Primary Care & Health Sciences
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Following an undergraduate four year degree in Physiotherapy (University of Ulster), I obtained a Doctorate in Philosophy (Faculty of Science, University of Ulster) in 1998. I came to Keele University in September 2000 to a lectureship in the Department of Physiotherapy Studies. I moved full time into the Arthritis Research UK Primary Care Centre in December 2004 supported by a five year Primary Care Career Scientist Award from the National Institute of Health Research (NIHR), was made Senior Lecturer in Pain Management (Therapies) in March 2005 and Professor of Musculoskeletal Health in Primary Care in March 2010.
I am a Chartered Physiotherapist and currently am the Honorary Secretary of the Society of Back Pain Research in the UK, as well as serving on the International Organising Committee for the International Forum for Back Pain Research in Primary Care.
I lead a portfolio of research at the Arthritis Research UK Primary Care Centre focused on clinical trials and other intervention studies that test treatment approaches and service models for patients with common musculoskeletal problems.
My role includes leading and contributing to applications for research funding and collaborative projects, management of research programmes and projects, and supervision of associated research fellows, study co-ordinators and MPhil/PhD students.
I am the Director of the Clinical Trials Unit within the Arthritis Research UK Primary Care Centre at Keele University, and am a member of the Institute Management Board of the Institute of Primary Care and Health Sciences at Keele University.
I am a Section Editor for the Archives of Physical Medicine and Rehabilitation, and serve on the editorial boards of BMC Musculoskeletal Disorders and the International Journal of Osteopathic Medicine.
Examples of recent grants include:
NIHR Research for Patient Benefit (NHS National Institute of Health Research).
Development and validation of a core set of patient reported outcome measures
(PROMS) for musculoskeletal conditions. £173,623 over 2 years, 2011-2013.
NIHR Research for Patient Benefit (NHS National Institute of Health Research). Improving outcomes for patients with shoulder impingement: a randomised trial. £245,609 over 3 years, 2009-2012.
National Institute for Health Research (NIHR) Programme Grant for Applied Research. Optimal management of spinal pain in primary care. £1,981,142 over 5 years, 2009-2014.
Medical Research Council (MRC) Clinical Trials grant. A pragmatic randomised controlled trial of PhysioDirect telephone assessment and advice services for physiotherapy. Collaboration between Bristol and Keele Universities. £1,391,344 over 3 years, 2008-2011.
Selected Publications
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2013. Prognostic Indicators of Low Back Pain in Primary Care: Five-Year Prospective Study. Journal of Pain. doi>
Full Publications List show
Journal Articles
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2013. Prognostic Indicators of Low Back Pain in Primary Care: Five-Year Prospective Study. Journal of Pain. doi>
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2012. "Anything that would actually work, I'll try it'': patients' beliefs on low back pain treatments''. PSYCHOLOGY & HEALTH, vol. 27, 197-198. link>
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2012. "What suits one person doesn't suit another": clinicians' treatment beliefs in low back pain. PSYCHOLOGY & HEALTH, vol. 27, 35-36. link>
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2012. Acceptability and implementation of PhysioDirect telephone advice and treatment services: a multi-perspective. INTERNATIONAL JOURNAL OF INTEGRATED CARE, vol. 12. link>
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2012. Who stays, who drops out? Biosocial predictors of longer-term adherence in participants attending an exercise referral scheme in the UK. BMC Public Health, vol. 12, 347. doi>
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2011. Impairment-targeted exercises for older adults with knee pain: protocol for a proof-of-principle study. BMC Musculoskelet Disord, vol. 12, 2. link> doi> full text>
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2011. Perceptions of general practitioners towards the use of a new system for treating back pain: a qualitative interview study. BMC Medicine, vol. 9, 49. doi>
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2010. Response to letter by Roelofs et al. Pain, vol. 150(1), 208-209. doi>
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2010. Addressing patient beliefs and expectations in the consultation. Best Practice & Research in Clinical Rheumatology, vol. 24, 219-225. doi>
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2010. How important are back pain beliefs and expectations for satisfactory recovery from back pain?. Best Practice & Research in Clinical Rheumatology, vol. 24, 205-217. doi>
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2010. IMPaCT Back study protocol. Implementation of subgrouping for targeted treatment systems for low back pain patients in primary care: a prospective population-based sequential comparison. BMC Musculoskelet Disord, vol. 11, 186. link> doi> full text>
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2010. Individual patient data meta-analysis of acupuncture for chronic pain: protocol of the Acupuncture Trialists' Collaboration. Trials, vol. 11, 90.
