Biography

After a clinical academic career in Musculoskeletal and Trauma and Orthopaedic practice specialising in lower limb pathology, Toby joined UEA as a Lecturer in Physiotherapy in 2010. Toby's clinical and research interests continue to revolve around the assessment and rehabilitation of people with lower limb orthopaedic disorders, and determining the optimal operative and non-operative management strategies for these populations. His PhD was on the assessment and management of people following first-time patellar dislocation.

 

Current research areas include exploring the rehabilitation of people with lower limb (hip and knee) osteoarthritis and arthroplasty surgery, and the care of people with dementia, with a particular emphasis on primary care management. Toby has expertise in randomised controlled trials and research synthesis, and has published over 180 peer-review papers on various topics, including a number of Cochrane reviews. He collaborates with various clinical and academic centres across the UK, most notably the University of Aberdeen, St George’s Hospital London, Imperial College, London, and NIHR Leeds Musculoskeletal Biomedical Research Unit.

 

Toby is Associate Editor for The Knee journal and is an active peer-reviewer for a number of academic journals including the British Medical Journal, the British Journal of Sports Medicine, Rheumatology and Osteoarthritis and Cartilage. He is also a committee member for the UK Physiotherapy Research Society. Toby has reviewed for a number of funding bodies including the NIHR Research for Patient Benefit and Health Technology Assessment programmes, and is an associate-board member for the NIHR Health Services and Delivery Research Programme.

 

Toby teaches on both BSc and MSc physiotherapy and occupational therapy courses, principally on orthopaedic and musculoskeletal care and anatomy. He actively explores approaches of incorporating new technologies into teaching across his student groups, with a particularly interest in the adoption of social media into higher education practice. He is also module co-ordinator for the faculty’s successful Research Synthesis and Systematic Review module, which is directed to post-registration health care professions (MSc students and MPhil-PhD candidates) at UEA. In addition to this, he is keen to supervise future PhD students who have an interest in research into long-term conditions.

 

Outside work, Toby is a keen runner and is trying (unsuccessfully) to learn how to play the violin.

Career History

2010 – present: Lecturer in Physiotherapy - School of Rehabilitation Sciences, University of East Anglia, Norwich.

2009-2010: Honorary Lecturer – School of Allied Health Professions, University of East Anglia, Norwich.

2008-2010: Research Physiotherapist in Orthopaedics – Institute of Orthopaedics, Norfolk and Norwich University Hospital NHS Trust, Norwich.

2007~ 2008: Senior II Orthopaedic Physiotherapist – Norfolk and Norwich University Hospital NHS Trust, Norwich.

2004~ 2007: Senior II Musculoskeletal Physiotherapist – Norfolk and Norwich University Hospital NHS Trust, Norwich.

2003~ 2007: Club Physiotherapist - Norwich Rugby Club Physiotherapist.

2003~ 2004: Junior Physiotherapist – Norwich Primary Care Trust

2002~ 2003: Junior Physiotherapist – Morecambe Bay Hospital NHS Trust

All Publications

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Little, Z., Smith, T., McMahon, S., Cooper, C., Trompeter, A., Pearse, M., Britten, S., Rogers, B., Sharma, H., Narayan, B., Costa, M., Beard, D., Hing, C.

(2017)

The treatment of segmental tibial fractures: does patient preference differ from surgeon choice?,

in Injury

48

(10)

pp. 2306-2310

Full Text UEA Repository

(Article)

(Published)


Smith, T., Cross, J., Poland, F., Brookes, A., Maidment, I., Penhale, B., Laidlaw, K., Fox, C.

(2017)

Systematic review investigating multi-disciplinary team approaches to screening and early diagnosis of dementia in primary care – what are the positive and negative effects and who should deliver it?,

in Current Alzheimer Research

14

Full Text UEA Repository

(Article)

(E-pub ahead of print)


Smith, T. O., Dainty, J. R., MacGregor, A.

(2017)

Changes in social isolation and loneliness following total hip and knee arthroplasty: longitudinal analysis of the English Longitudinal Study of Ageing (ELSA) cohort,

in Osteoarthritis and Cartilage

25

(9)

pp. 1414-1419

Full Text UEA Repository

(Article)

(Published)


Drew, B. T., Conaghan, P. G., Smith, T. O., Selfe, J., Redmond, A. C.

(2017)

The effect of targeted treatment on people with patellofemoral pain: a pragmatic, randomised controlled feasibility study,

in BMC Musculoskeletal Disorders

18

article no. 338

Full Text UEA Repository

(Article)

(Published)


Smith, T. O., McKenna, M. C., Salter, C., Hardeman, W., Richardson, K., Hillsdon, M., Hughes, C. A., Steel, N., Jones, A. P.

(2017)

A systematic review of the physical activity assessment tools used in primary care,

in Family Practice

34

(4)

pp. 384-391

Full Text UEA Repository

(Article)

(Published)


Smith, B. E., Hendrick, P., Bateman, M., Moffatt, F., Skovdal Rathleff, M., Selfe, J., Smith, T. O., Logan, P.

(2017)

Study protocol: a mixed methods feasibility study for a loaded self-managed exercise programme for patellofemoral pain,

in Pilot and Feasibility Studies

4

article no. 24

Full Text UEA Repository

(Article)

(Published)


Smith, T. O., Dainty, J. R., MacGregor, A.

(2017)

Trajectory of social isolation following hip fracture: an analysis of the English Longitudinal Study of Ageing (ELSA) cohort,

in Age and Ageing

Full Text UEA Repository

(Article)

(E-pub ahead of print)


Smith, B., Hendrick, P., Smith, T., Bateman, M., Moffatt, F., Rathleff, M., Selfe, J., Logan, P.

