ADL STATUS IN STROKE - RELATIVE MERITS OF 3 STANDARD INDEXES

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  • 1 January 1980
    • journal article
    • research article
    • Vol. 61  (8) , 355-358
Abstract
Independence in activities of daily living (ADL) in 148 Framingham Study stroke survivors was scored using 3 standard indexes-the Katz Index [KI] of ADL, the Barthel Index [BI], and the Kenny Self-Care Evaluation (KSCE). Complete independence was designated in 35.1% by the BI, 39.2% by the KI of ADL, and 41.9% by the KSCE. These differences in frequency are not statistically significant. There is also a high degree of agreement between the scores derived by the 3 indexes as measured by the Kappa coefficient of agreement and the Spearman rank-order correlation coefficient. Each index adequately classifies stroke survivors as dependent or independent. Of the 3, the BI appears to possess certain advantages which include completeness, sensitivity to change, amenability to statistical manipulation and greater familiarity due to more widespread use.