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2010. McKenzie treatment for acute back pain added to first-line care does not result in appreciable clinical improvements. J Physiother, vol. 56(2), 135. link>
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2010. The attitudes, beliefs and behaviours of GPs regarding exercise for chronic knee pain: a systematic review. BMC Fam Pract, vol. 11, 4. link> doi> full text>
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2010. The implementation of guidelines for the management of patients with low back pain: the role of practitioners' attitudes and perceptions. International Musculoskeletal Medicine, vol. 32(4), 151-156.
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2010. The relationship between patient and practitioner expectations and preferences and clinical outcomes in a trial of exercise and acupuncture for knee osteoarthritis. Eur J Pain, vol. 14(4), 402-409. link> doi> full text>
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2009. 'PhysioDirect' telephone assessment and advice services for physiotherapy: protocol for a pragmatic randomised controlled trial. BMC HEALTH SERVICES RESEARCH, vol. 9, Article ARTN 136. link> doi> full text>
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2009. Research priorities for non-pharmacological therapies for common musculoskeletal problems: nationally and internationally agreed recommendations. BMC Musculoskeletal Disorders, vol. 10, Article 3. doi> full text>
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2009. A home-based program of simple quadriceps exercises reduces knee pain and improves knee function in overweight people with knee pain. Aust J Physiother, vol. 55(4), 284. link>
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2009. An exploratory study of physiotherapy telephone assessment... Including commentary by Foster NE. Inernational Journal of Therapy and Rehabilitation, vol. 16(2), 97-106.
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2008. A consensus approach toward the standardization of back pain definitions for use in prevalence studies. SPINE, vol. 33(1), 95-103. link>
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2008. Pharmacist-led medication review for knee pain in older adults: content, process and outcomes. International Journal of Pharmacy Practice, vol. 16(6), 347-355. doi>
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2008. Physiotherapy added to GP care results in long-term improvements for sciatica. Aust J Physiother, vol. 54(3), 218. link>
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2008. Six sessions of manual acupuncture do not seem to help when added to optimal exercise for knee osteoarthritis. Focus on Alternative and Complementary Therapies, vol. 13(1), 35-37.
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2008. The STarT Back screening tool: subgroups for targeted treatment of back pain in primary care. Arthritis and Rheumatism (Arthritis Care and Research), vol. 59(5), 632-641.
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2007. Interrater reliability of algometry in measuring pressure pain thresholds in healthy humans, using multiple raters. Clin J Pain, vol. 23(9), 760-766. link> doi> full text>
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2007. Acupuncture as an adjunct to exercise based physiotherapy for osteoarthritis of the knee: randomised controlled trial. BMJ, vol. 335(7617), 436. doi> full text>
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2007. Attitudes to back pain amongst musculoskeletal practitioners: A comparison of professional groups and practice settings using the ABS-mp. Man Ther, vol. 12(2), 167-175. doi>
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2007. Beliefs and Preferences: do they help determine the outcome of musculoskeletal problems?. Physical Therapy Reviews, vol. 12, 199-206.
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2006. Measuring troublesomeness of chronic pain by location. BMC MUSCULOSKELETAL DISORDERS, vol. 7, Article ARTN 34. link> doi> full text>
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2006. Clarification of reporting in stability systematic review. AUSTRALIAN JOURNAL OF PHYSIOTHERAPY, vol. 52(4), 312. link>
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2006. Supervised clinic-based treatment enhances the effects of home-exercise programmes for knee osteoarthritis, but only in the short-term. Invited commentary FACT. Focus on Alternative and Complementary Therapies, vol. 11(2), 133-134.
