Gwendolen Jull

Gwendolen Jull
The University of Queensland | UQ · School of Health and Rehabilitation Sciences

46.89
 · 
MPHTY, PhD, FACP

About

487
Publications
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22,479
Citations

Publications

Publications (487)
Article
Full-text available
Objectives Neck pain commonly accompanies recurrent headaches such as migraine, tension-type and cervicogenic headache. Neck pain may be part of the headache symptom complex or a local source. Patients commonly seek neck treatment to alleviate headache, but this is only indicated when cervical musculoskeletal dysfunction is the source of pain. Clin...
Article
Full-text available
Abstract Objectives: The purpose of this systematic review is to identify and synthesize studies evaluating performance-based functional outcome measures designed to evaluate the functional abilities of patients with neck pain. Design: Systematic review Data Sources: A literature search using PubMed, Scopus, CINAHL, EMBASE, COCHRANE, Google Scholar...
Article
Full-text available
Objective The purpose of this systematic review was to critically appraise and synthesise the psychometric properties of Global Rating of Change (GROC) scales for assessment of patients with neck pain. Design Systematic review. Data sources A search was performed in four databases (MEDLINE, EMBASE, CINAHL, SCOPUS) until February 2019. Data extra...
Article
Background The popularity of the Internet as a source of health-related information for low back pain (LBP) is growing. Although research has evaluated information quality in health-related websites, few studies have considered whether content and presentation match consumer preferences. Objective The aim of this study was to evaluate whether LBP...
Article
People with back pain regularly search for information online; however, the quality of this online information is often poor. We established a list of the most important messages about diagnosis, imaging, and self-care for people with low back pain, based on consensus opinion and prioritised in order of importance. A list of key messages was derive...
Article
Objective: Inconsistent reporting of outcomes in clinical trials of treatments for Whiplash Associated Disorders (WAD) hinders effective data pooling and conclusions that can be drawn about the effectiveness of tested treatments. The aim of this study was to provide recommendations for core outcome domains that should be included in clinical trial...
Article
Aims: Neck pain is common in migraine and tension type headache (TTH). This review aimed to examine the evidence for cervical musculoskeletal impairments in these headaches. Methods: Databases PubMed (Medline), EMBASE, CINAHL, SCOPUS, and Web of Science were searched from inception to December 2018. Observational studies using a comparator group...
Article
Sensorimotor control of neck muscles differs between individuals with and without pain. Differences in the primary motor cortex (M1) maps of these muscles may be involved. This study compared M1 representations of deep (DNF) and superficial (SNF) neck flexor muscles between 10 individuals with neck pain (NP) and 10 painfree controls. M1 organisatio...
Article
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Objectives: Headaches can be associated with rhinosinusitis and may present a diagnostic challenge because of symptomatic overlap with other recurring headaches. Neck pain has received extensive attention in migraine, tension-type and cervicogenic headache but not as a comorbid feature of headache in those with rhinosinusitis. This study investigat...
Article
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Background Neck pain is a major health issue with high rates of recurrence. It presents with a variety of altered sensorimotor functions. Exercise is a cornerstone of rehabilitation and many training methods are used. Exercise is evaluated in most randomized controlled trials on its pain relieving effects. No review has assessed the effect of exerc...
Article
Neck pain commonly accompanies migraine and tension-type headache, but the literature is divided on whether this neck pain is a headache symptom or is associated with cervical musculoskeletal dysfunction. Clarification is essential for hypotheses on the pathogenesis of these headaches and their variants and for decisions on suitability of local nec...
Article
Background: Neck muscle vibration can influence cervical proprioception and sensorimotor function. It is hypothesized to affect motor performance differently in persons with and without neck pain. Study design: Cross-sectional study. Objective: To clarify the extent to which vibration-induced motor responses of neck muscles affect static stand...
Article
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Background: Impaired cervical joint position sense and balance are associated with neck pain. Specific therapeutic exercise and manual therapy are effective for improving neck pain and functional ability but their effects on joint position sense and balance impairments remain uncertain. Changes in the joint position sense and balance may need to b...
Article
As a potential high-yield tool for disseminating information that can reach many people, social media is transforming how clinicians, the public, and policy makers are educated and find new knowledge associated with research-related information. Social media is available to all who access the internet, reducing selected barriers to acquiring origin...
Article
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Objective: To determine the distribution of higher psychological risk features within movement-based subgroups for people with Low Back Pain (LBP) DESIGN: Cross-sectional observational study SETTING: Participants were recruited from physiotherapy clinics and community advertisements. Measures were collected at a university outpatient-based physiot...
Article
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Background: Little is known of how different psychosocial factors relate with movement-based low back pain (LBP) subgroups Objective: To determine the distribution of higher psychological risk features within movement-based subgroups Design: Cross-sectional observational study Methods: 102 people seeking treatment for LBP, recruited from physiothe...
Article
