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Dr Lucy Thomas
Dr

Lucy Thomas

Email: 
Phone: 
+61 7 336 51644

Overview

Background

Lucy Thomas is a Senior Lecturer and researcher in the Discipline of Physiotherapy at the University of Queensland. She is also a registered practicing Titled Musculoskeletal Physiotherapist with postgraduate qualifications (Grad Dip App Sc (Manipulative Physiotherapy) from the University of Sydney and holds an honorary physiotherapy position at Royal Brisbane and Women’s Hospital.

Particular research interests include:

  1. The safety of manual treatment of the neck and recognition of red flag conditions in patients presenting with headache and neck pain.
  2. Evaluation of the role of the neck in disorders such as headache and dizziness.
  3. Validating simple screening tools for the cervical region for use in clinical practice.
  4. Optimising the management of cervical spine disorders.

Lucy completed her Doctor of Philosophy at the University of Newcastle in 2013, with thesis entitled ' Minimising risk factors for cervical spine manipulation'. She holds a Master of Medical Science from the University of Newcastle 'Validity of the Doppler velocimeter as a pre-manipulative screening tool for vertebral artery flow'. Her doctoral research focussed on investigating risk factors and clinical presentation of patients presenting with craniocervical arterial dissection, as well as examining blood flow changes in the cervical arteries with head movement.

Lucy has been an invited speaker at international and national conferences and invited to deliver webinars, lectures and workshops both nationally and internationally to present her research findings in the areas of safe practice, evaluation and management of the cervical spine. She has published her research in peer reviewed journals and contributed chapters to two textbooks on cervical spine management. She teaches extensively into the undergraduate and postgraduate physiotherapy programs and supervises several doctoral students.

Availability

Dr Lucy Thomas is:
Available for supervision

Qualifications

  • Masters (Research), University of Newcastle
  • Doctor of Philosophy, University of Newcastle

Research interests

  • Cervical arterial dissection

    This is a common cause of stroke in young to middle aged people and has been linked to neck manipulation. My research is to validate a simple diagnostic support tool to help clinicians recognise this serious pathology.

  • Differential diagnosis of headache, neck pain and dizziness

    My research aims to identify musculoskeletal impairments in headache, neck pain and dizziness to better direct targeted management.

Research impacts

Dr Thomas's research has had particular impact in the area of safety in management of the cervical spine. She led the development of the 'Clinical guide to safe manual therapy practice in the cervical spine' published on the webpage of the Australian Physiotherapy Association www.physiotherapy.asn.au/cervicalspine .This includes simple infographic style documents which assist clinicians in busy clinical practice how to recognise relevant vascular disorders in the neck and what action to take. It also provides guidance on safe practice. The site is visible outside the organisation to all and has wide uptake both within Australia and internationally.

Works

Search Professor Lucy Thomas’s works on UQ eSpace

52 works between 2008 and 2024

1 - 20 of 52 works

Featured

2021

Journal Article

Neck pain associated with migraine does not necessarily reflect cervical musculoskeletal dysfunction

Liang, Zhiqi, Thomas, Lucy, Jull, Gwendolen, Minto, Joanne, Zareie, Hossein and Treleaven, Julia (2021). Neck pain associated with migraine does not necessarily reflect cervical musculoskeletal dysfunction. Headache: The Journal of Head and Face Pain, 61 (6), 882-894. doi: 10.1111/head.14136

Neck pain associated with migraine does not necessarily reflect cervical musculoskeletal dysfunction

Featured

2020

Journal Article

Should we abandon positional testing for vertebrobasilar insufficiency?

Thomas, Lucy and Treleaven, Julia (2020). Should we abandon positional testing for vertebrobasilar insufficiency?. Musculoskeletal Science and Practice, 46 102095, 102095. doi: 10.1016/j.msksp.2019.102095

Should we abandon positional testing for vertebrobasilar insufficiency?

