Barthel Index Calculator (ADL)

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Ability to use utensils and eat food that has been placed within reach.
Ability to wash or shower oneself without assistance.
Face washing, hair combing, shaving, and teeth brushing over the past 24-48 h.
Ability to choose clothes, put them on, manage buttons, zippers, and braces.
Continence over the week before assessment. Enema use = incontinent.
Continence over the past 24-48 h. A catheterised patient who manages independently may score 10.
Getting on/off toilet, fastening clothing, and wiping without assistance.
Moving safely from bed to chair and back. This is the highest-weighted domain.
Ability to walk or propel a wheelchair on level surfaces over 50 yards.
Going up and down one flight of stairs, using rail or aids if needed.
Barthel Index ScoreIndependent
100/ 100

Total functional independence score (0 = fully dependent, 100 = fully independent)

Self-care sub-score30/ 30
Continence sub-score20/ 20
Mobility sub-score50/ 50
Self-care %100%
Continence %100%
Mobility %100%
100 pts
Totally dependent<20Very dependent20-40Partially dependent40-60Minimally dependent60-80Independent80+
Self-care %100
Continence %100
Mobility %100

Barthel Index: 100/100 - Independent

  • Self-care is the most affected area (30/30, 100%). Occupational therapy focused on adaptive equipment, energy conservation, and task modification typically yields the most improvement in this domain.
  • A score of 80 or above generally indicates the person can manage basic daily activities independently. Community discharge is typically safe, though home adaptations and low-level support may still help maintain this level.
  • The minimally clinically important difference for the Barthel Index in stroke populations is approximately 1.85 points. Changes smaller than this may reflect measurement variability rather than genuine clinical progress. Serial scoring at admission, discharge, and 3-month follow-up is standard in stroke pathways.

Next stepArrange an occupational therapy home visit to identify environmental barriers, review adaptive equipment needs, and set discharge goals.

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