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28 In the opinion of the guideline development team, an indication of possible changes in the performance of ADL activities during thechronic phase can be obtained by determining the Barthel Index (BI) every 6 months. A meaningful change can be defined as a changein the BI score of at least 2 points relative to the score obtained 6 months after the stroke. (Level 4)29 In the opinion of the guideline development team, patients in the chronic phase who still have ADL limitations during the periodfollowing the first 6 months after the stroke should be monitored in terms of functioning regularly (every 6 months). (Level 4)30 In the opinion of the guideline development team, the fact that a patient in the chronic phase shows significant functional changesat the level of activities justifies continuation or resumption of physical therapy. (Level 4)