Barthel scale

バーセル指数

WordNet

1. take by attacking with scaling ladders; "The troops scaled the walls of the fort"
2. a specialized leaf or bract that protects a bud or catkin (同)scale leaf
3. an ordered reference standard; "judging on a scale of 1 to 10" (同)scale of measurement, graduated table, ordered series
4. relative magnitude; "they entertained on a grand scale"
5. size or measure according to a scale; "This model must be scaled down"
6. the ratio between the size of something and a representation of it; "the scale of the map"; "the scale of the model"
7. a measuring instrument for weighing; shows amount of mass (同)weighing machine
8. a flattened rigid plate forming part of the body covering of many animals
9. an indicator having a graduated sequence of marks
10. (music) a series of notes differing in pitch according to a specific scheme (usually within an octave) (同)musical scale
11. a thin flake of dead epidermis shed from the surface of the skin (同)scurf, exfoliation
12. remove the scales from; "scale fish" (同)descale
13. reach the highest point of; "We scaled the Mont Blanc" (同)surmount
14. climb up by means of a ladder
15. measure by or as if by a scale; "This bike scales only 25 pounds"
16. measure with or as if with scales; "scale the gold"
17. pattern, make, regulate, set, measure, or estimate according to some rate or standard
18. the act of arranging in a graduated series (同)grading
19. act of measuring or arranging or adjusting according to a scale
20. ascent by or as if by a ladder
21. United States novelist (born in 1930) (同)John Barth, John Simmons Barth
22. Swiss Protestant theologian (1886-1968) (同)Karl Barth
23. (used of armor) having overlapping metal plates attached to a leather backing

PrepTutorEJDIC

1. 《しばしば複数形で》『てんびん』,はかり / てんびんのさら / 《重量を表す副詞[句]を伴って》…の目方(体重)がある / …‘を'てんびんではかる
2. (蛇・魚類などの)うろこ / うろこ状の物;(ペンキ・さび・ふけなどの)爆片 / 〈魚など〉‘の'うろこを取る;…‘の'皮をはぐ / (…から)〈ペンキなどの薄泰〉‘を'そぎ取る《+『名』+『off』(『from』)+『名』》 / (…から)〈ペンキなどが〉かげ落ちる《+『off』(『from』)+『名』》
3. 『段階』,等級,階級 / 『比率』,縮尺 / (物差しなどの)『目盛り』 / (目盛りの付いた)『物差し』;温度計,(各種の)スケール / 『規模』,スケール / 音階 / 記数法,…進法 / …‘を'よじ登る / (…に合わせて)…‘を'調整する《+『名』+『to』+『名』》 / …‘を'縮尺で製図(設計)する

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/06/18 05:24:57」(JST)

wiki en

[Wiki en表示]

The Barthel scale or Barthel ADL index is an ordinal scale used to measure performance in activities of daily living (ADL). Each performance item is rated on this scale with a given number of points assigned to each level or ranking. It uses ten variables describing ADL and mobility. A higher number is associated with a greater likelihood of being able to live at home with a degree of independence following discharge from hospital. The amount of time and physical assistance required to perform each item are used in determining the assigned value of each item. External factors within the environment affect the score of each item. If adaptations outside the standard home environment are met during assessment, the participant’s score will be lower if these conditions are not available. If adaptations to the environment are made, they should be described in detail and attached to the Barthel index.

The scale was introduced in 1965, and yielded a score of 0–20. Although this original version is still widely used, it was modified by Granger et al. in 1979, when it came to include 0–10 points for every variable, and further refinements were introduced in 1989. The modified Barthel index was designed as the original scale was insensitive to change and had arbitrary scores. The sensitized version sharply discriminates between good and better and poor and poorer performances. Its effectiveness is not just with in-patient rehabilitation but home care, nursing care, skilled nursing, and community. The Barthel index signifies one of the first contributions to the functional status literature and it represents occupational therapists' lengthy period of inclusion of functional mobility and ADL measurement within their scope of practice. The scale is regarded as reliable, although its use in clinical trials in stroke medicine is inconsistent. It has however, been used extensively to monitor functional changes in individuals receiving in-patient rehabilitation, mainly in predicting the functional outcomes related to stroke. The Barthel index has been shown to have portability and has been used in 16 major diagnostic conditions. The Barthel index has demonstrated high inter-rater reliability (0.95) and test–retest reliability (0.89) as well as high correlations (0.74–0.8) with other measures of physical disability.