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2005. Testing the effectiveness of an innovative information package on practitioner reported behaviour and beliefs: the UK Chiropractors, Osteopaths and Musculoskeletal Physiotherapists Low back pain ManagemENT (COMPLeMENT) trial [ISRCTN77245761]. BMC Musculoskelet Disord, vol. 6, 41. link> doi> full text>
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2005. Meeting the challenges of research governance. Rheumatology, vol. 44(5), 571-572. doi>
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2005. Physiotherapy management in low back pain in Thailand: a study of practice. Physiotherapy Research International, vol. 10(4), 210-12.
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2004. Is acupuncture a useful adjunct to physiotherapy for older adults with knee pain?: the "acupuncture, physiotherapy and exercise" (APEX) study [ISRCTN88597683]. BMC Musculoskelet Disord, vol. 5, 31. link> doi> full text>
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2004. Being a parent or grandparent with back pain, ankylosing spondylitis or rheumatoid arthritis: a descriptive postal survey. Musculoskeletal Care, vol. 2(1), 17-28.
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2004. Integrated care in practice: Is acupuncture a useful adjunct to physiotherapy for older adults with knee pain? The "Acupuncture, Physiotherapy and Exercise" (APEX) Study. BMC Musculoskeletal Disorders, vol. 31(5).
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2003. Effects of TENS frequency, intensity and stimulation site parameter manipulation on pressure pain thresholds in healthy human subjects. Pain, vol. 106(1-2), 73-80. link>
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2003. Back pain online: a cross-sectional survey of the quality of web based information on low back pain. Spine, vol. 28(4), 395-401. doi>
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2003. Back Pain Online: A review of web-site information available to patients. Spine, vol. 28(4), 395-401.
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2003. Can aspects of physiotherapist communication influence patients' pain experiences? A systematic review. Physical Therapy Reviews, vol. 8, 197-210.
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2003. Inter-tester reproducibility and intra-test repeatability of three groups of physical therapists in locationg spinal levels by palpation. Manual Therapy, vol. 8(4), 223-232.
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2003. Level of distress in a recurrent low back pain population referred for physical therapy. Spine, vol. 28(9), 953-9. doi>
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2003. Understanding the process of care for musculoskeletal conditions-why a biomedical approach is inadequate. Rheumatology. Rheumatology, vol. 42(3), 401-403. doi>
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2002. Skin Temperature response to cryotherapy. Archives of Physical Medicine and Rehabilitation. doi>
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2002. Land and water based exercise therapies for musculoskeletal conditions. Best Practice & Research Clinical Rheumatology, vol. 22(3), 407-418. doi>
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2002. Sensory stimulation (TENS): Effects of Parameter Manipulation on Mechanical Pain Thresholds in Healthy Human Subjects. Pain. doi>
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2002. Test-retest reliability of the short form McGill pain questionnaire: assessment of intraclass correlation co-efficents and limits of agreement in patients with ostearthritis. Rheumatology. doi>
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2002. The Use and Reported effects of mobilisation with movement (MWM) techniques in lower back pain management; a cross-sectional descriptive survey of physiotherapists in Britain. manual Therapy, vol. 7(4), 206-14. doi>
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2001. Critically Appraised Topics (CATs): one method of facilitating evidence-based practice in physiotherapy. Physiotherapy, vol. 87(4), 179-190.
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2001. Effects of EVA cushioning on vertical ground reaction force in beginner-level participants of step aerobics. Physiotherapy, vol. 87(2), 86-87.
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2000. Arthritis and Parenting: The Physiotherapy Perspective. Journal of National Association of Rheumatology Occupational Therapists, vol. 86(1), 38.
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1999. Advising mothers with arthritis: breast and bottle feeding for mothers with arthritis and other physical disabilities. Professional Care of Mother and Child, vol. 9(2), 35-38.
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1999. Does arthritis influence perceived ability to fulfill a parenting role? Perceptions of mothers, fathers and grandparents. Patient Education and Counselling, vol. 37, 141-151.
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1999. Focusing on arthritis and parenting. The British Journal of Therapy and Rehabilitation, vol. 6(7), 347-353.
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1999. Management of nonspecific low back pain by physiotherapists in Britain and Ireland: A descriptive questionnaire of current clinical practice. Spine, vol. 24(13), 1332-1342.
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1998. Being a parent with arthritis: the therapists viewpoint. Journal of Interprofessional Care, vol. 12(4), 437-440.