(2017)

Should exercises be painful in the management of chronic musculoskeletal pain? A systematic review and meta-analysis,

in British Journal of Sports Medicine

Full Text UEA Repository

(Article)

(Published)


Smith, T., Clark, A., Dodd, E., Khoo, M., Heneker, S., Cross, J., Cheston, R., Gray, R., Fox, C., Nolan, F.

(2017)

Feasibility study suggests no impact from protected engagement time on adverse events in mental health wards for older adults,

in International Journal of Mental Health Nursing

Full Text UEA Repository

(Article)

(E-pub ahead of print)


Mansfield, M., Thacker, M., Smith, T.

(2017)

Physical activity participation and the association with work-related upper quadrant disorders (WRUQDs): A systematic review,

in Musculoskeletal Care

Full Text UEA Repository

(Article)

(E-pub ahead of print)


Veronese, N., Stubbs, B., Solmi, M., Smith, T., Noale, M., Schofield, P., Maggi, S.

(2017)

Knee Osteoarthritis and Risk of Hypertension: A longitudinal cohort study,

in Rejuvenation Research

Full Text UEA Repository

(Article)

(E-pub ahead of print)


Veronese, N., Stubbs, B., Solmi, M., Smith, T., Reginster, J., Maggi, S.

(2017)

Osteoarthritis increases the risk of cardiovascular disease: Data from the osteoarthritis initiative,

in Journal of Nutrition, Health and Aging

Full Text UEA Repository

(Article)

(E-pub ahead of print)


Smith, B. E., Hendrick, P., Bateman, M., Moffatt, F., Skovdal Rathleff, M., Selfe, J., Smith, T. O., Logan, P.

(2017)

Current management strategies for patellofemoral pain: An online survey of 99 practising UK physiotherapists,

in BMC Musculoskeletal Disorders

18

article no. 181

Full Text UEA Repository

(Article)

(Published)


Withers, T. M., Lister, S., Sackley, C., Clark, A., Smith, T. O.

(2017)

Is there a difference in physical activity levels in patients before and up to one year after unilateral total hip replacement? A systematic review and meta-analysis,

in Clinical Rehabilitation

31

(5)

pp. 639-650

Full Text UEA Repository

(Article)

(Published)


Veronese, N., Stubbs, B., Solmi, M., Smith, T. O., Noale, M., Cooper, C., Maggi, S.

(2017)

Association between lower limb osteoarthritis and incidence of depressive symptoms: data from the Osteoarthritis Initiative,

in Age and Ageing

46

(3)

pp. 470-476

Full Text UEA Repository

(Article)

(Published)


Smith, T. O., Withers, T. M., Luben, R., Sackley, C., Jones, A. P., MacGregor, A. J.

(2017)

Changes in physical activity following total hip or knee arthroplasty: a matched case-control study from the EPIC-Norfolk cohort,

in Clinical Rehabilitation

31

(11)

pp. 1548-1557

Full Text UEA Repository

(Article)

(E-pub ahead of print)


Godley, K., Syer, T., Toms, A., Smith, T., Johnson, G., Cameron, D., Malcolm, P.

(2017)

Accuracy of high b-value diffusion-weighted MRI for prostate cancer detection: a meta-analysis,

in Acta Radiologica

Full Text UEA Repository

(Article)

(E-pub ahead of print)


Smith, T. O., Cooper, A., Peryer, G., Griffiths, R., Fox, C., Cross, J.

(2017)

Factors predicting incidence of post-operative delirium in older people following hip fracture surgery: a systematic review and meta-analysis,

in International Journal of Geriatric Psychiatry

32

(4)

pp. 386–396

Full Text UEA Repository

(Article)

(Published)


Mansfield, M., Thacker, M., Spahr, N., Smith, T.

(2017)

Factors associated with physical activity participation in adults with chronic cervical spine pain: a systematic review,

in Physiotherapy

Full Text UEA Repository

(Article)

(E-pub ahead of print)


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Key Research Interests

  • The assessment and management of people with lower limb (hip and knee) osteoarthritis.
  • Promotion of physical activity and life-style choices for elderly people with long-term conditions.
  • The assessment and management of people with dementia.
  • Rehabilitation implications in arthroplasty (joint replacement) surgery.

Current (2016) funded research involved in:

PERFECTED: Peri-opeative recovery care of patients with dementia: NIHR Applied Programme Grant. £1,998,528. (CI: Prof Chris Fox, UEA).

Walk with Ease UK: A community-based walking programme for adults with arthritis and musculoskeletal conditions. Arthritis Research UK: Health Services Research grant: £149,518 (CI: Dr Kathryn Martin, University of Aberdeen).

Teaching Interests

Toby teaches on both BSc and MSc clinical physiotherapy and occupational therapy courses at UEA, principally on orthopaedic and musculoskeletal care and anatomy. He is currently the module co-ordinator for the BSc Physiotherapy and Occupational Therapy Research Dissertation module.

Toby also supervises BSc and MSc dissertations as well as PhD students.

External Activities and Indicators of Esteem

Toby is an Associate-Editor for The Knee journal (Elsevier), and is also a committee member for the UK Physiotherapy Research Society.

Toby has reviewed for a number of funding bodies including the NIHR Research for Patient Benefit and Health Technology Assessment programmes.

Toby is an Associate-Board member for the NIHR Health Services and Delivery Research Programme.

Key Responsibilities

Toby is a member of the University of East Anglia's Faculty of Medicine and Health Science's Research Ethics Committee.