A comparison of the Barthel Index with functional independence measures for assessing ability in the activities of daily living after a stroke
10.3760/cma.j.issn.0254-1424.2021.07.005
- VernacularTitle:扩展Barthel指数与功能独立性量表在评定脑卒中患者日常生活活动功能等级中的对比分析
- Author:
Qingqing ZHOU
1
;
Jiajia SHI
;
Boye NI
Author Information
1. 苏州大学附属第一医院康复医学科，苏州 215000
- Keywords:
Extended Barthel index;
Stroke;
Activities of daily living;
Correspondence analysis
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2021;43(7):602-606
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the relationship between extended Barthel index (EBI) values and functional independence measures (FIMs) in quantifying the ability in the activities of daily living (ADL) of stroke survivors.Methods:Eighty-six stroke survivors′ ADL ability was assessed using the FIM and the EBI and the results were compared.Results:The inter-rater reliability (ICC) of the EBI was 0.866 and the Spearman correlation coefficient relating the EBI and FIM results was 0.972. The 4 ADL functional levels of the EBI were strongly correlated with the 8 ADL functional levels of the FIMs ( χ2=187, P≤0.001). The complete dependence and extreme dependence ratings of the FIMs (18-35 points) corresponded to the EBI′s " completely needed" . Severe and moderate dependence (36-71 points) corresponded to a lot of help needed. Mild dependence, conditional independence or very mild dependence (72-107 points) corresponded to some help needed. Basic independence and complete independence (108-126 points) corresponded to self-care. Conclusions:The EBI has high reliability and good validity, and its 4 ADL functional levels correspond well with the FIMs′ 8 ADL function levels. The EBI has good clinical applicability.