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1998. Researching low back pain? An overview of the pitfalls. Physical Therapy Reviews, vol. 3(1), 9-17.
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1996. Manipulation of transcutaneous electrical nerve stimulation variables has no effect on two models of experimental pain in humans. Clinical Journal of Pain, vol. 12, 301-310.
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1995. Transcutaneous electrical nerve stimulation. Relevance of stimulation parameters to neurophysiological and hypoalgesic effects. Americal Journal of Physical Medicine and Rehabilitation, vol. 74(3), 199-206.
Chapters
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2009. Getting Involved in Research - a pocket guide. In National Physiotherapy Research Network (NPRN). Moore AP and Lyon P (Eds.). Chartered Society of Physiotherapy and NPRN.
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2008. Land and water-based exercise therapies for musculoskeletal conditions. In Principles of Non-Pharmacological Management of Musculoskeletal Conditions. Brookes P and Conaghan P (Eds.). (vol. 22). Best Practice & Research in Clinical Rheumatology. doi>
Other
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2012. POST-PHD CAREER PLANNING: A PERSONAL EXPERIENCE. RHEUMATOLOGY (vol. 51, p. 6). link>
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2012. THE MRC PHYSIODIRECT TRIAL: A PRAGMATIC RANDOMIZED CONTROLLED TRIAL OF PHYSIODIRECT TELEPHONE ASSESSMENT AND ADVICE SERVICES VERSUS USUAL CARE FOR MUSCULOSKELETAL PROBLEMS. RHEUMATOLOGY (vol. 51, p. 36). link>
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2011. Coherence in incoherent contexts: GPs and physiotherapists perceptions of a new system for treating low back pain.
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2011. Impairment-targeted exercises for older adults with knee pain: a proof-of-principle study.
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2011. Implementing change in clinical practice: a comparison of GPs' and physiotherapists' perceptions of a research-based approach to treating back pain.
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2011. 'Normalising' a new system for the assessment and management of low back pain in primary care: a qualitative study.
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2011. Reproducibility and smallest detectable change of the Pain Attitudes and Beliefs Scale of UK general practitioners and physiotherapists.
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2011. The exercise and physical activity experiences of older adults with knee pain: a mixed methods study.
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2011. The MRC PhysioDirect Trial: A pragmatic randomised controlled trial of 'PhysioDirect' telephone assessment and advice services versus usual care.
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2010. PAIN LOCATION MATTERS: THE INFLUENCE OF LEG PAIN ON SOCIETAL VALUATION OF HEALTH STATES FOR PATIENTS WITH LOW BACK PAIN. RHEUMATOLOGY (vol. 49, p. I76). link>
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2010. Answering questions put forward by local musculoskeletal pain clinicians in the UK. The Cochrane Library Abstract Supplement from the Cochrane and Campbell 2010 Colloquium.
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2010. Are prognostic indicators for poor outcome different for acute and chronic low back pain consulters in primary care?.
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2010. Assessing the routine use of clinical evidence in primary care: applicaion of the Normalisation Process Theory.
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2010. Cost-effectiveness of sickness certification for back pain.
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2010. Implementation of a new system for assessment and management of back pain patients: the role of coherence.
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2010. Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults: a Cochrane systematic review.
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2010. Musculoskeletal pain illness perceptions: Confirmatory factor analysis of the Illness Perceptions Questionnaire - Revised (IPQ-R).
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2010. You can't always get what you want....The treatment preferences of patients with low back pain.
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2009. THE COST-UTILITY OF ACUPUNCTURE AS AN ADJUNCT TO EXERCISE-BASED PHYSIOTHERAPY FOR OSTEOARTHRITIS OF THE KNEE. RHEUMATOLOGY (vol. 48, p. I106). link>
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2009. An investigation of cognitive and behavioural coping amongst primary care low back pain patients.
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2009. Embedding subgrouping for targeted treatment approaches into primary care physiotherapy services for low back pain.
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2009. Implementation of subgrouping for targeted treatment systems for low back pin primary care.
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2009. Pain location matters: the influence of leg pain on healthcare use and work disability in patients with low back pain.
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2009. Using a conceptual framework to study the introduction of a new approach to the assessment and treatment of low back pain in primary care.
