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Professor Nadine Foster
Professor

Nadine Foster

Email: 

Overview

Background

Nadine is a physiotherapist, NHMRC Leadership Fellow (leadership level 2) focused on musculoskeletal pain and orthopaedic research, particularly clinical trials, and Academic Director of the University of Queensland's Clinical Trials Centre. Nadine is also the program lead for the Health Research Accelerator (HERA 2) program focused on innovation in clinical trials (ULTRA - UQ's Clinical Trial Capability) and a theme lead for clinical trials in the Centre of Innovation in Pain and Health Research (CIPHeR) at UQ. She is passionate about supporting multidisciplinary groups to work together, with critical mass, to design, conduct, analyse and translate the results of high quality clinical trials, in ways that improve patient and service outcomes.

Nadine is a lifetime Fellow of the Chartered Society of Physiotherapy in the UK, and has held previous National Institute for Health Research (NIHR) Senior Investigator awards and is the only physiotherapist to have held an NIHR Research Professorship in the UK. Having moved to Australia in January 2021, she was the inaugural Director of the STARS Research and Education Alliance between the University of Queensland and Metro North Health in Queensland (STARS is the Surgical, Treatment and Rehabilitation Service, the newest public hospital in Brisbane). Nadine is part of the STARS Alliance multidisciplinary team including conjoint appointments between the University and hospital, across the disciplines of physiotherapy, nursing, occupational therapy, psychology, consumer involvement in research, interdisciplinary collaborative practice in education and practice, and research management.

Nadine's research focuses on musculoskeletal pain, including low back pain, osteoarthritis and shoulder problems, and she has a particular interest in developing, testing and implementing treatments and health services. She has led or collaborated on more than 31 randomised trials, attracting over $145 million in research funding from, for example, the National Institute for Health Research (NIHR), Versus Arthritis, and the Medical Research Council in the UK, PCORI in the USA and the NHMRC and MRFF in Australia. Current examples include international collaborative RCTs funded through the NIHR-NHMRC collaborative trial scheme focused on comparative effectiveness of surgery and conservative care for persistent, severe low back pain and comparative effectiveness of different approaches to shoulder joint replacement for patients with shoulder osteoarthritis. She has supervised 15 PhD students to completion, and 19 Masters research project students (nearly all were healthcare professionals), with 5 PhDs currently in progress in the UK, Europe and Australia. Nadine has led or contributed to over 311 peer reviewed publications, including the Lancet Series on Low Back Pain in 2018.

Examples of recognition as a national and international leader in the field include:

2024 - Elected to the Board of Directors, Australian Clinical Trials Alliance (ACTA)

2024-2029 - NHMRC Investigator Grant, Leadership level 2, supporting a program of research focused on new musculoskeletal RCTs and sharing existing RCT data to answer further research questions

2023 - Stanley Paris Visiting Fellowship award, University of Otago, New Zealand, supporting visiting fellowship in March 2024

2022 - Chief Executive's Award for Research, Metro North Health and Hospital Service Research Excellence Award

2020 - Senior Investigator award from the National Institute for Health Research (NIHR) in the UK, awarded to the top 200 clinical researchers in the country

2019 - PEDro recognition for the UK FASHIoN trial - chosen by a panel of international trialists as one of the five most important physiotherapy trials published in 2014-2019.

2019 - Invited member of the International Research Strategy Advisory Committee for the Health Research Board’s (Ireland) new five year research strategy development

2018 - Miegunyah Distinguished Visiting Fellowship 2019, University of Melbourne, Australia. February-March 2019

Availability

Professor Nadine Foster is:
Available for supervision
Media expert

Qualifications

  • Bachelor (Honours), University of Ulster
  • Doctor of Philosophy, University of Ulster

Research interests

  • Musculoskeletal pain including low back pain pain, osteoarthritis, shoulder pain

  • Rehabilitation

  • Health services research

  • Interprofessional collaborative practice in health services

  • Clinical trials

Research impacts

How to get the right treatment to the right musculoskeletal (MSK) patient at the right time is a key challenge. Prof Foster's clinical research program is internationally renowned for establishing the effectiveness of interventions through randomised controlled trials (RCTs), and evidencing new models of care (eg. stratified and stepped care) that has widely influenced health policy and practice.

