Overall Neuropathy Limitations Scale (ONLS)
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General Information
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| Objectives |
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This is a measure of limitations people with peripheral neuropathies may experience during common activities of daily living. It has two sections; one for the lower limb (leg scale), focussed upon mobility, and one for the upper limb (arm scale). Sub-scores are calculated manually by summing scores within each sub-section. Total score is calculated manually by summing sub-sections.
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| Category of Outcome Measure |
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| Disease Type |
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Used |
Validated |
| Peripheral Nerve |
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X |
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| Chronology of Development |
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The ONLS is a modification of an older tool used in peripheral neuropathy , the Overall Disability Sum Score (ODSS). Several items on the ODSS were modified to address the ceiling effect observed in clinical practice and to add clarity. New items were then shown to members of the British peripheral nerve society. These processes resulted in the production of a new scale, the overall neuropathy limitations scale (ONLS).
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| Mode of Assessment |
Administered by untrained evaluator
No training require beyond following instructions which accompany the tool.
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| Age Group |
Adolescents (12 to 15 Years)
Adults (16 Years and Over)
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| Age Related Limitations |
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Requires self report and that the respondee would be expected to regularly perform some activites of daily living eg washing and dressing self.
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| Languages |
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Original |
Definitive Validated Translation |
Informal Translation |
| English UK |
X |
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| Conditions of Use and Contact Information |
| Conditions of Use |
Copyright Provisions Apply
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| Copyright Owner |
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We would like free access to the ONLS. However, we would request that the copyright is acknowledged as King's College London by anyone using or replicating the ONLS.
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| Organisation Name |
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Manchester Metropolitan University
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| Postal Address |
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Physiotherapy Department, Manchester Metropolitan University, Manchester, M13 OJA, UK
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Questionnaire/Scale
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| Domain Name / Number of Items |
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| Additional Format Information |
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| Equipment Required |
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Refer to Equipment Description
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| Equipment Description |
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If the ONLS is to be utilised as an interview, no equipment is required. However, the ONLS can also be observed rather than based upon interview scores. This may be of use to people with communication or cognitive difficulties. If it is to be based upon an observed score the following equipment is required: a key and lock, hair brush, knife and fork (or other eating implements eg chopsticks) and a shirt with buttons and zips.
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| Total Score |
Yes - total score is calculated.
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| Total Score - Range/Direction |
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0-12: A higher scores indicates greater limitations.
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| Sub-Score |
Yes - sub-score is calculated.
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| Sub-Score Range/Direction |
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0/best - 5/worst - arm scale
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0/best - 7/worst - leg scale
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Reference 1
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| Reference Details |
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Graham, RC.; Hughes, RAC.; (2006) A modified peripheral neuropathy scale: the Overall Neuropathy Limitations Scale, Journal of Neurology, Neurosurgery and Psychiatry, Vol 77, pp 973-976, BMJ group, UK
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Reference 2
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| Reference Details |
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Graham, RC.; Hughes, RAC.; (2005) A modified peripheral neuropathy scale: the Overall Neuropathy Limitations Scale, Journal of Neurology, Neurosurgery and Psychiatry, Vol 77, pp 973-976, BMJ group, UK
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Reference 3
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| Reference Details |
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Solari, A.; Laurà, M.; Salsano, E.; Radice, R.; Pareyson, D.; (2007) Reliability of clinical outcome measures in Charcot-Marie-Tooth disease; Neuromuscular Disorders, Volume 18, Issue 1, Pages 19-26
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