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2008. Acupuncture as an adjunct to exercise based physiotherapy for osteoarthritis of the knee: Randomised controlled trial. RHEUMATOLOGY (vol. 47, p. II2). link>
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2008. A systematic review investigating the role of coping strategies in the prediction of outcome amongst low back pain patients in primary care settings.
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2008. A systematic review of the attitudes, beliefs and behaviours of GPs regarding exercise for chronic knee pain.
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2008. Acupuncture as an adjunct to exercise based physiotherapy for osteoarthritis of the knee: randomised controlled trial. Rheumatology (vol. 47, p. ii2).
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2008. Distinctiveness of psychological obstacles to recovery in low back pain patients in primary care.
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2008. Measuring and reporting adherence to exercise for chronic musculoskeletal pain in randomised controlled trials: observations from a Cochrane review.
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2008. Psychological interventions for long-term conditions: a review of approaches, content and outcomes. Physiotherapy Research International (vol. 13, p. 138).
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2008. 'Slipped discs, trapped nerves and wear and tear': explanations for back pain from UK health care practitioners.
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2007. Illness perceptions of low back pain patients in primary care: Are they associated with outcome?. RHEUMATOLOGY (vol. 46, p. I10). link>
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2007. Physiotherapists views of exercise for knee pain in older adults: In line with current recommendations?. RHEUMATOLOGY (vol. 46, pp. I21-I22). link>
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2007. An innovative approach to integrating evidence into musculoskeletal practice using a multidisciplinary group of clinicians, researchers and information technology librarians.
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2007. Attitudes to back pain amongst musculoskeletal practitioners: a comparison of UK professional groups and practice settings using the ABS-mp.
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2007. Can practitioners' behaviour towards back pain be changed? A randomised controlled trial with physiotherapists, osteopaths and chiropractors.
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2007. Distinctiveness of psychological factors in explaining and predicting low back pain outcome in primary care.
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2007. Do the attitudes and beliefs of health care practitioners influence their management of patients with low back pain?.
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2007. Engaging partners in pysiotherapy research.
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2007. Exercise for knee osteoarthritis: what does a community sample of older adults think?.
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2007. Integrated care in practice: is acupuncture a useful adjunct to exercise-based physiotherapy for older adults with clinical knee osteoarthritis?. Journal of Complementary and Alternative Medicine.
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2007. Integrated care in practice: is acupuncture a useful adjunct to exercise-based physiotherapy for older adults with knee pain?.
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2007. Physiotherapists use of exercise therapy for knee pain in older adults: in line with current exercise recommendations?.
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2007. The effectiveness of community physiotherapy and enhanced pharmacy review for knee pain in older adults: a randomised clinical trial.
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2007. The role of illness perceptions in determining outcome in low back pain patients presenting to fmily practice.
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2007. The role of illness perceptions in determining outcome in low back pain patients presenting to fmily practice.
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2006. Hope and despair in patients' beliefs about back pain and its treatment. RHEUMATOLOGY (vol. 45, p. I123). link>
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2006. Pragmatic randomized clinical trial of the effectiveness of community physiotherapy and enhanced pharmacy review for knee pain in older people presenting to primary care. RHEUMATOLOGY (vol. 45, p. I73). link>
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2006. Attitudes and beliefs of health care practitioners influence their management of patients with low back pain.
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2006. Attitudes to back pain amongst musculoskeletal practitioners: Differences between professional groups and practice settings using the ABS-MP.
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2006. Can practitioners' behaviour towards low back pain be changed? Results of a randomised controlled trial of a contextualised education package.
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2006. Continuities and discontinuities in beliefs about back pain.
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2006. Do the attitudes and beliefs of health care practitioners influence their recommendations about work for patients with low back pain?.
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2006. Effects of pharmacist-conducted medication review for chronic knee pain in primary care. Int J Pract (vol. 14, p. B54).
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2006. How do patients' and primary care practitioners' beliefs and expectations about chronic musculoskeletal pain influence the process of care? A systematic review.
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2006. The presence of pain in other areas has a fundamental influence on chronic low back pain research and management.
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2006. 'There's so much more wrapped up in it': a qualitative case study of life with low back pain.
