Summary Delayed auditory feedback was tested in eleven patients suffering from Parkinsonism accompanied by a variety of speech difficulties. Dramatic improvement in intelligibility occurred in two patients who showed a “festinating” type of speech. In one the improvement has been sustained for 24 months. As the benefit is only present while the delayed auditory feedback is in use, a portable body‐worn DAF device is essential for practical help in management.

Speech disorder in Parkinsonism; use of delayed auditory feedback in selected cases Sir: Severe alteration of speech, leading to total loss of intelligibility is rare in Parkinsonism but is usually refractory to treatment with drugs and to conventional speech therapy. We have had some striking success in a very few patients with the use of delayed auditory feedback (DAF). This has been previously tested in treating other speech disorders, in particular stammering and was applied to our first patient as his speech difficulty superficially resembled this condition. This patient by the age of 40 yr had already suffered from Parkinsonism for

Objective.To assess reliability, feasibility, and responsiveness of Hip Inflammation Magnetic resonance imaging Scoring System (HIMRISS) for bone marrow lesions (BML) in hip osteoarthritis (OA).Methods.HIMRISS was scored by 8 readers in 360 hips of 90 patients imaged pre/post-hip steroid injection. Pre-scoring, new readers trained online to achieve intraclass correlation coefficient (ICC) > 0.80 versus experts.Results.HIMRISS reliability was excellent for BML status (ICC 0.83–0.92). Despite small changes post-injection, reliability of BML change scores was high in femur (0.76–0.81) and moderate in acetabulum (0.42–0.56).Conclusion.HIMRISS should be a priority for further assessment of hip BML in OA, and evaluated for use in other arthropathies.

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