Her program of research has led to paradigm-changing discoveries, producing 311 peer reviewed full papers cited widely in >129 countries, >27 disciplines (eg. medicine, health professions, neuroscience, social sciences, engineering, decision sciences), and in 765 news outlets and underpinned 31 patents.

Four of Prof Foster's program interventions were recommended by Public Health England based on their return-on-investment (ROI) and included in a ROI tool used by >200 Clinical Commissioning Groups in England. Her research has developed internationally agreed and widely adopted core outcome sets and set the international bar for stratified care trials in musculoskeletal pain, leading to >12 trials globally including in other fields (eg. arthritis, whiplash).

Prof Foster's research has provided best evidence about treatments and challenged the 'one-size-fits-all' musculoskeletal healthcare approach, influencing 88 policy documents including NICE and the WHO, 35 guidelines in 8 countries, including the UK NICE Low Back Pain and Osteoarthritis Clinical Guidelines, and the Australian Commission on Safety and Quality in Healthcare Back Pain Standards. Her program transformed patient care pathways including the UK's National Back Pain & Sciatica Pathway. Many hospital medical centres (eg. Massachusetts General Hospital) and universities (eg. Harvard Medical School and Oxford University) cite her program of research, and collaborations with IT industry partners EMIS Health & SystmOne embedded her stratified care tools in clinical practice (eg. the STarTBack tool, with >42 language translations).

Works

Search Professor Nadine Foster’s works on UQ eSpace

399 works between 1995 and 2026

361 - 380 of 399 works

2007

Journal Article

The influence of patients' and primary care practitioners' beliefs and expectations about chronic musculoskeletal pain on the process of care: a systematic review of qualitative studies

Parsons, Suzanne, Harding, Geoffrey, Breen, Alan, Foster, Nadine, Pincus, Tamar, Vogel, Steve and Underwood, Martin (2007). The influence of patients' and primary care practitioners' beliefs and expectations about chronic musculoskeletal pain on the process of care: a systematic review of qualitative studies. The Clinical Journal of Pain, 23 (1), 91-98. doi: 10.1097/01.ajp.0000210947.34676.34

The influence of patients' and primary care practitioners' beliefs and expectations about chronic musculoskeletal pain on the process of care: a systematic review of qualitative studies

2006

Journal Article

Effectiveness of community physiotherapy and enhanced pharmacy review for knee pain in people aged over 55 presenting to primary care: pragmatic randomised trial

Hay, Elaine M, Foster, Nadine E, Thomas, Elaine, Peat, George, Phelan, Mike, Yates, Hannah E, Blenkinsopp, Alison and Sim, Julius (2006). Effectiveness of community physiotherapy and enhanced pharmacy review for knee pain in people aged over 55 presenting to primary care: pragmatic randomised trial. BMJ, 333 (7576), 995-998. doi: 10.1136/bmj.38977.590752.0b

Effectiveness of community physiotherapy and enhanced pharmacy review for knee pain in people aged over 55 presenting to primary care: pragmatic randomised trial

2006

Journal Article

Letters [2]

Foster, Nadine E., Konstantinou, Kika, Lewis, Martyn and Cairns, Melinda (2006). Letters [2]. Spine, 31 (20), 2405-2406. doi: 10.1097/01.brs.0000240200.06584.95

Letters [2]

2006

Journal Article

Randomized Controlled Trial of Specific Spinal Stabilization Exercises and Conventional Physiotherapy for Recurrent Low Back Pain

Cairns, Mindy C., Foster, Nadine E. and Wright, Chris (2006). Randomized Controlled Trial of Specific Spinal Stabilization Exercises and Conventional Physiotherapy for Recurrent Low Back Pain. Spine, 31 (19), E670-E681. doi: 10.1097/01.brs.0000232787.71938.5d

