
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:
- The safety of manual treatment of the neck and recognition of red flag conditions in patients presenting with headache and neck pain.
- Evaluation of the role of the neck in disorders such as headache and dizziness.
- Validating simple screening tools for the cervical region for use in clinical practice.
- 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
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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.
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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
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
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
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
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
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
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
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
2022
Journal Article
The temporal behaviour of migraine related neck pain does not inform on the origin of neck pain: an observational study
Liang, Zhiqi, Thomas, Lucy, Jull, Gwendolen and Treleaven, Julia (2022). The temporal behaviour of migraine related neck pain does not inform on the origin of neck pain: an observational study. Musculoskeletal Science and Practice, 58 102522, 102522. doi: 10.1016/j.msksp.2022.102522
2022
Journal Article
The Neck Disability Index reflects allodynia and headache disability but not cervical musculoskeletal dysfunction in migraine
Liang, Zhiqi, Thomas, Lucy, Jull, Gwendolen and Treleaven, Julia (2022). The Neck Disability Index reflects allodynia and headache disability but not cervical musculoskeletal dysfunction in migraine. Physical Therapy, 102 (5) pzac027. doi: 10.1093/ptj/pzac027
2022
Journal Article
Improving the recognition of cervical arterial dissection in clinical practice: investigation of a five criteria diagnostic support tool
Thomas, Lucy C., Seth, Trent, Der, Andrew, Ho, Ken, Eide, Lene, Roenaas, Stine and Treleaven, Julia (2022). Improving the recognition of cervical arterial dissection in clinical practice: investigation of a five criteria diagnostic support tool. Physiotherapy Theory and Practice, 39 (6), 1-8. doi: 10.1080/09593985.2022.2035033
2021
Conference Publication
Management experiences, needs and preferences of adults with persistent intra-articular temporomandibular disorders
Dinsdale, Alana, Forbes, Roma, Thomas, Lucy and Treleaven, Julia (2021). Management experiences, needs and preferences of adults with persistent intra-articular temporomandibular disorders. UQ Postgraduate Research Conference, Brisbane, QLD Australia, 2 December 2021.
2021
Conference Publication
“What if it doesn't unlock?”: a qualitative study into the lived experiences of adults with persistent intra-articular temporomandibular disorders
Dinsdale, Alana, Forbes, Roma, Thomas, Lucy and Treleaven, Julia (2021). “What if it doesn't unlock?”: a qualitative study into the lived experiences of adults with persistent intra-articular temporomandibular disorders. UQ Postgraduate Research Conference, Brisbane, QLD Australia, 2 December 2021.
2021
Journal Article
Cervical musculoskeletal impairments in migraine
Liang, Zhiqi, Thomas, Lucy, Jull, Gwendolen and Treleaven, Julia (2021). Cervical musculoskeletal impairments in migraine. Archives of Physiotherapy, 11 (1) 27, 27. doi: 10.1186/s40945-021-00123-0
2021
Journal Article
The management experiences, needs and preferences of individuals seeking care for persistent intra‐articular temporomandibular disorders: a qualitative study
Dinsdale, Alana, Forbes, Roma, Thomas, Lucy and Treleaven, Julia (2021). The management experiences, needs and preferences of individuals seeking care for persistent intra‐articular temporomandibular disorders: a qualitative study. Journal of Oral Rehabilitation, 49 (1), 10-21. doi: 10.1111/joor.13267
2021
Journal Article
“What if it doesn't unlock?”: a qualitative study into the lived experiences of adults with persistent intra-articular temporomandibular disorders
Dinsdale, Alana, Forbes, Roma, Thomas, Lucy and Treleaven, Julia (2021). “What if it doesn't unlock?”: a qualitative study into the lived experiences of adults with persistent intra-articular temporomandibular disorders. Musculoskeletal Science and Practice, 54 102401, 1-9. doi: 10.1016/j.msksp.2021.102401
2021
Journal Article
Heightened pain facilitation rather than impaired pain inhibition distinguishes those with moderate/severe disability in work-related neck pain
Xie, Yanfei, Thomas, Lucy, Barbero, Marco, Falla, Deborah, Johnston, Venerina and Coombes, Brooke K. (2021). Heightened pain facilitation rather than impaired pain inhibition distinguishes those with moderate/severe disability in work-related neck pain. Pain, 162 (8), 2225-2236. doi: 10.1097/j.pain.0000000000002213
2021
Journal Article
Is jaw muscle activity impaired in adults with persistent temporomandibular disorders? A systematic review and meta‐analysis
Dinsdale, Alana, Liang, Zhiqi, Thomas, Lucy and Treleaven, Julia (2021). Is jaw muscle activity impaired in adults with persistent temporomandibular disorders? A systematic review and meta‐analysis. Journal of Oral Rehabilitation, 48 (4), 487-516. doi: 10.1111/joor.13139
2020
Conference Publication
Is jaw muscle activity impaired in adults with persistent temporomandibular disorders?