The ten variables addressed in the Barthel scale are:

• presence or absence of fecal incontinence
• presence or absence of urinary incontinence
• help needed with grooming
• help needed with toilet use
• help needed with feeding
• help needed with transfers (e.g. from chair to bed)
• help needed with walking
• help needed with dressing
• help needed with climbing stairs
• and help needed with bathing

See also

• Modified Rankin Scale

References

External links

• Patient.co.uk, online calculator
• Stroke Center (deviates from other versions)

UpToDate Contents

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• 1. 脳卒中スケールおよび重症度分類システムの利用および有用性 use and utility of stroke scales and grading systems
• 2. 成人における虚血性脳卒中の予後 ischemic stroke prognosis in adults
• 3. 悪性中大脳動脈領域梗塞に対する減圧開頭術 decompressive hemicraniectomy for malignant middle cerebral artery territory infarction
• 4. 乳腺濃度と乳癌スクリーニング breast density and screening for breast cancer
• 5. 癌検診のための乳房の画像検査：マンモグラフィーおよび超音波検査 breast imaging for cancer screening mammography and ultrasonography

English Journal

• Intensive virtual reality-based training for upper limb motor function in chronic stroke: a feasibility study using a single case experimental design and fMRI.

• Schuster-Amft C1, Henneke A, Hartog-Keisker B, Holper L, Siekierka E, Chevrier E, Pyk P, Kollias S, Kiper D, Eng K.
• Disability and rehabilitation. Assistive technology.Disabil Rehabil Assist Technol.2015 Sep;10(5):385-392. Epub 2014 Apr 14.
• PURPOSE: To evaluate feasibility and neurophysiological changes after virtual reality (VR)-based training of upper limb (UL) movements.METHOD: Single-case A-B-A-design with two male stroke patients (P1:67 y and 50 y, 3.5 and 3 y after onset) with UL motor impairments, 45-min therapy sessions 5
• PMID 24730659

• Outcome of men and women after atrial fibrillation and stroke.

• Jönsson AC1, Ek J2, Kremer C2.
• Acta neurologica Scandinavica.Acta Neurol Scand.2015 Aug;132(2):125-31. doi: 10.1111/ane.12366. Epub 2015 Feb 4.
• OBJECTIVES: Atrial fibrillation (AF) is a well-known risk factor for ischaemic stroke. The aim was to examine long-term outcome of men and women after stroke related to AF.METHODS: Patients with AF and ischaemic stroke were followed up 1 year and 5 years after stroke. Level of dependence (Barthel
• PMID 25649996

• Factors Influencing Performance-Oriented Mobility After Hip Fracture.

• Martín-Martín LM1, Arroyo-Morales M2, Sánchez-Cruz JJ3, Valenza-Demet G2, Valenza MC2, Jiménez-Moleón JJ4.
• Journal of aging and health.J Aging Health.2015 Aug;27(5):827-42. doi: 10.1177/0898264315569451. Epub 2015 Feb 2.
• OBJECTIVE: To identify the patient- and fracture-related determinants that influence performance-oriented mobility in hip fracture patients as measured by the Performance-Oriented Mobility Assessment (POMA) score.METHOD: A prospective study was conducted. Patients aged 65 or older (n = 186) were pro
• PMID 25649676

Japanese Journal

• 在宅障害高齢者の生活空間と身体，精神要因との関係:─生活活動範囲に着目して─

• 佐藤 衛,佐藤 雅昭,川口 徹
• 理学療法学 48(1), 55-62, 2021
• <p>【目的】在宅障害高齢者の生活活動範囲の差異に影響を及ぼす身体，精神要因を明らかにすること。【方法】在宅障害高齢者61 名を対象とした。評価項目は，Home-based Life Space Assessment と握力，大腿四頭筋筋力，Timed-Up and Go test（以下，TUG），片脚立位時間，Activities of Daily Living（以下，ADL），日常 …
• NAID 130007988184

• Effects of Gait Treatment With a Single-Leg Hybrid Assistive Limb System After Acute Stroke: A Non-randomized Clinical Trial

• 渡邉 大貴,丸島 愛樹,門根 秀樹,上野 友之,清水 如代,久保田 茂希,佐藤 允之,伊藤 嘉朗,早川 幹人,鶴嶋 英夫,丸尾 和司,河本 浩明,羽田 康司,山崎 正志,山海 嘉之,石川 栄一,松丸 祐司,Hiroki WATANABE,Aiki MARUSHIMA,Hideki KADONE,Tomoyuki UENO,Yukiyo SHIMIZU,Shigeki KUBOTA,Tenyu Hino,Masayuki SATO,Yoshiro ITO,Mikito HAYAKAWA,Hideo TSURUSHIMA,Tomoya Takada,Atsuro Tsukada,Hiroyuki Fujimori,Naoaki Sato,Kazushi MARUO,Hiroaki KAWAMOTO,Yasushi HADA,Masashi YAMAZAKI,Yoshiyuki SANKAI,Eiichi ISHIKAWA,Yuji MATSUMARU,Akira Matsumura
• Frontiers in Neuroscience (13), 1389, 2020-01
• … The Functional Ambulation Category (FAC) was the primary outcome measure, but the following secondary outcome measures were also assessed: National Institutes of Health Stroke Scale, Fugl–Meyer Assessment (Lower Extremity), comfortable walking speed, step length, cadence, 6-min walk distance, Barthel Index, and Functional Independence Measure. … A larger-scale randomized controlled trial is needed to clarify the effectiveness of single-leg HAL therapy. …
• NAID 120006885629