The biopsychosocial model came to prominence in 1977 when it was introduced by Engel1 who argued against the reductionist biomedical model of disease and for concomitant consideration of behavioural, psychological and social dimensions in understanding a person's medical condition. This conceptual model was initially proposed within the field of ps...
Article
Rapid advances in the basic, clinical, and behavioral sciences are molding developments in conservative management of musculoskeletal disorders. Curiously, there seems to be discord developing between approaches to the assessment and management of patients, depending on whether they present with an extremity or spinal disorder. This viewpoint will...
Article
There have been many advances in the management of neck pain disorders, but a personal frustration as a clinician and researcher in the field is that the incidence of full recovery following a whiplash injury as a result of a motor vehicle crash has not increased and, subsequently, the rate of transition to chronic neck pain has not lessened. The c...
Article
Full-text available
Background The evidence for the effect of treatments of neck pain is modest. In the absence of causal treatments, a possibility is to tailor the treatment to the individuals’ functional limitations and symptoms. The aim was to evaluate treatment effects of a tailored treatment versus a non-tailored treatment. Our hypothesis was that tailored treatm...
Article
Background context: A previous study demonstrated that in seniors, the presence of cervical musculoskeletal impairment was not specific to cervicogenic headache but was present in various recurrent headache types. Physiotherapy treatment is indicated in those seniors diagnosed with cervicogenic headache but could also be adjunct treatment for thos...
Article
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Background: Continuing professional development (CPD) is a fundamental component of physiotherapy practice. Follow-up sessions provide opportunity for the refinement of skills developed during CPD workshops. However, it is necessary to identify if such opportunity translates to improved physiotherapist performance and patient outcomes. Objectives:...
Article
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Background: A wide range of physical tests have been published for use in the assessment of musculoskeletal dysfunction in patients with headache. Which tests are used depends on a physiotherapist's clinical and scientific background as there is little guidance on the most clinically useful tests. Objectives: To identify which physical examinati...
Article
Background: The craniocervical flexion test assesses the deep cervical flexor muscles (longus capitis, longus colli). Ideally, electromyography (EMG) studies measure activity in both deep and superficial (sternocleidomastoid, anterior scalene) flexors during the test, but most studies confine recordings to superficial muscle activity as the techni...
Article
Objective To investigate whether a 12-week physical therapist-delivered combined pain coping skills training and exercise (PCST+EX) is more efficacious and cost-effective than either treatment alone for knee OA.Methods This was an assessor-blinded, 3-arm randomized controlled trial in 222 (73 PCST+EX, 75 EX, 74 PCST) people aged ≥50 years with knee...
Article
Approximately 50% of people with Whiplash Associated Disorders (WAD) report longstanding symptoms. The upper trapezius is commonly painful yet its mechanical properties are not fully understood. This study examined the deformation of different depths of the upper trapezius muscle during a scapular elevation task (shoulder shrugging) before and foll...
Article
Neck pain is associated with changes in neuromuscular control of cervical muscles. Violin and viola playing requires good function of the flexor muscles to stabilize the instrument. This study investigated the flexor muscle behaviour in violin/viola players with and without neck pain using the craniocervical flexion test (CCFT). In total, 12 violin...
Article
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Classification systems for low back pain (LBP) aim to guide treatment decisions. In physiotherapy, there are five classification schemes for LBP which consider responses to clinical movement examination. Little is known of the relationship between the schemes. To investigate overlap between subgroups of patients with LBP when classified using diffe...
Article
Study Design Retrospective secondary analysis of data. Objectives To investigate the external validity of the whiplash clinical prediction rule (CPR). Background We recently derived a whiplash CPR to consolidate previously established prognostic factors for poor recovery from a whiplash injury and predicted 2 recovery pathways. Prognostic factors f...
Article
To investigate changes in clinical (physical and psychological) features of individuals with chronic whiplash associated disorder who had previously underwent cervical radiofrequency neurotomy at the time point when the effects of radiofrequency neurotomy had dissipated and pain returned. Prospective cohort observational trial of consecutive patien...
Article
People with low back pain (LBP) seek education and information from the Internet. Existing LBP websites are often of poor quality, and disparities have been identified between patient and health-care provider evaluations of LBP websites. This study aimed to identify health-care provider perspectives on desirable content for a proposed LBP website a...
Article
This preliminary study determined if magnetic resonance imaging (MRI) markers of cervical muscle degeneration [elevated muscle fatty infiltration (MFI), cross-sectional area (CSA), and reduced relative muscle CSA (rmCSA)] could be modified with exercise in patients with chronic whiplash. Five women with chronic whiplash undertook 10 weeks of neck e...
Article
Background: Apart from the cranio-cervical flexion test and the deep neck flexor endurance test, evidence related to reliability of cervical movement control dysfunction tests is lacking. Objectives: This study investigated the inter- and intra-tester reliability of a battery of cervical movement control dysfunction tests and the effect of clini...
Chapter
