatokKHagaHSuyamaYMatsuzakiT.Mortality in relation to instrumental activities of daily living: One year follow-up in a Japanese urban community. J Gerontol: Soc Sci1989; 44: S107–S109.
15.
FillenbaumGG. Screening the elderly. A brief instrumental activities of daily living measure. J Am Geriatr Soc1985; 33: 698–706.
16.
WatsonMAlbrowM.The needs of older people in Glamorgan.Cardiff: Glamorgan County Council Social Services Department, 1973.
17.
HelmM.Occupational therapy with the elderly.New York: Churchill Livingstone, 1987.
18.
TurnerA, ed. The practice of occupational therapy — An introduction to the treatment of physical dysfunction.2nd ed.New York: Churchill Livingstone, 1987.
19.
PetroJABelgerDSalzbergCASalisburyRE. Burn accidents and the elderly: What is happening and how to prevent it. Geriatrics1989; 44: 26–48.
20.
HarridgeC.Meal preparation post stroke: A thesis.Brisbane: Occupational Therapy, The University of Queensland, 1991.
21.
GrangerCVAlbrechtGLHamiltonBB. Outcome of comprehensive medical rehabilitation: Measurement by the PULSES Profile and the Barthel Index. Arch Phys Med Rehabil1979; 60: 145–51.
22.
WadeDTCollinC.The Barthel ADL Index: A standard measure of physical disability?Int Disabil Stud1988; 10: 64–67.
23.
CronbachLJMehlPE. Construct validity in psychological tests. Psychol Bull1955; 52: 281–302.
24.
WadeDTLegh-SmithJHewerRL. Social activities after stroke: Measurement and natural history using the Frenchay Activities Index. Int Disabil Stud1985; 7: 176–81.
25.
MelamedSRingHNajensonT.Prediction of functional outcome in hemiplegic patients. Scand J Rehabil Med1985; 17 (Suppl. 12): 129–33.
26.
WadeDTSkilbeckCELangtonCHewerR.Predicting Barthel ADL score at 6 months after an acute stroke. Arch Phys Med Rehabil1983; 64: 24–28.
27.
WylieCM. Measuring end results of rehabilitation of patients. Public Health Rep1967; 82: 893–97.
28.
WadeDTHewerRL. Functional abilities after stroke: Measurement, natural history and prognosis. J Neurol Neurosurg Psychiatry1987; 50: 177–82.
29.
DeJongGBranchLG. Predicting the stroke patient's ability to live independently. Stroke1982; 13: 648–55.
30.
GoldbergRTBernadMGrangerCV. Vocational status: Prediction by the Barthel Index and PULSES Profile. Arch Phys Med Rehabil1980; 61: 580–83.
31.
ShahSVanclayFCooperB.Efficiency, effectiveness and duration of stroke rehabilitation. Stroke1990; 21: 241–46.
ReddingMJOrtoLAWinterSWFortunaIMMcDowellSH. Antidepressant therapy after stroke, a double-blind trial. Arch Neurol1986; 43: 763–65.
34.
ShinarDGrossCRBronsteinKS. Reliability of the activities of daily living scale and its use in the telephone interview. Arch Phys Med Rehabil1987; 68: 723–28.
35.
CollinCDavisSHorneVWadeDT. Reliability of the Barthel ADL Index. Int J Rehabil Res1987; 10: 356–57.
36.
KeithAR. Observations in the rehabilitation hospital: Twenty years of research. Arch Phys Med Rehabil1988; 69: 625–31.
37.
ShahSCooperBMaasF.The Barthel Index and ADL evaluation in stroke rehabilitation in Australia, Japan, the UK and the USA. Aust J Occup Ther1992; 39: 5–13.
38.
ShahSCooperB.Documentation for measuring stroke rehabilitation outcomes. Aust Med Record J1991; 21: 88–95.
39.
ChinoNAndersonTPGrangerCV. Stroke rehabilitation outcome studies: Comparison of a Japanese facility with 17 US facilities. Int Disabil Stud1988; 10: 150–53.
40.
MasakadoYChinoNSaitoE. Stroke rehabilitation and Barthel Index. Sugo Rehabil1989; 17: 689–94.
41.
GrangerCVDewisLSPetersNCSherwoodCCBarrettJE. Stroke rehabilitation: Analysis of repeated Barthel Index measures. Arch Phys Med Rehabil1979; 60: 14–17.
42.
SilversteinBFisherWPKilgoreKMHarleyJPHarveyRF. Applying psychometric criteria to functional assessment in medical rehabilitation: II. Defining interval measures. Arch Phys Med Rehabil1992; 73: 507–18.
43.
BebbingtonAC. Scaling indices of disablement. Br J Prevent Soc Med1977; 31: 122–26.
44.
WrightRDStoneMH. Best test design.Chicago: MESA Press, 1979.
45.
AgrestiA.Categorical data analysis.Canada: Wiley, 1990.
46.
RaschG.On general laws and the meaning of measurement in psychology. In: Proceedings of the fourth Berkeley symposium on mathematics, statistics and probability1961; 4: 321–33.
47.
WrightBDLinacreJM. Observations are always ordinal; measurements, however, must be interval. Arch Phys Med Rehabil1989; 70: 857–60.
48.
JohnstonMV. Statistical approach to ordinal measures (letter). Arch Phys Med Rehabil1989; 70: 861.
49.
KhaoulaniNCalmelsPOllagnonHGonardCDomenachMMinaireP.Evaluation fonctionnelle par L'indice de Barthel. Ann Readaptation Med Physique1991; 34: 129–136.
50.
HeinemannAWRothEJCichowskiKBettsHB. Multivariate analysis of improvement and outcome following stroke rehabilitation. Arch Neurol1987; 44: 1167–72.
51.
AhlsioBBrittonMMurrayVTheorellT.Disablement and quality of life after stroke. Stroke1984; 15: 886–90.
52.
RobinsonRGBolducPLKubosKLStarrLBPriceTR. Social functioning assessment in stroke patients. Arch Phys Med Rehabil1985; 66: 496–500.
53.
GreshamGEPhillipsTFLabiMLC. ADL status in stroke: Relative merits of three standard indexes. Arch Phys Med Rehabil1980; 61: 355–58.
54.
WilkersonDLBataviaJDDeJongG.Use of functional status measures for payment of medical rehabilitation services. Arch Phys Med Rehabil1989; 73: 111–120.
