Toby Smith's Avatar

Toby Smith

@tobysmith.bsky.social

Professor of Clinical Trials & Academic Physiotherapist: University of Warwick. Interested in improving care of people with bone, joint & muscle diseases, whilst developing better ways to do research. View my own.

153 Followers  |  140 Following  |  53 Posts  |  Joined: 22.08.2024
Posts Following

Posts by Toby Smith (@tobysmith.bsky.social)

Post image

Daffodils were lovely today on @uni-of-warwick.bsky.social campus. Happy belated St David's Day

02.03.2026 09:46 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Post image

NIHR RSS webinar: Better Methods Better Research (BMBR) Funding Programme

The webinar will cover the scope and aims of BMBR, features of strong applications, and experience from a recent successful applicant.

Join the webinar on March 16 at 12-1pm: teams.microsoft.com/meet/3410304...

16.02.2026 11:24 β€” πŸ‘ 2    πŸ” 2    πŸ’¬ 0    πŸ“Œ 1
Post image

See the latest updates in our February newsletter - exciting news of recruitment of both sites and participants.

17.02.2026 12:08 β€” πŸ‘ 0    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
Preview
Why clinical trials are leaving the USβ€”and Asia and Australia are welcoming them Disruption and uncertainty in the US are leading many clinical trials to consider other countries for participation. Jennifer Lutz , Neha Bhatt , and Flynn Murphy report on the changing landscapeβ€”and ...

Disruption and uncertainty in the US are leading many clinical trials to consider other countries for participation.

How is the research landscape changingβ€”and why are some places making a major play for trials fleeing the US?
https://bit.ly/3ZFoLG4

16.02.2026 19:05 β€” πŸ‘ 20    πŸ” 11    πŸ’¬ 1    πŸ“Œ 0
Post image

"The greatest flaw in clinical medicine might be our desire to banish uncertainty."

In this Editor's Choice, @kamranabbasi.bsky.social reflects on the tyranny of clinical fear
www.bmj.com/content/392/...

05.02.2026 17:14 β€” πŸ‘ 24    πŸ” 14    πŸ’¬ 1    πŸ“Œ 5
Post image

Outcomes after reoperated medial unicompartmental knee arthroplasties compared with primary total and primary unicompartmental knee arthroplasties: a cohort study based on local Danish databases
Christian Bredgaard Jensen et al.
doi.org/10.2340/1745...
#Arthroplasty #Knee

03.02.2026 22:29 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Preview
The impact of kinesiophobia on rehabilitation and return to sport following arthroscopic Bankart repair for glenohumeral instability: a minimum 1-year follow-up - BMC Musculoskeletal Disorders Background Anterior glenohumeral instability is a common issue, particularly among young and active individuals. Arthroscopic Bankart repair is an effective surgical method for achieving long-term sho...

Reassuring predictable results that kinesiophobia following Bankart repair associated with poorer functional outcomes & return to sport by 12 months. link.springer.com/article/10.1...

01.02.2026 10:32 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
Gait and function after total hip arthroplasty: a systematic review and meta-analysis of the Hardinge versus posterolateral approaches - BMC Musculoskeletal Disorders BMC Musculoskeletal Disorders - This systematic review and meta-analysis aimed to compare postoperative gait and functional outcomes between the Hardinge approach (HA) and the posterolateral...

New systematic review on surgical approach for hip arthroplasty & gait/functional outcomes. link.springer.com/article/10.1...

01.02.2026 10:29 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Post image

This month in #OAC Hyodo et al. assessed the effects of imeglimin, a novel anti-diabetic agent related to metformin, on the development and progression of knee #OA.

Read more πŸ“š: sciencedirect.com/science/arti...

30.01.2026 16:50 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Preview
Similar Pain Scores in Rheumatoid Arthritis and Osteoarthritis Over 45 Years Despite Dramatically Fewer Swollen Joints in Rheumatoid Arthritis: Are Scores Based as Much on Pain Sensitization and Patient Distress as on Inflammation and/or Structural Damage? This narrative review presents five observations concerning 0 to 10 pain Visual Analog Scale (VAS)/Visual Numeric Scale (VNS) scores in routine care patients with primary diagnoses of rheumatoid arth...