Featured

2018

Journal Article

Shear wave elastography of the cervical arteries: a novel approach to the assessment of cervical arterial wall stiffness. An investigation of psychometric properties and intra-rater reliability

Thomas, Lucy, Low, Juanita, Chan, Kalos and Durbridge, Gail (2018). Shear wave elastography of the cervical arteries: a novel approach to the assessment of cervical arterial wall stiffness. An investigation of psychometric properties and intra-rater reliability. Musculoskeletal Science and Practice, 40, 96-100. doi: 10.1016/j.msksp.2018.09.008

Shear wave elastography of the cervical arteries: a novel approach to the assessment of cervical arterial wall stiffness. An investigation of psychometric properties and intra-rater reliability

Featured

2015

Journal Article

Cervical arterial dissection: an overview and implications for manipulative therapy practice

Thomas, Lucy C. (2015). Cervical arterial dissection: an overview and implications for manipulative therapy practice. Manual Therapy, 21, 2-9. doi: 10.1016/j.math.2015.07.008

Cervical arterial dissection: an overview and implications for manipulative therapy practice

Featured

2015

Journal Article

Risk factors and clinical presentation of cervical arterial dissection: preliminary results of a prospective case-control study

Thomas, Lucy C., Rivett, Darren A., Attia, John R. and Levi, Christopher (2015). Risk factors and clinical presentation of cervical arterial dissection: preliminary results of a prospective case-control study. Journal of Orthopaedic and Sports Physical Therapy, 45 (7), 503-511. doi: 10.2519/jospt.2015.5877

Risk factors and clinical presentation of cervical arterial dissection: preliminary results of a prospective case-control study

2024

Journal Article

Factors associated with patient-reported mouth opening activity limitations in individuals with persistent intra-articular temporomandibular disorders: a cross-sectional study exploring physical and self-reported outcomes

Dinsdale, Alana, Thomas, Lucy, Forbes, Roma and Treleaven, Julia (2024). Factors associated with patient-reported mouth opening activity limitations in individuals with persistent intra-articular temporomandibular disorders: a cross-sectional study exploring physical and self-reported outcomes. Musculoskeletal Science and Practice, 73 103166, 103166. doi: 10.1016/j.msksp.2024.103166

Factors associated with patient-reported mouth opening activity limitations in individuals with persistent intra-articular temporomandibular disorders: a cross-sectional study exploring physical and self-reported outcomes

2024

Journal Article

Is proprioception affected in those with persistent intra-articular temporomandibular disorders? A cross-sectional study exploring joint position sense and force sense of the jaw

Dinsdale, Alana, Thomas, Lucy, Forbes, Roma and Treleaven, Julia (2024). Is proprioception affected in those with persistent intra-articular temporomandibular disorders? A cross-sectional study exploring joint position sense and force sense of the jaw. Musculoskeletal Science and Practice, 69 102904, 102904. doi: 10.1016/j.msksp.2023.102904

Is proprioception affected in those with persistent intra-articular temporomandibular disorders? A cross-sectional study exploring joint position sense and force sense of the jaw

2024

Journal Article

Validation of a modified-composite autonomic symptom score (COMPASS-31) as an outcome measure for persistent autonomic symptoms post-concussion: an observational pilot study

Hammerle, Matt H., Lu, Lisa H., Thomas, Lucy C., Swan, Alicia A. and Treleaven, Julia M. (2024). Validation of a modified-composite autonomic symptom score (COMPASS-31) as an outcome measure for persistent autonomic symptoms post-concussion: an observational pilot study. Brain Injury, 38 (11), 1-6. doi: 10.1080/02699052.2024.2355588

Validation of a modified-composite autonomic symptom score (COMPASS-31) as an outcome measure for persistent autonomic symptoms post-concussion: an observational pilot study

2023

Journal Article

Development of a diagnostic support tool for predicting cervical arterial dissection in primary care

Thomas, Lucy Caroline, Holliday, Elizabeth, Attia, John R. and Levi, Christopher (2023). Development of a diagnostic support tool for predicting cervical arterial dissection in primary care. Journal of Manual and Manipulative Therapy, 32 (2), 173-181. doi: 10.1080/10669817.2023.2250164

Development of a diagnostic support tool for predicting cervical arterial dissection in primary care

2023

Journal Article

Subgrouping individuals with migraine associated neck pain for targeted management

Liang, Zhiqi, Thomas, Lucy, Jull, Gwendolen and Treleaven, Julia (2023). Subgrouping individuals with migraine associated neck pain for targeted management. Musculoskeletal Science and Practice, 66 102801, 1-6. doi: 10.1016/j.msksp.2023.102801

