
Overview
Background
Dr Coombes is a senior research fellow within the NHMRC Synergy Grant, DISCERN, lead by Professor Paul Hodges. Her current role is to develop and test a tool to identify the predominant mechanism for a patient’s pain (in collaboration with the International Association for the Study of Pain Terminology Task Force) and research to understand the neurobiology of pain. As a Musculoskeletal Physiotherapist, Dr Coombes has clinical and research expertise in rehabilitation of musculoskeletal and chronic pain. Her research spans a diverse range of chronic conditions with a focus on exercise and physical interventions. Using a biopsychosocial framework and diverse research methodologies from mechanisms to implementation, herresearch is helping to reduce the personal, economic and societal impact of chronic pain. Dr Coombes has also developed and taught curricula in Physiotherapy, with a focus on pain, chronic disease and Musculoskeletal Physiotherapy.
Availability
- Dr Brooke Coombes is:
- Available for supervision
Qualifications
- Bachelor (Honours), The University of Queensland
- Masters (Coursework), The University of Queensland
- Doctor of Philosophy, The University of Queensland
- Graduate Certificate, Griffith University
Research interests
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Chronic pain
My research aims to identify mechanisms underpinning a person's pain presentation and prognosis and identifying treatments to target these mechanisms.
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Exercise for chronic pain and chronic disease
My research targets people with overlapping pain and chronic diseases, who are often excluded from research, such as individuals with diabetic neuropathy or parastomal hernia. It aims to optimise outcomes of exercise, via prescription, monitoring, education and behaviour change.
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Work-related musculoskeletal disorders
My research aims to co-develop and test feasible and scalable interventions to address work-related injury, pain or disability and promote long term work ability.
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Injection therapies for musculoskeletal pain
My research aims to synthesise evidence for the clinical benefits, harms and economic value of injection therapies for tendinopathy.
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Tendinopathy
My research aims to advance knowledge to improve management of people with persistent pain from tendon-related disorders.
Research impacts
Dr Coombes’ research has resulted in advanced understanding of the mechanisms and effective treatment of musculoskeletal disorders and chronic pain, which has been published in leading medical journals such as The Lancet, JAMA and Annals of Internal Medicine. As an example in relation to musculoskeletal pain, Dr Coombes has co-authored 5 international consensus papers on tendinopathy which have informed the establishment of core outcomes for measurement, and a significant decrease in the proportion of patients with lateral elbow tendinopathy receiving corticosteroid injections. Dr Coombes has past experience developing collaborations with other healthcare professional associations such as the national sonographic associations, who have endorsed current research projects including validation of the first sonographer-specific clinical prediction tool for work-related musculoskeletal disability and concept testing of an e-health exercise intervention to reduce work related musculoskeletal disability among sonographers. Dr Coombes also brings clinical experience to the project as a qualified Musculoskeletal Physiotherapist with extensive experience across a wide range of contexts including musculoskeletal, sports, rheumatology and occupational rehabilitation.
Works
Search Professor Brooke Coombes’s works on UQ eSpace
2013
Journal Article
One-week time course of the effects of Mulligan's Mobilisation with Movement and taping in painful shoulders
Teys, Pamela, Bisset, Leanne, Collins, Natalie, Coombes, Brooke and Vicenzino, Bill (2013). One-week time course of the effects of Mulligan's Mobilisation with Movement and taping in painful shoulders. Manual Therapy, 18 (5), 372-377. doi: 10.1016/j.math.2013.01.001
2013
Journal Article
Corticosteroid injection worsened recovery and recurrence of tennis elbow; physiotherapy had no effect
Vicenzino, B., Coombes, B. K., Bisset, L., Brooks, P. and Khan, A. (2013). Corticosteroid injection worsened recovery and recurrence of tennis elbow; physiotherapy had no effect. Annals of Internal Medicine, 158 (10), JC8. doi: 10.7326/0003-4819-158-10-201305210-02008
2013
Journal Article
Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia: a randomized controlled trial
