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If adaptations to the environment are made, they should be described in detail and attached to the Barthel index. [2] The scale was introduced in 1965, [3] and yielded a score of 0–100 (Mahoney, F.I. & Barthel, D.W., 1965. Functional Evaluation: The Barthel Index. Maryland state medical journal, 14, pp. 61–65.).
The Functional Independence Measure (FIM) is an assessment tool that aims to evaluate the functional status of patients throughout the rehabilitation process following a stroke, traumatic brain injury, spinal cord injury or cancer. [1]
The Glasgow Outcome Scale (GOS) is an ordinal scale used to assess functional outcomes of patients following brain injury. It considers several factors, including a patient's level of consciousness, ability to carry out activities of daily living (ADLs), and ability to return to work or school.
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The Copenhagen Stroke Study found that patients who presented with ipsilateral pushing took an average of 3.6 additional weeks to reach the same functional outcome, as measured by the Barthel Index, compared with acute-stroke and hemiparesis patients who did not engage in ipsilateral pushing. [5]
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In people with acute stroke and hemiparesis, the disorder is present in 10.4% of patients. [4] Rehabilitation may take longer in patients that display pusher behaviour. The Copenhagen Stroke Study found that patients that presented with ipsilateral pushing used 3.6 weeks more to reach the same functional outcome level on the Barthel Index, than did patients without ipsilateral pushing.