Neurology

Overall Neuropathy Limitations Scale calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

Arm grade

Ankle braces do not change the arm grade. Grade 0 is no arm limitation and grade 5 is no purposeful arm movement.

Leg grade

Grade 0 leaves walking, stairs, and running unaffected. Grade 7 is no purposeful leg movement.

Result

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Primary source

Graham RC, Hughes RAC. A modified peripheral neuropathy scale: the Overall Neuropathy Limitations Scale. J Neurol Neurosurg Psychiatry. DOI: 10.1136/jnnp.2005.081547. PMID: 16574730. The scale figure: arm grades 0 to 5 plus leg grades 0 to 7 give a total of 0 to 12. Arm 0 is normal. Arm 1 is minor symptoms that spare the listed functions. Arm 2 affects but does not prevent any listed function. Arm 3 prevents at least one but not all. Arm 4 prevents all listed functions while purposeful movement remains. Arm 5 prevents all purposeful arm movement. Leg 0 is walking, stairs, and running not affected. Leg 1 is those activities affected with a gait that does not look abnormal. Leg 2 is independent walking with an abnormal gait. Leg 3 needs one-sided support for 10 metres. Leg 4 needs two-sided support for 10 metres. Leg 5 uses a wheelchair for 10 metres but can stand and walk 1 metre with one person's help. Leg 6 cannot walk that metre and still has some purposeful leg movement. Leg 7 has no purposeful leg movement. The paper does not print mild, moderate, or severe total-score groups. Ankle braces are recorded and do not change the grade. (2006)

Scope: People with peripheral neuropathy. The total is the sum of the arm grade and the leg grade. A score of 0 is no limitation and 12 is the top of the scale.

Last reviewed 2026-10-17

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Professional use only

For qualified clinicians. Independently verify inputs, calculations, source guidance, and applicability before any clinical action. This calculator does not replace clinical judgment.

Source: Graham RC, Hughes RAC. A modified peripheral neuropathy scale: the Overall Neuropathy Limitations Scale. J Neurol Neurosurg Psychiatry. DOI: 10.1136/jnnp.2005.081547. PMID: 16574730. The scale figure: arm grades 0 to 5 plus leg grades 0 to 7 give a total of 0 to 12. Arm 0 is normal. Arm 1 is minor symptoms that spare the listed functions. Arm 2 affects but does not prevent any listed function. Arm 3 prevents at least one but not all. Arm 4 prevents all listed functions while purposeful movement remains. Arm 5 prevents all purposeful arm movement. Leg 0 is walking, stairs, and running not affected. Leg 1 is those activities affected with a gait that does not look abnormal. Leg 2 is independent walking with an abnormal gait. Leg 3 needs one-sided support for 10 metres. Leg 4 needs two-sided support for 10 metres. Leg 5 uses a wheelchair for 10 metres but can stand and walk 1 metre with one person's help. Leg 6 cannot walk that metre and still has some purposeful leg movement. Leg 7 has no purposeful leg movement. The paper does not print mild, moderate, or severe total-score groups. Ankle braces are recorded and do not change the grade. (2006)

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Clinical inputs

Arm grade
Leg grade

Primary source

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