Subgrouping individuals with migraine associated neck pain for targeted management

2023

Journal Article

Individual perceptions on the relationship between migraine and neck pain

Schulz, Michael, Xu, Wenrui, Treleaven, Julia, Thomas, Lucy and Liang, Zhiqi (2023). Individual perceptions on the relationship between migraine and neck pain. Musculoskeletal Science and Practice, 66 102812, 1-7. doi: 10.1016/j.msksp.2023.102812

Individual perceptions on the relationship between migraine and neck pain

2023

Journal Article

Letter to the Editor

Treleaven, Julia, Thomas, Lucy, Jull, Gwendolen and Liang, Zhiqi (2023). Letter to the Editor. Clinical Rehabilitation, 37 (12), 026921552311807-1718. doi: 10.1177/02692155231180718

Letter to the Editor

2023

Journal Article

Do intra-articular temporomandibular disorders show an association between physical bite function, self-perceived bite limitation and kinesiophobia? A case-control study

Dinsdale, Alana, Thomas, Lucy, Forbes, Roma and Treleaven, Julia (2023). Do intra-articular temporomandibular disorders show an association between physical bite function, self-perceived bite limitation and kinesiophobia? A case-control study. Musculoskeletal Science & Practice, 65 102756, 1-7. doi: 10.1016/j.msksp.2023.102756

Do intra-articular temporomandibular disorders show an association between physical bite function, self-perceived bite limitation and kinesiophobia? A case-control study

2023

Other Outputs

Data of time course and risk profile of work-related neck disability

Xie, Yanfei, Johnston, Venerina, Thomas, Lucy and Coombes, Brooke (2023). Data of time course and risk profile of work-related neck disability. The University of Queensland. (Dataset) doi: 10.48610/67e0858

Data of time course and risk profile of work-related neck disability

2023

Journal Article

Cervical and axioscapular muscle stiffness measured with shear wave elastography: a comparison between different levels of work-related neck disability

Xie, Yanfei, Thomas, Lucy, Johnston, Venerina and Coombes, Brooke K. (2023). Cervical and axioscapular muscle stiffness measured with shear wave elastography: a comparison between different levels of work-related neck disability. Journal of Electromyography and Kinesiology, 69 102754, 1-7. doi: 10.1016/j.jelekin.2023.102754

Cervical and axioscapular muscle stiffness measured with shear wave elastography: a comparison between different levels of work-related neck disability

2023

Journal Article

Presentation and physical therapy management of upper cervical instability in patients with symptomatic generalized joint hypermobility: International expert consensus recommendations

Russek, Leslie N., Block, Nancy P., Byrne, Elaine, Chalela, Susan, Chan, Cliffton, Comerford, Mark, Frost, Nicole, Hennessy, Sharon, McCarthy, Ann, Nicholson, Leslie L., Parry, Jason, Simmonds, Jane, Stott, Patricia J., Thomas, Lucy, Treleaven, Julia, Wagner, Wendy and Hakim, Alan (2023). Presentation and physical therapy management of upper cervical instability in patients with symptomatic generalized joint hypermobility: International expert consensus recommendations. Frontiers in Medicine, 9 1072764, 1-15. doi: 10.3389/fmed.2022.1072764

Presentation and physical therapy management of upper cervical instability in patients with symptomatic generalized joint hypermobility: International expert consensus recommendations

2023

Journal Article

Reproduction and resolution of familiar head pain with upper cervical spine sustained joint mobilization may help identify cervicogenic headaches: a case–control study

Cummins, Damien, Rivett, Darren A., Thomas, Lucy C. and Osmotherly, Peter G. (2023). Reproduction and resolution of familiar head pain with upper cervical spine sustained joint mobilization may help identify cervicogenic headaches: a case–control study. Journal of Manual and Manipulative Therapy, 31 (3), 198-205. doi: 10.1080/10669817.2022.2099181

Reproduction and resolution of familiar head pain with upper cervical spine sustained joint mobilization may help identify cervicogenic headaches: a case–control study