Randomized Controlled Trial of Specific Spinal Stabilization Exercises and Conventional Physiotherapy for Recurrent Low Back Pain

2006

Journal Article

Systematic review of spinal manipulation: A balanced review of evidence? [1]

Breen, Alan, Vogel, Steven, Pincus, Tamar, Foster, Nadine and Underwood, Martin (2006). Systematic review of spinal manipulation: A balanced review of evidence? [1]. Journal of the Royal Society of Medicine, 99 (6). doi: 10.1258/jrsm.99.6.277

Systematic review of spinal manipulation: A balanced review of evidence? [1]

2006

Journal Article

The Attitudes to Back Pain Scale in musculoskeletal practitioners (ABS-mp): The development and testing of a new questionnaire

Pincus, Tamar, Vogel, Steven, Santos, Rita, Breen, Alan, Foster, Nadine and Underwood, Martin (2006). The Attitudes to Back Pain Scale in musculoskeletal practitioners (ABS-mp): The development and testing of a new questionnaire. Clinical Journal of Pain, 22 (4), 378-386. doi: 10.1097/01.ajp.0000178223.85636.49

The Attitudes to Back Pain Scale in musculoskeletal practitioners (ABS-mp): The development and testing of a new questionnaire

2006

Book Chapter

Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults

Jordan, Joanne L, Foster, Nadine E, Holden, Melanie A and Mason, Elizabeth EJ (2006). Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults. Cochrane Database of Systematic Reviews. edited by Jordan, Joanne L. Chichester, UK: John Wiley & Sons, Ltd. doi: 10.1002/14651858.cd005956

Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults

2006

Journal Article

Measuring troublesomeness of chronic pain by location

Parsons, Suzanne, Carnes, Dawn, Pincus, Tamar, Foster, Nadine, Breen, Alan, Vogel, Steven and Underwood, Martin (2006). Measuring troublesomeness of chronic pain by location. BMC Musculoskeletal Disorders, 7 (1) 34. doi: 10.1186/1471-2474-7-34

Measuring troublesomeness of chronic pain by location

2006

Journal Article

Persistent back pain - why do physical therapy clinicians continue treatment? A mixed methods study of chiropractors, osteopaths and physiotherapists

Pincus, Tamar, Vogel, Steven, Breen, Alan, Foster, Nadine and Underwood, Martin (2006). Persistent back pain - why do physical therapy clinicians continue treatment? A mixed methods study of chiropractors, osteopaths and physiotherapists. European Journal of Pain, 10 (1), 67-76. doi: 10.1016/j.ejpain.2005.01.008

Persistent back pain - why do physical therapy clinicians continue treatment? A mixed methods study of chiropractors, osteopaths and physiotherapists

2006

Journal Article

Clarification of reporting in stability systematic review [1]

Cairns, Mindy C. and Foster, Nadine E. (2006). Clarification of reporting in stability systematic review [1]. Australian Journal of Physiotherapy, 52 (4). doi: 10.1016/S0004-9514(06)70021-6

Clarification of reporting in stability systematic review [1]

2005

Journal Article

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]

Evans, David W., Foster, Nadine E., Underwood, Martin, Vogel, Steven, Breen, Alan C. and Pincus, Tamar (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 Musculoskeletal Disorders, 6 (1) 41. doi: 10.1186/1471-2474-6-41

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]

2005

Journal Article

Do physical therapists in the United Kingdom recognize psychosocial factors in patients with acute low back pain?

Bishop, Annette and Foster, Nadine E. (2005). Do physical therapists in the United Kingdom recognize psychosocial factors in patients with acute low back pain?. Spine, 30 (11), 1316-1322. doi: 10.1097/01.brs.0000163883.65321.33

Do physical therapists in the United Kingdom recognize psychosocial factors in patients with acute low back pain?

