The impact of physical disability on activities of daily living of physically disabled persons attending tertiary care centre of Nagpur using Barthel’s scale: a cross-sectional study

Roshan U. Raut, Sushama S. Thakre, Subhash B. Thakre


Background: Disability reflects the difficulties that the disabled person experiences during physical movement as well as interaction with the society. This restrictions act as barrier for executing daily living activities which results into poor health outcome and increased dependency. The objective is to study impact of physical disability on activities of daily living (ADL) of physically disabled person.

Methods: A present cross-sectional study was undertaken at Indira Gandhi government medical college, Nagpur. Physically disabled persons aged more than 18 years of age attending outpatient department for disability were included in this study. This study was carried out from 1st May to 31st September 2018. In all total 83 subjects were enrolled in this study. For assessment of activity of daily living Barthel index was used. Descriptive statistics (frequencies and percentage) were obtained and data was analysed by using Microsoft Excel and Epi-Info version 7.2.

Results: In all 83 rural subjects were considered for final analysis. Out of 83 subjects 49 (59.04%) were male and 34 (40.96%) were female. Mean±SD age in years was 40.5±12.9. Majority of study participants were belonging to class IV and V category of socio-economic status. Activities such as transfer, mobility, and stair climbing showed greater impact of physical disability. It was found that 18.1% respondents required major help for transfer as an ADL.

Conclusions: It is clear from the present study that the activity of daily living is impacted due to disability. In every activity domain it was found that majority were independent.



Disability, Activities of daily living, Barthel index

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World Health Organization. Summary World Report On Disability. World Health. 2011;1–24. Available at: form/en/index.html%0A Accessed on 2 January 2020.

Ministry of Home affairs Government of India. Census of India Disabled Population. Off Regist Gen Census Comm. 2011. Available at: Accessed on 9 January 2020.

Government of India. Disabled persons in india a statistical profile 2016. 2016. Available at: Accessed on 9 January 2020.

Saikia N, Bora JK, Jasilionis D, Shkolnikov VM. Disability divides in India: Evidence from the 2011 census. PLoS One. 2016;11(8):1–12.

United Nations Development Programme, Goals D. Disability and the Millennium Development Goals. United Nations. 2011. Available at: http://www.un. org/disabilities/documents/review_of_disability_and_the_mdgs.pdf. Accessed on 9 January 2020.

Kuvalekar K, Kamath R, Ashok L, Shetty BSM, Chandrasekaran V. Quality of life among persons with physical disability in udupi taluk: A cross sectional study. J Fam Med Prim Care. 2015;4(1):69-73.

Gupta S, Yadav R, Malhotra A. Assessment of physical disability using Barthel index among elderly of rural areas of district Jhansi (U.P), India. J Fam Med Prim Care. 2016;5(4):853-7.

Collin C, Wade DT, Davies S, Horne V. The barthel ADL index: A reliability study. Disabil Rehabil. 1988;10(2):61-3.

Morley D, Selai C, Thompson A. The self-report Barthel Index: Preliminary validation in people with Parkinson’s disease. Eur J Neurol. 2012;19(6):927–9.

Stone SP, Ali B, Auberleek I, Thompsell A, Young A. The Barthel index in clinical practice: use on a rehabilitation ward for elderly people. J R Coll Physicians Lond. 1994;28(5):419–23.

Wade DT, Collin C. The barthel ADL index: A standard measure of physical disability? Disabil Rehabil. 1988;10(2):64–7.

Kumar R. Disability Assessment and Certification Guidelines. Vol. 99. National institute for the orthopaedically handicapped, Kolkata; 2001: 1-50. Available at: https://www.sciencedirect. com/topics/medicine-and-dentistry/barthel-index. Accessed on 22 January 2020.

Barthel ADL Index. pmidCALC online calculators. Available at: 500&newtest=Y. Accessed on 22 January 2020.

Monawar Hosain GM, Atkinson D, Underwood P. Impact of disability on quality of life of rural disabled people in Bangladesh. J Heal Popul Nutr. 2002;20(4):297-305.

Ganesh KS, Das A, Shashi JS. Epidemiology of disability in a rural community of Karnataka. Indian J Public Health. 2008;52(3):125-9.

Kaka B, Ogwumike O, Adeniyi A. Factors Associated with Health-related Quality of Life among Post-paralytic Polio Survivors in Nigeria. African J Physiother Rehabil Sci. 2011;3(1):17-22.

Abdulraheem IS, Oladipo AR, Amodu MO. Prevalence and Correlates of Physical Disability and Functional Limitation among Elderly Rural Population in Nigeria. 2011;2011.