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2005. Pragmatic randomized clinical trial of active physical therapy and enhanced pharmacy review for knee pain in older people presenting to primary care. ARTHRITIS AND RHEUMATISM (vol. 52, pp. S504-S505). link>
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2005. Attitudes to back pain amongst musculoskeletal practitioners: differences between professional groups and practice settings using the ABS-mp. The Journal of Bone and Joint Surgery (Br).
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2005. Can pratitioners' beliefs and behaviour towards low back pain be changed? Results of a randomised controlled trial of a contextualised education package. Special emphasis poster. The Journal of Bone and Joint Surgery (Br) (vol. 85, pp. 208-209).
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2005. Improving the effectiveness of primary care for non-specific back pain: The Keele Back Pain Research Programme.
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2005. Improving the effectiveness of primary care for non-specific low back pain: Keele BeBack Study.
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2005. The BeBack Study: Beliefs about Back Pain.
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2005. There's just so much more wrapped up in it: Using interpretative phenonmenological analysis to explore patients beliefs about non-specific low back pain.
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2005. Using a randomised clinical trial to investigate the effectiveness and efficacy of acupuncture for knee pain in primary care. Focus on Alternative and Complementary Medicine (vol. 10, pp. 17-18).
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2005. Utilising the expert skills of clinicians, researchers and information technology librarians to answer clinically relevent questions in the musculoskeletal field.
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2004. Can practitioners' beliefs and behaviour towards low back pain be changed? A large-scale RCT using a contextualised education package. The Journal of Bone and Joint Surgery (Br) (vols. 87-B, pp. 208-209).
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2004. Clinicians attitudes to back pain: the construction and validation of a questionnaire.
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2004. Factors influencing the consulting behaviour of patients with chronic musculoskeletal pain. The Journal of Bone and Joint Surgery (Br) (vols. 87-B, p. 208).
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2004. Implementing Research Governance: Experience from a multi-centre clinical trial for knee pain in primary care.
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2004. Improving the effectiveness of primary care for non-specific back pain: Theme 2 - the Keele BeBack Study.
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2004. Listening to patients or psychological management? What do patients in pain want and what do their practitioners believe they should provide?. The Journal of Bone and Joint Surgery (Br) (vols. 87-B, p. 208).
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2004. Low back pain beliefs and reported practice of three healthcare professions in the UK.
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2004. The accuracy of physiotherapists in determining if subjects can achieve an isolated transversus abdominis contraction.
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2004. The attitudes to back pain scale in musculoskeletal practitioners (ABS-MP): The development and testing of a new questionnaire. The Journal of Bone and Joint Surgery (Br) (vols. 87-B, p. 207).
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2004. Use of osteopathy and complementary therapies by patients with chronic musculoskeletal pain in the UK population.
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2004. What is the prevalence of chronic musculoskeletal pain in the community?.
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2003. A Pragmatic randomised controlled trial of stabilisation exercises in the management of recurrent low back pain. 14th Congress of the world Confederation of Physical Therapy.
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2003. Beliefs and expectations about chronic musculoskeletal pain: A systamatic review. British Society of Rheumatology XX Annual Meeting. Manchester.
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2003. Beliefs and expections about chronic musculoskeletal pain: a systematic review. Rheumatology.
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2003. Development and evaluation of a multimedia web resource using computer mediated Communication (CMC) as a tool for learning and teaching in a research project module. Physiotherapy Research Society spring meeting.
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2003. Dissemination and implementation barriers to using clinical guidelines in physiotherapy. Physiotherapy Congress.
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2003. Dissemination and implementation of back pain guidelines: perspectives of musculoskeletal physiotherapists and managers.
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2003. Do Physiotherapists recognise psychological factors in patients presenting with acute low back pain?. Society of Back Pain Research.
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2003. Effect of varying frequecy intensity and stimulation site of TENS on pressure pain threshold in healthy humans. 4th Congress of the European Federation of IASP Chapters (EFIC).
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2003. Implementing evidence-based practice in the UK physical Therapy professions: Do they want it and so they think they need it?. 6th international forum of low back pain researchers in Primary Care.
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2003. Overcoming barriers to evidence based practice: an example using the acute low back pain guidelines. Physiotherapy Research Society Spring May.
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2003. The immediate effects of flexion mobilisations with movement manual techniques on range of movement and pain in low back pain patients. Physiotherapy Congress.