2022

Journal Article

Sub-occipital muscle pressure pain thresholds correlate to direction of symptomatic active comfortable sustained neck rotation testing in post-concussive headache: a retrospective observational cross-sectional study

Hammerle, Matt H., Thomas, Lucy C., Swan, Alicia A., Lu, Lisa H. and Treleaven, Julia M. (2022). Sub-occipital muscle pressure pain thresholds correlate to direction of symptomatic active comfortable sustained neck rotation testing in post-concussive headache: a retrospective observational cross-sectional study. Journal of Manual and Manipulative Therapy, 31 (2), 1-6. doi: 10.1080/10669817.2022.2122370

Sub-occipital muscle pressure pain thresholds correlate to direction of symptomatic active comfortable sustained neck rotation testing in post-concussive headache: a retrospective observational cross-sectional study

2022

Journal Article

Possible autonomic or cranial nerve symptoms triggered during sustained neck rotation in persistent headache post-concussion: a retrospective observational cross-sectional study

Hammerle, Matt H., Lu, Lisa H., Thomas, Lucy C., Swan, Alicia A., Hoppes, Carrie W., Nelson, Jeremy T. and Treleaven, Julia M. (2022). Possible autonomic or cranial nerve symptoms triggered during sustained neck rotation in persistent headache post-concussion: a retrospective observational cross-sectional study. Journal of Manual & Manipulative Therapy, 31 (2), 1-11. doi: 10.1080/10669817.2022.2085850

Possible autonomic or cranial nerve symptoms triggered during sustained neck rotation in persistent headache post-concussion: a retrospective observational cross-sectional study

2022

Journal Article

Time course and risk profile of work-related neck disability: a longitudinal latent class growth analysis

Xie, Yanfei, Coombes, Brooke K., Thomas, Lucy and Johnston, Venerina (2022). Time course and risk profile of work-related neck disability: a longitudinal latent class growth analysis. Physical Therapy, 102 (6) pzac050, 1-9. doi: 10.1093/ptj/pzac050

Time course and risk profile of work-related neck disability: a longitudinal latent class growth analysis

Funding

Current funding

  • 2024 - 2028
    SPINEPASS: SPINE Self-Management Techniques for Persistent Headache After Concussion: Physical Therapy Targeting Autonomic and Dura Mater Function
    United States Congressionally Directed Medical Research Programs - Traumatic Brain Injury and Psychological Health
    Open grant

Supervision

Availability

Dr Lucy Thomas is:
Available for supervision

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Available projects

  • Musculoskeletal and sensorimotor signs in Vestibular migraine

    This project will look at the role of the neck in vestibular migraine examining a battery of musculoskeletal and sensorimotor assessments in people with a diagnosis of vestibular migraine, towards the development of more targeted management approaches.

  • Sensitisation in migraine and tension type headache

    This project will invesitgate quantitative sensory measures- both static and dynamic, in people with migraine and/or tension type headache. The findings of the study will guide the development of more targeted advice and education strategies as well as treatment options in the management of those living with this type of chronic headache condition.

  • Differential diagnosis of dizziness

    This project will investigate clinical measures to assist in the differential diagnosis of dizziness in order to help identify causes such as vestibular, cervicogenic and vascular causes eg vertebrobasilar insufficiency (VBI)

Supervision history

Current supervision

  • Doctor Philosophy

    Neck pain in tension type headache and exploring cervical musculoskeletal and sensory features

    Principal Advisor

    Other advisors: Dr Julia Treleaven, Emeritus Professor Gwendolen Jull

  • Master Philosophy

    Relationship between sleep and cervical spine disorders

    Principal Advisor

    Other advisors: Dr Julia Treleaven

  • Master Philosophy

    Recognizing clinical features which may lead to adverse clinical outcomes in Cervical musculoskeletal (MSK) management

    Principal Advisor

    Other advisors: Dr Julia Treleaven

  • Doctor Philosophy

    Clinical features (self-reported and cervical spine musculoskeletal (MSK) impairments) in patients with suspected upper cervical hypermobility.

    Associate Advisor

    Other advisors: Dr Julia Treleaven

Completed supervision

Media

Enquiries

For media enquiries about Dr Lucy Thomas's areas of expertise, story ideas and help finding experts, contact our Media team:

communications@uq.edu.au