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Activities of Daily Living (ADL) training

Rehabilitation estimated about CNY 100-250

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Description

A standardized rehabilitation intervention focused on improving a patient's ability to independently perform basic self-care tasks such as bathing, dressing, eating, toileting, and mobility.

Main Uses

Primary purposes include: (1) Baseline functional assessment in geriatric, neurologic, rehabilitation, and palliative care settings; (2) Monitoring functional trajectory during recovery (e.g., post-stroke, post-hip fracture); (3) Determining eligibility for home health services, skilled nursing facility admission, or long-term care placement; (4) Guiding interdisciplinary care planning and ADL training interventions; (5) Evaluating efficacy of occupational therapy, physical therapy, or assistive technology interventions.

Normal Range

ADL assessment is not a quantitative laboratory test with numerical values; it is a standardized functional evaluation using validated scales (e.g., Barthel Index, Katz ADL, Lawton IADL). Normal range indicates full independence: Barthel Index score ≥95/100, Katz ADL score = 6/6 (independent in bathing, dressing, toileting, transferring, continence, feeding), Lawton IADL score = 8/8 (independent in using telephone, shopping, food prep, housekeeping, laundry, transport, medication management, finances). No 'numerical normal range' exists—interpretation is categorical (independent, partially dependent, dependent) based on scale-specific cutoffs.

Low Values - Possible Causes

Stroke (cerebrovascular accident), Alzheimer’s disease and other dementias, advanced Parkinson’s disease, severe osteoarthritis or rheumatoid arthritis with joint deformity, spinal cord injury or progressive myelopathy, major depressive disorder with psychomotor retardation, post-acute deconditioning after prolonged hospitalization or ICU stay.

High Values - Possible Causes

ADL scores cannot be 'abnormally high' — maximum scores reflect optimal functional independence; therefore, 'high values' are clinically expected and desirable. Apparent 'high' scores may reflect overestimation due to patient/caregiver reporting bias, lack of observed performance (relying solely on self-report), inadequate assessment rigor, or use of insensitive tools in high-functioning populations. No pathological cause produces a clinically meaningful 'elevated' ADL score.

TMD assessment functional independence measure rehabilitation assessment

estimated about CNY 100-250