2005

Journal Article

Meeting the challenges of research governance

Hill, J., Foster, N., Hughes, R. and Hay, E. (2005). Meeting the challenges of research governance. Rheumatology, 44 (5), 571-2. doi: 10.1093/rheumatology/keh579

Meeting the challenges of research governance

2005

Journal Article

Shoulder impingement: the effect of sitting posture on shoulder pain and range of motion

Bullock, Michael P., Foster, Nadine E. and Wright, Chris C. (2005). Shoulder impingement: the effect of sitting posture on shoulder pain and range of motion. Manual Therapy, 10 (1), 28-37. doi: 10.1016/j.math.2004.07.002

Shoulder impingement: the effect of sitting posture on shoulder pain and range of motion

2005

Journal Article

Physiotherapy management of low back pain in Thailand: a study of practice

Pensri, Praneet, Foster, Nadine E, Srisuk, Surasak, Baxter, G David and McDonough, Suzanne M (2005). Physiotherapy management of low back pain in Thailand: a study of practice. Physiotherapy research international : the journal for researchers and clinicians in physical therapy, 10 (4), 201-12. doi: 10.1002/pri.16

Physiotherapy management of low back pain in Thailand: a study of practice

2005

Journal Article

Test-retest reliability of the Short-Form McGill Pain Questionnaire: assessment of intraclass correlation coefficients and limits of agreement in patients with osteoarthritis

Grafton, Kate V, Foster, Nadine E and Wright, Christine C (2005). Test-retest reliability of the Short-Form McGill Pain Questionnaire: assessment of intraclass correlation coefficients and limits of agreement in patients with osteoarthritis. The Clinical journal of pain, 21 (1), 73-82. doi: 10.1097/00002508-200501000-00009

Test-retest reliability of the Short-Form McGill Pain Questionnaire: assessment of intraclass correlation coefficients and limits of agreement in patients with osteoarthritis

2004

Journal Article

Is acupuncture a useful adjunct to physiotherapy for older adults with knee pain?: The "Acupuncture, Physiotherapy and Exercise" (APEX) study [ISRCTN88597683]

Hay, Elaine, Barlas, Panos, Foster, Nadine, Hill, Jonathan, Thomas, Elaine and Young, Julie (2004). Is acupuncture a useful adjunct to physiotherapy for older adults with knee pain?: The "Acupuncture, Physiotherapy and Exercise" (APEX) study [ISRCTN88597683]. BMC Musculoskeletal Disorders, 5 (1) 31, 31. doi: 10.1186/1471-2474-5-31

Is acupuncture a useful adjunct to physiotherapy for older adults with knee pain?: The "Acupuncture, Physiotherapy and Exercise" (APEX) study [ISRCTN88597683]

2004

Journal Article

Being a parent or grandparent with back pain, ankylosing spondylitis or rheumatoid arthritis: a descriptive postal survey

Grant, M. I., Foster, N. E., Wright, C. C., Barlow, J. H. and Cullen, L. A. (2004). Being a parent or grandparent with back pain, ankylosing spondylitis or rheumatoid arthritis: a descriptive postal survey. Musculoskeletal Care, 2 (1), 17-28. doi: 10.1002/msc.53

Being a parent or grandparent with back pain, ankylosing spondylitis or rheumatoid arthritis: a descriptive postal survey

2003

Journal Article

Can Aspects of Physiotherapist Communication Influence Patients' Pain Experiences? A Systematic Review

Jeffels, Kirsty and Foster, Nadine (2003). Can Aspects of Physiotherapist Communication Influence Patients' Pain Experiences? A Systematic Review. Physical Therapy Reviews, 8 (4), 197-210. doi: 10.1179/108331903225003208

Can Aspects of Physiotherapist Communication Influence Patients' Pain Experiences? A Systematic Review

2003

Journal Article

Effects of TENS frequency, intensity and stimulation site parameter manipulation on pressure pain thresholds in healthy human subjects