Coombes, Brooke K., Bisset, Leanne, Brooks, Peter, Khan, Asad and Vicenzino, Bill (2013). Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia: a randomized controlled trial. JAMA: Journal of the American Medical Association, 309 (5), 461-469. doi: 10.1001/jama.2013.129
2013
Journal Article
Bilateral Cervical Dysfunction in Patients With Unilateral Lateral Epicondylalgia Without Concomitant Cervical or Upper Limb Symptoms: A Cross-Sectional Case-Control Study
Coombes, Brooke K., Bisset, Leanne and Vicenzino, Bill (2013). Bilateral Cervical Dysfunction in Patients With Unilateral Lateral Epicondylalgia Without Concomitant Cervical or Upper Limb Symptoms: A Cross-Sectional Case-Control Study. Journal of Manipulative and Physiological Therapeutics, 37 (2), 79-86. doi: 10.1016/j.jmpt.2013.12.005
2012
Journal Article
Thermal hyperalgesia distinguishes those with severe pain and disability in unilateral lateral epicondylalgia
Coombes, Brooke K., Bisset, Leanne and Vicenzino, Bill (2012). Thermal hyperalgesia distinguishes those with severe pain and disability in unilateral lateral epicondylalgia. Clinical Journal of Pain, 28 (7), 595-601. doi: 10.1097/AJP.0b013e31823dd333
2012
Journal Article
Elbow flexor and extensor muscle weakness in lateral epicondylalgia
Coombes, Brooke K., Bisset, Leanne and Vicenzino, Bill (2012). Elbow flexor and extensor muscle weakness in lateral epicondylalgia. British Journal of Sports Medicine, 46 (6), 449-453. doi: 10.1136/bjsm.2011.083949
2012
Other Outputs
Corticosteroid injections and physiotherapy for lateral epicondylalgia: clinical efficacy and prognostic factors
Coombes, Brooke Kaye (2012). Corticosteroid injections and physiotherapy for lateral epicondylalgia: clinical efficacy and prognostic factors. PhD Thesis, School of Health and Rehabilitation Sciences, The University of Queensland.
2012
Journal Article
Evidence of spinal cord hyperexcitability as measured with nociceptive flexion reflex (NFR) threshold in chronic lateral epicondylalgia with or without a positive neurodynamic test
Lim, Edwin Choon Wyn, Sterling, Michele, Pedler, Ashley, Coombes, Brooke K. and Vicenzino, Bill (2012). Evidence of spinal cord hyperexcitability as measured with nociceptive flexion reflex (NFR) threshold in chronic lateral epicondylalgia with or without a positive neurodynamic test. Journal of Pain, 13 (7), 676-684. doi: 10.1016/j.jpain.2012.04.005
2011
Journal Article
Tennis elbow
Bisset, Leanne, Coombes, Brooke and Vicenzino, Bill (2011). Tennis elbow. Clinical Evidence, 2011 (6), 1117.
2010
Journal Article
Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: A systematic review of randomised controlled trials
Coombes, Brooke K., Bisset, Leanne and Vicenzino, Bill (2010). Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: A systematic review of randomised controlled trials. Lancet, 376 (9754), 1751-1767. doi: 10.1016/S0140-6736(10)61160-9
2010
Journal Article
A single botulinum toxin injection at a precise anatomic point on the forearm reduces pain at rest, compared to placebo injection in patients with chronic refractory lateral epicondylitis
Vicenzino, Bill and Coombes, Brooke K. (2010). A single botulinum toxin injection at a precise anatomic point on the forearm reduces pain at rest, compared to placebo injection in patients with chronic refractory lateral epicondylitis. Evidence Based Medicine, 15 (5), 149-150. doi: 10.1136/ebm1115
2009
Journal Article
Optimising corticosteroid injection for lateral epicondylalgia with the addition of physiotherapy: A protocol for a randomised control trial with placebo comparison
Coombes, B. K., Bisset, L., Connelly, L. B., Brooks, P. and Vicenzino, B. (2009). Optimising corticosteroid injection for lateral epicondylalgia with the addition of physiotherapy: A protocol for a randomised control trial with placebo comparison. BMC Musculoskeletal Disorders, 10 (76) 76, x-x. doi: 10.1186/1471-2474-10-76
2009
Journal Article
An integrative model of lateral epicondylalgia
Coombes, B. K., Bisset, L. and Vicenzino, B. (2009). An integrative model of lateral epicondylalgia. British Journal of Sport medicine, 43 (4), 1-20. doi: 10.1136/bjsm.2008.052738
Funding
Past funding
Supervision
Availability
- Dr Brooke Coombes is:
- Available for supervision
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Supervision history
Completed supervision
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2021
Doctor Philosophy
A biopsychosocial approach to understanding neck pain among sonographers
Associate Advisor
Other advisors: Dr Lucy Thomas
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2019
Doctor Philosophy
Advancing understanding of the multifactorial nature of greater trochanteric pain syndrome and the efficacy of self-management.
Associate Advisor
Other advisors: Professor Bill Vicenzino
Media
Enquiries
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