Grieve's Modern Musculoskeletal Physiotherapy continues to bring together the latest state-of-the-art research, from both clinical practice and the related basic sciences, which is most relevant to practitioners. The topics addressed and the contributing authors reflect the best and most clinically relevant contemporary work within the field of mus...
Article
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Purpose: Determining factors critical for an intervention's success, specifically for whom and under what circumstances, is necessary if interventions are to be effectively targeted and efficiently implemented. This paper describes a process evaluation undertaken to assess the implementation of a novel self-management (SM) intervention developed f...
Article
Objectives: To compare mechanical activity (deformation and deformation rate) of the dorsal neck muscles between individuals with longstanding symptoms after anterior cervical decompression and fusion (ACDF) surgery and healthy controls. Design: Preliminary cross-sectional study. Setting: Neurosurgery clinic. Participants: Ten individuals {m...
Article
Physical therapists are well established as providers of treatments for common, painful and disabling conditions, such as knee osteoarthritis (OA). Thus, they are well placed to deliver treatments that integrate physical and psychosocial elements. Attention is usually given to outcomes of such programs, but few studies have examined the processes a...
Article
Full-text available
Objective: To evaluate the capacity of the ultrasound-based method of speckle tracking analysis to detect changes in multilayered dorsal neck muscle activity induced by performing a lifting task. Subjects: Twenty-one healthy individuals. Design: Participants performed a loaded lifting task in 3 different postural orientations of the neck (neut...
Article
Individuals with chronic whiplash associated disorder (WAD) demonstrate various psychological features. It has previously been demonstrated that cervical radiofrequency neurotomy (cRFN) resolves psychological distress and anxiety. It is unknown if cRFN also improves or reduces a broader spectrum of psychological substrates now commonly identified i...
Article
Individuals with chronic whiplash-associated disorders (WADs) often note driving as a difficult task. This study's aims were to (1) compare, while driving, neck motor performance, mental effort, and fatigue in individuals with chronic WAD against healthy controls and (2) investigate the relationships of these variables and neck pain to self-reporte...
Article
Evidence suggests that brief physiotherapy programmes are as effective for acute whiplash-associated disorders as more comprehensive programmes; however, whether this also holds true for chronic whiplash-associated disorders is unknown. We aimed to estimate the effectiveness of a comprehensive exercise programme delivered by physiotherapists compar...
Article
To derive a clinical decision guide (CDG) to identify patients best suited for cervical diagnostic facet joint blocks. Prospective cohort study. Interventional pain management centre. Consecutive patients with neck pain, referred to an interventional pain management centre were approached to participate. One hundred twenty-five patients participate...
Article
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Cervical facet block (FB) procedures are often used as a diagnostic precursor to radiofrequency neurotomies (RFN) in the management of chronic whiplash associated disorders (WAD). Some individuals will respond to the FB procedures and others will not respond. Such responders and non-responders provided a sample of convenience to question whether th...
Article
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This study aims to determine if cervical medial branch radiofrequency neurotomy reduces psychophysical indicators of augmented central pain processing and improves motor function in individuals with chronic whiplash symptoms. Prospective observational study of consecutive patients with healthy control comparison. Tertiary spinal intervention centre...
Article
The importance of the biopsychosocial model in assessment and treatment of chronic musculoskeletal conditions is recognized. Physical therapists (PTs) have been encouraged to develop psychologically informed practice. Little is known about the process of PTs' learning and delivering of psychological interventions within the practice context. To inv...
Article
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No self-management interventions have been developed to empower those chronically disabled by a musculoskeletal condition to find and/or remain at work. Developand evaluate the content of two self-management training modules to improve vocational outcomes for those with chronic musculoskeletal disorders. Stanford University's Chronic Disease Self-M...
Article
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Purpose: To identify the information needs of people with low back pain (LBP) in Australia, and the preferred methods to present this information online, as a basis for development of a patient-centred website. Available online LBP resources are limited in quality and content and it is not clear if they are meeting the needs of sufferers. Method:...
Data
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Objective: To measure the intra-and interrater reliability of select standardized clinical tests used for the assessment of patients with axial neck pain referred for diagnostic facet joint blocks. Design: Single-group, repeated-measures study. Setting: Tertiary interventional pain management center. Participants: Consecutive patients with persiste...
Article
Driving is often nominated as problematic by individuals with chronic whiplash associated disorders (WAD), yet driving-related performance has not been evaluated objectively. The purpose of this study was to test driving-related performance in persons with chronic WAD against healthy controls of similar age, gender and driving experience to determi...
Article
Full-text available
Previous studies have shown that postural orientations of the neck, such as flexed or forward head postures, are associated with heightened activity of the dorsal neck muscles. While these studies describe the impact of variations in neck posture alone, there is scant literature regarding the effect of neck posture on muscle activity when combined...