Narrative review updates an ongoing review of visual analog/numeric scale scores and clinical measures in patients with RA and OA over 45 years, 1979-2024. Updated data showed median swollen joint counts declined 1989-2022 in RA patients, whereas median pain VNS scores remained similar

29.01.2026 13:51 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Preview
Welcome! You are invited to join a webinar: NIHR Webinar Series - 11 - How to Develop a PPI Group. After registering, you will receive a confirmation email about joining the webinar. What is the webinar series about? Patient and public involvement is a prerequisite for all research funded by NIHR. It can enhance the relevance and quality of research and help build trust in the res...

πŸ“£ Are you a researcher? Interested in #PPIE?

πŸ‘€ Watch the NIHR PPI webinar: How to develop a PPI group
πŸ—“οΈ 18 Feb, 10.30am

Find out about the Bristol-based PPI group, working as part of the #HeartSurgery #prehabilitation research team

πŸ‘‰ Register: bit.ly/4t31evY

27.01.2026 11:43 β€” πŸ‘ 5    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
Norfolk and Norwich University Hospitals NHS Foundation Trust Β» NNUH top recruiter for study into repeated kneecap dislocations

Well done @nnuh.bsky.social Orthopaedic & Physiotherapy teams for being the @nihr.bsky.social REPPORT trial top recruiter. Well done them & all hospitals involved in this @uni-of-warwick.bsky.social CTU trial. NNUH Press release - www.nnuh.nhs.uk/press-releas...

25.01.2026 09:36 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
Will patients with meniscal tear who continue to experience pain following a course of Physical Therapy (PT) enroll in a trial comparing further nonoperative therapy with surgery? a qualitative study ... BMC Musculoskeletal Disorders - We aimed to conduct a qualitative prospective preference assessment (PPA) to assess participants’ willingness to enroll in a planned randomized controlled...

Interesting qualitative investigation exploring patient's willingness to enrol on a RCT of arthroscopic partial meniscectomy (APM) vs. enhanced conservative care when they had already failed conservative care. One to bookmark πŸ™‚ link.springer.com/article/10.1...

24.01.2026 09:50 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Post image

The risk of revision using tourniquet or not in primary total knee replacement: an observational study from the Swedish Knee Arthroplasty Register
Annette W-Dahl, Johan KΓ€rrholm, Perna Ighani Arani, Ola Rolfson
doi.org/10.2340/1745...
#Arthroplasty #Knee #Osteoarthrosis

23.01.2026 16:36 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Preview
NDORMS and NDCN collaborate with Oxford University Hospitals to form the Kadoorie Institute for Trauma, Emergency and Critical Care Oxford Trauma and Emergency Care at Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), along with the Critical Care Research Team at Nuffield Department of Clinic...

πŸ—žοΈRead more here: www.ndorms.ox.ac.uk/news/ndorms-...

@ndorms.bsky.social @ox.ac.uk @ndcnoxford.bsky.social

23.01.2026 11:13 β€” πŸ‘ 1    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
Multifactorial approach training for anterior shoulder instability after a Latarjet procedure: protocol for a randomised controlled trial Introduction The Latarjet procedure is the mainstay treatment in high-demand patients with substantial glenoid bone loss or after failed capsulolabral repairs. Patients typically return to sport (RTS)...

Trial protocol to look out for assessing an integrating psychological physio intervention on post-operative rehab outcomes after Latarjet shoulder stabilisation vs. conventional physical therapy alone bmjopen.bmj.com/content/16/1...

21.01.2026 22:26 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Great work from the SCIENCE study team! πŸ‘

Results: science.digitrial.com/results

Full paper: www.thelancet.com/journals/lan...

@oxtraumaresearch.bsky.social

21.01.2026 09:45 β€” πŸ‘ 3    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0

Are you an NIHR Predoctoral Award holder with a background in social care? Or have you supervised an award holder who does?

If so please can you get in touch? I have a potential applicant with a domicillary care / support work background who is looking for potential supervisors.
@nihr.bsky.social

19.01.2026 12:32 β€” πŸ‘ 1    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
Preview
β€˜Identifying Social Factors that Stratify Health Opportunities and Outcomes (ISSHOOs) in Pain Research’: Explanation and elaboration to support the standardised reporting of equity-relevant data The β€˜ISSHOOs (Identifying Social factors that Stratify Health Opportunities and Outcomes) in pain research’ project endeavoured to address the paucity and inconsistency of equity-relevant, socio-demog...

β€˜Identifying Social Factors that Stratify Health Opportunities and Outcomes (ISSHOOs) in Pain Research’: Explanation and elaboration to support the standardised reporting of equity-relevant data - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

19.01.2026 19:48 β€” πŸ‘ 2    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
Evaluation of tools used to assess adherence to PRISMA 2020 reveals inconsistent methods and poor tool implementability: part I of a systematic review Numerous studies have assessed the adherence of published systematic reviews to the PRISMA 2020 statement. We aimed to summarise the characteristics and methods of development of the tools used to ass...