• 認知機能障害を有する患者の服薬管理に影響する因子の探索

• 木ノ下 智康,長谷川 章,溝神 文博
• 日本老年薬学会雑誌 3(3), 41-47, 2020
• … survey items included age, sex, patient's educational level, number of daily doses, number of daily medications, frailty, vitality index, Barthel index, mini mental state examination (MMSE), instrumental activities of daily living (IADL) for each men and women, respective, geriatric depression scale (GDS)-15, long-term care insurance, use of medications three or more times a day, MMSE scores of 22 or less, women's IADL, and medication management.</p><p>Results: Among 129 elderly patients (42 men and 87 women), use …
• NAID 130007977482

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★リンクテーブル★

リンク元	「バーセル指数」
関連記事	「scale」「scaling」

「バーセル指数」

　　[★]

英

Barthel index, BI

同

バーセルインデックス、バーテル指数、バーテルインデックス、バーセル尺度、Barthel scale、BS

関

日常生活動作 ADL

• 日常生活動作における障害者や高齢者の機能的評価(ADL評価)を数値化(100点満点)したものである。
• 10項目を2-4段階で評価する。自宅自立の目安は60点以上である。
• 食事、ベットへの移動、整容、トイレ動作、入浴、歩行、階段昇降、着替え、排便、排尿について評価
• 歩行とベットへの移動に重点が置かれている。
• 認知機能の評価は評価項目に含まれない。

食事	10	自立、自助具などの装着可、標準的時間内に食べ終える
	5	部分介助（たとえば、おかずを切って細かくしてもらう）
	0	全介助
車椅子からベッドへの移動	15	自立、ブレーキ、フットレストの操作も含む
	10	軽度の部分介助または監視を要する
	5	座ることは可能であるがほぼ全介助
	0	全介助または不可能
整容	5	自立（洗面、整髪、歯磨き、ひげ剃り）
	0	部分介助または不可能
トイレ動作	10	自立（衣服の操作、後始末を含む、ポータブル便器などを使用している場合はその洗浄も含む）
	5	部分介助、体を支える、衣服、後始末に介助を要する
	0	全介助または不可能
入浴	5	自立
	0	部分介助または不可能
歩行	15	45 m 以上の歩行、補装具（車椅子、歩行器は除く）の使用の有無は問わず
	10	45 m 以上の介助歩行、歩行器の使用を含む
	5	歩行不能の場合、車椅子にて45 m 以上の操作可能
	0	上記以外
階段昇降	10	自立、手すりなどの使用の有無は問わない
	5	介助または監視を要する
	0	不能
着替え	10	自立、靴、ファスナー、装具の着脱を含む
	5	部分介助、標準的な時間内、半分以上は自分で行える
	0	上記以外
排便コントロール	10	失禁なし、浣腸、坐薬の取り扱いも可能
	5	ときに失禁あり、浣腸、坐薬の取り扱いに介助を要する者も含む
	0	上記以外
排尿コントロール	10	失禁なし、収尿器の取り扱いも可能
	5	ときに失禁あり、収尿器の取り扱いに介助を要する者も含む
	0	上記以外

• 判定

100点　全自立

60点　部分自立

40点　大部分介助

0点　全介助

参考

• 1. wiki ja

http://ja.wikipedia.org/wiki/%E3%83%90%E3%83%BC%E3%82%BB%E3%83%AB%E6%8C%87%E6%95%B0

http://www.nmckk.jp/pdf.php?mode=puball&category=JJCD&vol=24&no=10&d1=9&d..

http://www.crsu.org/chears/pdf/65situmonnsi.pdf

「scale」

　　[★]

• n.

• 1. (魚・は虫類の)うろこ。(チョウ・ガの)鱗粉。(皮膚の)鱗屑。薄片。(植物)芽鱗、鱗片。(動物)カイガラムシ。(金属を熱したときにできる)薄い酸化膜、スケール。(ボイラーややかんの内側にできる)湯垢。歯石。
• 2. 目盛り、定規、物差し、尺度、基準。(地図などの)縮尺比、縮尺目盛り。階級、等級。規模、スケール
• 3. はかり、てんびん

• vt.
• vi.

　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　

「scaling」

　　[★]

• n.

• スケーリング

• 縮尺や変換係数を定めること、歯石とプラークを除去すること