Reliability of measuring thoracic kyphosis angle, lumbar lordosis angle and straight leg raise with an inclinometer

Licensed under the terms of the Creative Commons Attribution non-commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly citedPurpose: Several non-invasive measurement methods have been described in the literature for recording thoracic kyphosis, lumbar lordosis and straight leg raise (SLR). However, attempts to quantify the reliability of the inclinometer in these measurements are scarce. In addition, existing reliability studies within the literature were found to use small sample sizes. The aim of this investigation was to examine the intra-rater reliability of the chief investigator (SM), in order to provide clinicians with data that will allow them to better measure sagittal spinal posture and SLR. A blinded test-retest design was performed to determine the intra-rater reliability of thoracic kyphosis, lumbar lordosis and SLR when assessed using an Isomed inclinometer in normals. Methods. Thirty asymptomatic subjects were assessed on two occasions separated by a time interval of 1 hour to reduce investigator memory bias. Thoracic and lumbar measurements were recorded in a relaxed standing position using an inclinometer; SLR of the dominant leg was assessed with subjects in the supine position. Intraclass correlation coefficients (ICC), 95% confidence intervals (CI), and standard errors of measurement (SEM) were analysed to determine measurement reliability. Results. The chief investigator demonstrated excellent intra-rater reliability in the measurements of thoracic kyphosis, lumbar lordosis and SLR. ICC (2,3) values for all three variables exceeded the 0.90 threshold suggesting that the reliability of these measures are acceptable for clinical application. Conclusions. The inclinometer technique employed in this study to record thoracic kyphosis, lumbar lordosis and SLR is a reliable measurement method.Peer reviewe

An asynchronous message-passing distributed algorithm for the global critical section problem

This paper considers the global $(l,k)$-CS problem which is the problem of controlling the system in such a way that, at least $l$ and at most $k$ processes must be in the CS at a time in the network. In this paper, a distributed solution is proposed in the asynchronous message-passing model. Our solution is a versatile composition method of algorithms for $l$-mutual inclusion and $k$-mutual exclusion. Its message complexity is $O(|Q|)$, where $|Q|$ is the maximum size for the quorum of a coterie used by the algorithm, which is typically $|Q| = \sqrt{n}$.Comment: This is a modified version of the conference paper in PDAA201

A systematic review of biomarkers for disease progression in Parkinson's disease

Peer reviewedPublisher PD

Scoping studies: towards a methodological framework

This paper focuses on scoping studies, an approach to reviewing the literature which to date has received little attention in the research methods literature. We distinguish between different types of scoping studies and indicate where these stand in relation to full systematic reviews. We outline a framework for conducting a scoping study based on our recent experiences of reviewing the literature on services for carers for people with mental health problems. Where appropriate, our approach to scoping the field is contrasted with the procedures followed in systematic reviews. We emphasize how including a consultation exercise in this sort of study may enhance the results, making them more useful to policy makers, practitioners and service users. Finally, we consider the advantages and limitations of the approach and suggest that a wider debate is called for about the role of the scoping study in relation to other types of literature reviews