The de Morton Mobility Index (DEMMI) provides a valid method for measuring and monitoring the mobility of patients making the transition from hospital to the community: an observational study
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Barthel index
Ceiling effect
ObjectiveTo observe the effect of community-based rehabilitation (CBR) on older stroke patients in ability of activities of daily living (ADL).Methods50 older stroke patients were randomly divided into the rehabilitation group and control group. The rehabilitation group was treated with motor function exercise and ADL training, while the control group only took medicine. Two groups were evaluated with Barthel index before and after treatment. ResultsScores of Barthel index on the rehabilitation group were higher than that on the control group after treatment, and there was a significantly difference between two groups ( P0.01). Conclusions CBR has the significant effect on improving ADL in older stroke patients.
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It has been more than 50 years ago, when in 1965 Florence Mahoney and Dorothea Barthel published an article entitled "Functional evaluation: the Barthel Index." Since then, Barthel scale, also known as a Basic ADL Index (BI), Barthel Score and Maryland Disability Index, is one of the most well-known scales ADL (Activities of Daily Living) and is still popular. This simple scale is still used by the representatives of a number of medical workers for many pur-poses, including the assessment of the results of treatment, rehabilitation, prognosing, assess-ment of self-reliance, assessment of needs for care and for the purposes of the judgment. De-spite its simplicity, the administration of the original Barthel questionnaire takes about 5-10 minutes; that`s why there is a demand for a shortened form of BI. Based on a review of the literature the advantages and disadvantages of the abbreviated BI versions in assessing activities of daily living has been presented. Key Words ADL, Barthel Index, Barthel scale, clinimetrics, short forms Opara J. Are short forms of Barthel Index equally useful in the assessment of ADL? Med Rehabil 2018; 22(2): 40-44. DOI: 10.5604/01.3001.0012.6932
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Objective To explore the effect of activities of daily living(ADL) training on hemiplegia after stroke.Methods 50 stroke patients with hemiplegia were divided into treatment group(n=27),who received ADL training and physical therapy,and control group(n= 23),who only received physical therapy.They were evaluated with modified Barthel index(MBI) and the Brunnstrom classification.Results After 6 months of treatment,the score of MBI improved more in the treatment group than in the control group(P0.05),but there was no significant difference in Brunnstrom stage(P0.05).Conclusion ADL training can improve the recovery of ADL in hemiplegics after stroke.
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Assessment of a patient’s functional ability to perform activities of daily living is an essential part of nursing. Measuring the functional ability of older adults is a potent predictor of a patient’s morbidity and hospital outcome. The information generated from assessment scales is only constructive if the information generated is clinically useful and scientifically reliable. The Katz activities of daily living and the Barthel Index are two of the oldest competing indices for assessing activities of daily living. The Katz activities of daily living and the Barthel Index evaluate a patient’s function in terms of level of independence or dependence when performing certain activities required for daily living. This paper will compare their significance and usefulness to nursing practice of the older adult. As information is gathered and interpreted to complete these assessment scales, the relative merits in specific situations of these two oldest competing indices need to be considered to ensure their appropriateness and sensitivity. Often, with the use of assessment scales for activities of daily living, the results often tend to be subjective and lack a systematic approach. Subjective assessment of patients makes it difficult to evaluate the effectiveness of treatments, leading to bias and the misinterpretation of data. This may be critical in the care of older adults, where presenting problems are often complex and multi‐dimensional. As assessment of functional ability has become more important to nursing practice, this paper will investigate the Katz activities of daily living and the Barthel Index for reliability and explore the variations that exist between the two indices. Although research on assessment scales has been ongoing since the work of Katz et al. (1963) there remains conceptual issues as to what constitutes activities of daily living and defining terminology associated with the measurement.
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Stroke is a major cause of long-term disability resulting in the inability to perform daily activities (ADL). Various daily activity assessment scales have been used for stroke patients including the Barthel Index. This study aims to determine the level of dependence of stroke patients based on the Barthel index score in daily living activities. This research is a descriptive study, where the research sample is stroke patients in the working area of the Kedundung Public Health Center, Mojokerto City, totaling 60 people using a consecutive sampling technique. Data collection using the Barthel index instrument to assess the ability of ADL. Data were analyzed using frequency distribution. The results showed that most of the respondents had mild dependence, namely 78.4% and 13.3% of respondents were independent in ADL abilities. The severity of the respondent's dependence on performing ADL ability also depends on the severity of stroke symptoms. Patients with mild stroke may also experience ADL dependence in daily life. Appropriate and effective evaluation of ADL in stroke patients can be used as a basis for decision-making in treatment, rehabilitation, and nursing actions.