Dinsdale, Alana, Liang, Zhiqi, Thomas, Lucy and Treleaven, Julia (2020). Is jaw muscle activity impaired in adults with persistent temporomandibular disorders?. UQ Postgraduate Research Conference, Brisbane, QLD Australia, 4 December 2020.
2020
Conference Publication
Are jaw range of motion, muscle function and proprioception impaired in adults with persistent temporomandibular disorders?
Dinsdale, Alana, Liang, Zhiqi, Thomas, Lucy and Treleaven, Julia (2020). Are jaw range of motion, muscle function and proprioception impaired in adults with persistent temporomandibular disorders?. UQ Postgraduate Research Conference, Brisbane, QLD Australia, 4 December 2020.
2020
Journal Article
Comparing central pain processing in individuals with non-traumatic neck pain and healthy individuals: a systematic review and meta-analysis
Xie, Yanfei, Jun, Deokhoon, Thomas, Lucy, Coombes, Brooke and Johnston, Venerina (2020). Comparing central pain processing in individuals with non-traumatic neck pain and healthy individuals: a systematic review and meta-analysis. The Journal of Pain, 21 (11-12), 1101-1124. doi: 10.1016/j.jpain.2020.02.007
Funding
Current funding
Supervision
Availability
- Dr Lucy Thomas is:
- Available for supervision
Before you email them, read our advice on how to contact a supervisor.
Available projects
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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.
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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.
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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
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Doctor Philosophy
Neck pain in tension type headache and exploring cervical musculoskeletal and sensory features
Principal Advisor
Other advisors: Associate Professor Julia Treleaven, Emeritus Professor Gwendolen Jull
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Master Philosophy
Recognizing clinical features which may lead to adverse clinical outcomes in Cervical musculoskeletal (MSK) management
Principal Advisor
Other advisors: Associate Professor Julia Treleaven
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Doctor Philosophy
Targeted upper cervical musculoskeletal management for primary headache
Principal Advisor
Other advisors: Associate Professor Julia Treleaven
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Master Philosophy
Serious adverse events associated with conservative physical procedures directed towards the cervical spine
Principal Advisor
Other advisors: Associate Professor Julia Treleaven
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Master Philosophy
Relationship between sleep and cervical spine disorders
Principal Advisor
Other advisors: Associate Professor Julia Treleaven
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Master Philosophy
Assessment and management approaches for the muscle system in Temporomandibular dysfunction (TMD).
Principal Advisor
Other advisors: Associate Professor Julia Treleaven, Dr Alana Dinsdale
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Master Philosophy
Cervical spine related dizziness and vertigo, differentiating factors through both subjective and objective measures
Associate Advisor
Other advisors: Associate Professor Julia Treleaven
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Doctor Philosophy
Clinical features (self-reported and cervical spine musculoskeletal (MSK) impairments) in patients with suspected upper cervical hypermobility.
Associate Advisor
Other advisors: Associate Professor Julia Treleaven
Completed supervision
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2023
Doctor Philosophy
Exploring disability and management in adults with persistent mechanical temporomandibular disorders
Principal Advisor
Other advisors: Associate Professor Julia Treleaven, Dr Roma Forbes
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2021
Doctor Philosophy
A biopsychosocial approach to understanding neck pain among sonographers
Associate Advisor
Other advisors: Dr Brooke Coombes
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2021
Doctor Philosophy
The Nature of Neck Pain in Migraine
Associate Advisor
Other advisors: Emeritus Professor Gwendolen Jull, Associate Professor Julia Treleaven
Media
Enquiries
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