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2002. A Pragmatic randomised controlled trial of specific spinal stabilisation exercises and conventional Physiotherapy in the management of recurrant lumbar spine pain and dysfunction. 5th International Forum of Low Back Pain Researchers in Primary Care.
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2002. A Pragmatic randomised controlled trial of specific spinal stabilisation exercises in the management of recurrant lumbar low back pain. International Society for the study of Lumbar Spine.
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2002. Back pain online: a review of web-site information available to patients. 5th International Forum of Low Back Pain Researchers in Primary Care.
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2002. Back Pain Online: a review of web-site information available to patients.
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2002. Don't judge a book by its cover: extending the terminology debate to the labelling of the physical therapy professions. 5th International Forum of low back pain Researchers in Primary Care, Montreal, Canada.
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2002. Gender differences in mechanical pain threshold in healthy humans. Practical implications for experimental research design.
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2002. Gender Differences in Mechanical Pain Threshold in Healthy Humans. Practical Implecations for Experimental Design. Abstracts 10th World Congress on Pain.
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2002. Sensory stimulation (TENS): effects of parameter manipulation on mechanical pain thresholds in healthy human subjects.
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2002. Using clinical guidelines and research evidence in the management of back pain: a qualitative study of muscloskeletal physiotherapists. 5th International Forum of Low Back Pain researchers in Primary Care, Montreal, Canada.
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2001. A national survey of parents and grandparents with rheumatoid arthritis, ankylosing spondylitis and back pain: preliminary findings. Annals of Rheumatic Diseases (vol. 60).
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2001. An evaluation of the test-retest reliability of the short-form McGill Pain Questionnaire.
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2001. An introduction to the work of the musculoskeletal processes of care collaboration. The Journal of Bone and Joint Surgery (Br) (vols. 84-B, pp. 93-94).
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2001. Sensory stimulation (TENS): Effects of electrode placement site on Mechanical Pain Threshold in Humans. A Pilot study. Journal of Physiology, Proceedings of the Physiological Society..
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2001. Sensory stimulation (TENS): Effects of parameter manipulation on mechanical pain thresholds in healthy human subjects. Abstract no: iabs-dcr-088-2001-23-00-43.pdf.
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2001. Sensory stimulation (TENS); effects of parameter manipulation pain thresholds in healthy human subjects. Proceedings of 39th Congress of the International Union of Physiological Sciences.
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2001. Shoulder impingement: effect fo posture on shoulder pain and range of motion.
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2000. A descriptive survey of the use and effects of mobilisation with movements (MWMs) techniques in low back pain management. Physiotherapy (vol. 87, p. 91).
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2000. A pragmatic randomised controlled trial of specific spinal stabilisation exercises and conventional physiotherapy in the management of recurrent lumbar spine and dysfunction.
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2000. A survey investigating the prescription of exercise by physical therapists in the treatment of low back pain. Journal of Bone and Joint Surgery (British) (vols. 82-B, p. 98).
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2000. Back Pain Online: a review of web-site information available to patients. Physiotherapy (vol. 87, pp. 96-97).
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2000. Current physiotherapy management of knee osteoarthritis informs a clinical trial. Rheumatology (vol. 39, p. 166).
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2000. Effect of different parameters of sensory stimulations (TENS) on mechanical pain threshold in humans. A pilot study.
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2000. Level of distress measured using the Distress Risk Assessment Method (DRAM) in a recurrent LBP population referred for physiotherapy. The Journal of Bone and Joint Surgery (Br) (vols. 84-B, p. 145).
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2000. Physiotherapy in Britian and Ireland suggests poor research dissemination and implementation.
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2000. The effect of transcutaneous spinal electroanalgesia upon chronic pain: a single case study. Physiotherapy (vol. 86, pp. 150-151).
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2000. The effects of EVA cushioning on vertical ground reaction force in beginner-level participants of step aerobics. Physiotherapy (vol. 87, pp. 86-87).
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1999. A comparative study of surface skin temperature responses in the human thight to two forms of cryotherapy. Physiotherapy (vol. 86, p. 35).