Chesterton, Linda S, Foster, Nadine E, Wright, Christine C, Baxter, G David and Barlas, Panos (2003). Effects of TENS frequency, intensity and stimulation site parameter manipulation on pressure pain thresholds in healthy human subjects. Pain, 106 (1-2), 73-80. doi: 10.1016/s0304-3959(03)00292-6

Effects of TENS frequency, intensity and stimulation site parameter manipulation on pressure pain thresholds in healthy human subjects

Funding

Current funding

  • 2026 - 2028
    Matching multidisciplinary management strategies to people with chronic musculoskeletal pain: the MATCH pilot and feasibility randomised clinical trial
    NHMRC MRFF Novel treatments and management strategies for chronic pain
    Open grant
  • 2025 - 2026
    Priorities in shoulder osteoarthritis research: A James Lind Alliance priority setting partnership The SOAR study (Shoulder OsteoArthritis Research priorities)
    Arthritis Foundation of Australia
    Open grant
  • 2024 - 2028
    The clinical and cost effectiveness of the Action Falls rehabilitation programme compared to usual care alone to reduce falls in stroke survivors (The FISS-AUSTRALIA trial)
    NHMRC-National Institute for Health Research (NIHR) Collaborative Research Grants
    Open grant
  • 2024 - 2028
    A randomised controlled trial to evaluate the clinical and cost effectiveness of the Action Falls rehabilitation programme compared to usual.. (NIHR Grant administered by University of Nottingham)
    University of Nottingham
    Open grant
  • 2024 - 2029
    A novel non-surgical intervention to improve outcomes after anterior cruciate ligament injury: A multicentre randomised controlled trial (MRFF Clinical Trials Activity Grant led by Uni of Melbourne)
    University of Melbourne
    Open grant
  • 2024 - 2027
    Co-creating virtual environments with consumers to enhance self-awareness and preparedness for home after brain injury
    NHMRC MRFF PPHR - Consumer Led Research
    Open grant
  • 2024 - 2029
    Improving Hip Dysplasia Outcomes for Children and Adolescents (MRFF CTA externally led by La Trobe University)
    La Trobe University
    Open grant
  • 2024 - 2028
    Scalable internet-delivered primary care for shoulder pain with or without telehealth support (MRFF grant administered by Monash University)
    Monash University
    Open grant
  • 2024 - 2029
    The clinical and cost-effectiveness of lumbar fusion surgery for patients with persistent, severe low back pain: FusiOn veRsus bEst coNServative Care (the FORENSIC trial)
    University of Oxford
    Open grant
  • 2024 - 2028
    ACL STARR (NHMRC-NIHR grant led by Usyd)
    University of Sydney
    Open grant
  • 2024 - 2028
    DISCERN - Disciplinary Integration to Solve the Enigma of Chronic Pain: Evaluating Personalised Care and its Impact with Innovative Clinical Trials and Research in Neurobiology, Psychology and Society
    NHMRC Synergy Grants
    Open grant
  • 2024 - 2028
    Musculoskeletal pain: getting the right patient to the right treatment at the right time
    NHMRC Investigator Grants
    Open grant
  • 2023 - 2028
    Implementing integrated psychological and physical care for Australians after road traffic injury
    NHMRC MRFF Clinician Researchers: Nurses, Midwives and Allied Health Grant
    Open grant
  • 2023 - 2028
    The clinical and cost-effectiveness of lumbar fusion surgery for patients with persistent, severe low back pain: FusiOn veRsus bEst coNServative Care (the FORENSIC trial)
    NHMRC-National Institute for Health Research (NIHR) Collaborative Research Grants
    Open grant
  • 2022 - 2027
    Clinical and cost effectiveness of early patient-directed rehab versus standard rehab after surgical repair of the rotator cuff of the shoulder (RaCeR 2) (UK NIHR grant led by UHDB)
    University Hospitals of Derby and Burton
    Open grant
  • 2022 - 2028
    ACTIVE KNEECAPs! tArgeted effeCTIVE treatments for adolescent KNEECAP pain
    NHMRC MRFF EPCDR - Chronic Musculoskeletal Conditions in Children and Adolescents
    Open grant
  • 2022 - 2027
    Reverse or Anatomical (replacement) for Painful Shoulder Osteoarthritis: Differences between Interventions - RAPSODI (NIHR grant administered by Wrightington, Wigan & Leigh NHS Foundation Trust)
    Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust
    Open grant
  • 2022 - 2027
    Reverse or Anatomical (replacement) for Painful Shoulder Osteoarthritis: Differences between Interventions. Acronym; RAPSODI (NHMRC-NIHR grant administered by Deakin University).
    Deakin University
    Open grant
  • 2020 - 2026
    Radiofrequency denervation for chronic and moderate to severe low back pain: The RADICAL trial (NIHR Grant administered by North Bristol NHS Trust)
    North Bristol NHS Trust
    Open grant