Evaluation of tools used to assess adherence to PRISMA 2020 reveals inconsistent methods and poor tool implementability: part I of a systematic review - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...

19.01.2026 19:50 β€” πŸ‘ 2    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
Preview
What patient reported outcome measures are used in clinical trials in hip fracture? A systematic mapping review - BMC Musculoskeletal Disorders Background Patient-reported outcome measures (PROMs) are increasingly used to assess treatment effectiveness in various domains from the patients’ perspective. This systematic review aimed to identify...

New review of patient-reported outcome measures in clinical trials in hip fracture - 28 different PROMs were from 189 trials link.springer.com/article/10.1...

16.01.2026 10:19 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
Five decades of total ankle replacement: from early failures to fourth-generation innovations and future priorities - European Journal of Orthopaedic Surgery & Traumatology Background Total ankle replacement (TAR) has evolved considerably over the past five decades as an alternative to arthrodesis for the management of end-stage ankle osteoarthritis. While early TAR desi...

Nice literature review on the state of play in Total Ankle Replacement surgery - with extra lovely 'tabloid title' of "early failures to fourth-generation innovations" πŸ˜€ link.springer.com/article/10.1...

15.01.2026 22:12 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Preview
Randomised controlled trials (RCTs) in rehabilitation: Looking backwards, looking forwards - Avril Drummond, 2026

Some reflections on research trials in rehabilitation....
doi.org/10.1177/0269...

15.01.2026 21:32 β€” πŸ‘ 7    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
Client Challenge

IMPORTANT new paper published today by @streweek.bsky.social & colleagues: the INCLUDE socioeconomic disadvantage framework to help make the design of trials more inclusive of people experiencing socioeconomic disadvantage link.springer.com/article/10.1...

14.01.2026 22:59 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

Caught up with the fab @nnuh.bsky.social physiotherapy team today who are running our @nihr.bsky.social GRRAND trial on rehab following head & neck cancer surgery. Super team, doing super stuff & great to see this being offered in Norfolk πŸ‘πŸ»

14.01.2026 22:43 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Post image

🌟New to on-site monitoring for academic clinical trials?🌟

Check out our website for tips, insights & training developed by experienced monitors in Registered CTUs: tinyurl.com/58t2fh8u

πŸ’¬ What advice do you wish you’d had starting out?

#UKCTUNetwork #TrialMonitoring #ClinicalTrials

14.01.2026 10:36 β€” πŸ‘ 1    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
Preview
The management of cartilage defects of the knee and injection therapy – A collaborative and retrospective study Knee cartilage defects are common and often encountered during arthroscopy, with an incidence of 60–66%. The aim of this study was to determine current strategies in the surgical and non-surgical mana...

Super @britorthopaedic.bsky.social BASK Trainee Collaborative paper. Of >36,000 isolated knee chondral lesions, most treated with chondroplasty & microfracture BUT currently major variation in AMIC, OATS, ACI & injection usage = NICE guideline adoption varied. www.thekneejournal.com/article/S096...

13.01.2026 23:37 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Post image

Craig Jones, Chief Executive of the Royal Osteoporosis Society, said: β€œWe welcome NICE’s recommendation to add vertebral fracture assessment to routine bone scans."

13.01.2026 10:44 β€” πŸ‘ 1    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0
Job opportunity for Research Associate (Research Ethics and Law) to join a new interdisciplinary Wellcome-funded project Addressing consent-based challenges to improve inclusivity in research (ACCORD) being led by the Centre for Trials Research

Job opportunity for Research Associate (Research Ethics and Law) to join a new interdisciplinary Wellcome-funded project Addressing consent-based challenges to improve inclusivity in research (ACCORD) being led by the Centre for Trials Research

✨Join my research team ✨

Exciting opportunity for Research Associate (Research Ethics & Law) to join new Wellcome-funded Addressing consent-based challenges to improve inclusivity in research (ACCORD)

Full-time G6
Fixed term 8 yrs
From 1 March
Closes 10 Feb

krb-sjobs.brassring.com/TGnewUI/Sear...

13.01.2026 14:40 β€” πŸ‘ 8    πŸ” 8    πŸ’¬ 0    πŸ“Œ 1

Answer = Academia. Happy New Year Claire πŸ˜€

13.01.2026 23:25 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0