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Prospective memory (PM) is a common problem which can limit performance of basic and instrumental activities of daily living in patients with stroke. This study compared self-report PM failures between older and younger people with stroke, examined differences in perceptions of PM failures between people with stroke and relatives, relationships between these PM failures and functional performance.A total of 105 patients with stroke, 65 relatives and 112 healthy controls were recruited. Both the patients with stroke and controls were further divided into an older (age > 55 years) and a younger (age ≤ 55 years) group. Data for patients with stroke and relatives were obtained via the Brief Assessment of Prospective Memory (BAPM), Basic Activity of Daily Living (BADL) related Modified Barthel Index (MBI) and Lawton Instrumental Activities of Daily Living (Lawton IADL) Scale. Healthy controls' data were also collected.The older stroke group had significantly higher BAPM total scores and BADL and IADL sub-scale scores than the younger group. Difference in perceptions of the patients' self-report of PM failures and their relatives' report was significant for the IADL sub-scale. Self-report of PM failure was significantly related to functional BADL and IADL measures.Results highlight the impact of PM failures in patients with stroke and their assessment, management and rehabilitation of these patients.
Prospective Memory
Stroke
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In recent years, increased life expectancy has caused the emergence of aging phenomenon in Iran. This study was conducted on 79 elderly in nursing homes. Data were collected by the demographic questionnaire, Abbreviated Mental Test Score (AMTs) and Barthel Activities of Daily Living (ADL) Index. The mean score of AMT was 4.06 (SD: 3.05) and the mean of Barthel Index was 66.15 (SD: 33.27). Results indicated a significantly positive correlation between cognitive status and activities of daily living (P=0.001, r=0.354). Accordingly, cognitive status can be a good predictor of functional independence in activities of daily living for the elderly.
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Since the number of persons diagnosed with multi-morbidity is increasing, there is a need for generic instruments to be able to assess, measure and compare ADL ability across diagnoses. Accordingly, the ADL-Interview (ADL-I) was developed to be used in rehabilitation research and clinical practice. The aim of this study was to investigate if the ADL-I can be used to provide valid and reliable ADL ability measures across gender and diagnostic groups.ADL-I data were extracted from an existing research database on persons with chronic conditions including medical, rheumatological, oncological, neurological, geriatric and psychiatric diagnoses. Data were analysed based on Rasch Measurement methods to examine: the psychometric properties of the rating scale; ADL item and person fit to the Rasch model; if the difficulty of the ADL tasks differs across gender and diagnostic groups, and if the ADL-I provides precise and reliable measures of ADL ability.Data on n = 2098 persons were included in the final analysis. Initial evaluation of the 0-3 rating scale revealed threshold disordering between categories 1 and 2. After removal of 16 underfitting items, the variance explained by the Rasch dimension increased from 54.3 to 58.0%, thresholds were ordered, but the proportion of persons with misfitting ADL-I measures increased slightly from 8.7 to 9.1%. The person separation index improved slightly from 2.75 to 2.99 (reliability = 0.90). Differential test function analysis, however, supported that the 16 underfitting items did not represent a threat to the measurement system. Similarly, ADL items displaying differential item functioning across gender and diagnoses did not represent a threat to the measurement system. The ADL items and participants were well distributed along the scale, with item and person measures well targeted to each other, indicating a small ceiling effect and no floor effect.The study results overall suggest that the ADL-I is producing valid and reliable measures across gender and diagnostic groups among persons within a broad range of ADL ability, providing evidence to support generic use of the ADL-I.N/A.
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[Objective]To investigate the effects of early rehabilitation on the activities of daily living(ADL)in patients with stroke.[Methods]The patients were divided into rehabilitation group and control group.Modified Barthel Index was used to evaluate daily living activities after 40 days of treatment.[Results]Before treatment,Barthel index score in the rehabilitation group was 28.75±13.55,while 29.33±14.07 in the control group.The difference was not significant(P﹥0.05).But,after the treatment,Barthel index score in the rehabilitation group was 69.50±16.67,52.33±19.08 in the control group.The difference was significant(P﹤0.05).[Conclusion]Early rehabilitation could improve the activities of daily living effectively in patients with stroke.
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ObjectiveTo explore the effect of earlier rehabilitation on activities of daily living(ADL) of patients with spinal cord injury(SCI).Methods50 SCI patients received earlier rehabilitation and improvement of ADL of patients was evaluated.ResultsAfter two months treatment,the scores of Barthel index,functional independence measure(FIM) grade of patients increased significantly compared with that of before treatment(P0.05) and ADL improved.ConclusionEarlier rehabilitation can improve ADL of SCI patients.
Barthel index
Functional Independence Measure
Paraplegia
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