日常生活活动能力训练（ADL）
康复理疗
≈ ¥20-50
(≈ $3-7)
大约15-30分钟
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项目介绍
日常生活活动能力训练（ADL）在一般公立医院参考费用约¥15-40，三甲医院参考费用约¥20-50，常用于相关诊断评估与就医安排，费用随医院及地区有所差异。
主要用途
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.
正常值范围
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.
偏低可能原因
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.
偏高可能原因
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.