Past funding

  • 2024 - 2025
    Priorities in shoulder osteoarthritis research: A James Lind Alliance priority setting partnership The SOAR study (Shoulder OsteoArthritis Research priorities)
    Monash University
    Open grant
  • 2022 - 2026
    Treatments of Exercise AnD Orthotics for plantar heel pain (TREADON) (UK NIHR HTA grant led by Keele University)
    University of Keele
    Open grant
  • 2021 - 2022
    Supporting self-management of low back pain with an internet intervention in primary care: A randomised controlled trial of clinical & cost-effectiveness(SupportBack 2) UK NIHR grant led by U. Southam
    University of Southampton
    Open grant
  • 2020 - 2024
    Joint Appointment for Director, Stars Education and Research Alliance
    Metro North Hospital and Health Service
    Open grant
  • 2020 - 2024
    PROvision of braces for Patients with knee OsteoArthritis (PROP OA): a randomised trial (UK NIHR project led by Uni. Keele)
    University of Keele
    Open grant
  • 2020 - 2023
    Feasibility and multi-centre clinical trial of gait rehabilitation in patients with recently diagnosed rheumatoid arthritis: the Gait Rehabilitation in Early Arthritis Trial (GREAT Trial)
    National Institute for Health Research UK
    Open grant
  • 2019 - 2025
    Work And Vocational advice (WAVE) in primary care: a randomised controlled trial (UK NIHR led by Keele University)
    University of Keele
    Open grant

Supervision

Availability

Professor Nadine Foster is:
Available for supervision

Looking for a supervisor? Read our advice on how to choose a supervisor.

Available projects

  • Please contact me to discuss potential projects before making any application

Supervision history

Current supervision

  • Doctor Philosophy

    Understanding and optimising recruitment in the FORENSIC low back pain trial (FusiOn veRsus bEst coNServatIve Care)

    Principal Advisor

    Other advisors: Dr Nathalia Costa, Dr Jonathan Quicke

  • Doctor Philosophy

    Collaborative clinical practice in healthcare

    Principal Advisor

    Other advisors: Professor Rebecca Olson, Dr Lisa Anemaat

  • Master Philosophy

    Prevalence of Frailty and Sarcopenia in Patients with Knee Osteoarthritis and Implications for Service Delivery in Queensland Health

    Associate Advisor

    Other advisors: Dr Jonathan Quicke

  • Doctor Philosophy

    Attitudes, beliefs and behaviours regarding the management of shoulder osteoarthritis

    Associate Advisor

    Other advisors: Dr Jonathan Quicke

  • Doctor Philosophy

    ConsumeR involvEment for parTicipAnt retentIon incliNical trials (RETAIN)

    Associate Advisor

    Other advisors: Dr Bec Jenkinson

Media

Enquiries

Contact Professor Nadine Foster directly for media enquiries about:

  • arthritis
  • back pain
  • clinical trials
  • joint pain
  • knee pain
  • musculoskeletal disorders
  • osteoarthritis
  • pain
  • physiotherapy
  • rehabilitation

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