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1999. A pragmatic randomised controlled trial of specific spinal stabilisation exercises in the management lumbar spine pain and dysfunction - pilot results. Physiotherapy (vol. 86, p. 38).
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1999. A pragmatic randomised controlled trial of specific spinal stabilisation exercises in the management of lumar spine pain and dysfunction - pilot results. Poster award.
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1999. An investigation of the hypoalgesic efficacy of transcutaneous spinal electroanalgesia upon mechanical pain thresholds in humans.
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1999. Comparison of low back pain management by physiotherapists in four areas of Britain and Ireland.
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1999. Inter-tester and intra-tester reliability of physiotherapists in locating spinal levels by palpation.
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1999. Inter-tester and intra-tester reliability of three groups of physiotherapists in locating spinal levels by palpation. Physiotherapy (vol. 85, pp. 375-376).
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1999. Use of acunpuncture by physiotherapists in the treatment of osteoarthritis of the knee: Current trends inform a clinical trial.
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1997. A single-system comparison of the hypoalgesic efficacy of TENS parameter combinations and exercise in low back pain management. Physiotherapy (vol. 83, p. 652).
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1997. An investigation of the hypoalgesic efficacy of manipulation of TENS parameter combinations in low back pain management. Physiotherapy (vol. 83, p. 643).
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1997. Exercise therapy for low back pain patients: use among physiotherapists in Britain and Ireland. Journal of Bone and Joint Surgery (British) (vols. 80-B, p. 200).
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1996. Physiotherapeutic management of low back pain: a questionnaire survey. Physiotherapy (vol. 82, p. 640).
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1996. TENS and Low Back Pain: A Single-Case Series. Clinical Rehabilitation (vol. 11, p. 81).
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1995. An investigation of the hypoalgesic effects of combinations of TENS parameters upon experimentally induced ischaemic pain.
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1995. Current clinical management of low back pain: A pilot study. Physiotherapy (vol. 81, p. 643).
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1995. TENS: Effect of manipulation of stimulation parameters upon two models of experimental pain in humans. Journal of Physiology (vol. 491P, pp. 78-79).
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1994. An investigation of the effect of total abdominal hysterectomy on pelvic floor muscle strength. Irish Journal of Medical Science (vol. 268).
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1994. An investigation of the hypoalgesic effects of TENS parameters upon mechanical pain threshold. Irish Journal of Medical Science (vol. 164, p. 82).
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Acceptability to patients of PhysioDirect telephone advice and treatment services: a qualitative investigation. 2011.
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Implementation of subgrouping for targeted treatment for low back pain patients in primary care: a prospective population-based sequential comparison.
I have a small contribution to teaching on postgraduate and short courses in the Faculty of Health at Keele University. This includes co-leading an annual 3 day short course on ‘Practical Introduction to Running Randomised Clinical Trials’, teaching sessions on the MSc Neuromusculoskeletal Health Care and MSc Pain Science and Management at Keele University, and an annual session on MSc Manipulative Therapy at Birmingham University.
I have supported 7 PhD and 13 MSc students to successful completion. In addition to formal supervision activity, I have supported a local group of Allied Health Professionals (AHPs) since 2004 as part of an evidence-based practice initiative. The group of approximately 20 clinicians from Staffordshire and Cheshire, meet regularly to answer important clinical questions raised by local AHPs, through reviewing and appraising the available literature, writing short Critically Appraised Topics (CATs) that are disseminated locally and nationally, and that directly inform local clinical care pathways for patients with musculoskeletal problems. More recently, these CATs are being used to inform the local adaptations to the Map of Medicine national roll-out. This initiative has led to publications and to opportunities for local clinicians to present findings from the group’s activities.
I serve on the following research funding committees:
- The External Devices and Physical Therapies expert advisory panel (EDaPT), NIHR HTA Programme
- The Arthritis Research UK Musculoskeletal Pain Clinical Studies Group
- The West Midlands Regional Funding Committee, Research for Patient Benefit programme, NHS National Institute for Health Research, England
I previously served on the Learning and Development Committee at Chartered Society of Physiotherapy (CSP), UK and was the elected research representative for the physiotherapy profession on the CSP’s Governing Council. I was previously a member and then Vice Chair of the Research and Clinical Effectiveness Committee, Chartered Society Physiotherapy, UK

