Sign in

Toby Smith

@tobysmith.bsky.social
167 followers 159 following 61 posts

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.

PostsRepliesMedia
Reposted by Toby Smith
World Physiotherapy @worldphysio1951.bsky.social · 25/09/2026
⚠️ Last chance - abstract submissions for World Physiotherapy Congress 2027 close soon. This is your final opportunity to share your research with the global physiotherapy community! Submit your abstract by 29 September 2026: ow.ly/1wWX50ZNToJ
001
Reposted by Toby Smith
Acta Orthopaedica @actaorthopaedica.bsky.social · 22/09/2026
Development of osteoarthritis in adults with untreated hip dysplasia: a longitudinal observational study Rebecka Vinge, Cecilia Rogmark, Daniel Wenger, Søren Overgaard, Carl Johan Tiderius doi.org/10.2340/1745... #Adult_hip_dysplasia #Center_edge_angle #Hip #Osteoarthrosis #Pelvis_and_acetabulum
001
Reposted by Toby Smith
Acta Orthopaedica @actaorthopaedica.bsky.social · 24/09/2026
When do patients resume driving after fast-track hip and knee arthroplasty: a cohort study of 408 patients Oddrún Danielsen, Jens Lauritsen, Martin Lindberg-Larsen doi.org/10.2340/1745... #Arthroplasty #Hip #Knee
001
Reposted by Toby Smith
Journal of Clinical Epidemiology @jclinepi.bsky.social · 21/09/2026
Subgroup Analyses in Stepped-Wedge Cluster Randomized Trials: A Systematic Review of Statistical Practice and Reporting from 2016 to 2023 - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
jclinepi.com
Subgroup Analyses in Stepped-Wedge Cluster Randomized Trials: A Systematic Review of Statistical Practice and Reporting from 2016 to 2023
Subgroup analyses can inform whether intervention effects differ systematically across participants, but they are prone to false-positive findings, low power, and selective reporting. Stepped-wedge cl...
001
Reposted by Toby Smith
World Physiotherapy @worldphysio1951.bsky.social · 15/09/2026
⏰ Only two weeks left to submit your abstract for World Physiotherapy Congress 2027! Don't miss the opportunity to contribute to the exchange of knowledge and innovation that will help shape the future of physiotherapy and rehabilitation. Submit before 29 September 2026: ow.ly/5ZIn50ZNp9L
001
Reposted by Toby Smith
AGILE - Physiotherapists working with Older People @agilecsp.bsky.social · 15/09/2026
Are you coming to the @thecsp.bsky.social conference? Come and join us at #physio26 to make your moments matter in frailty care
012
Toby Smith @tobysmith.bsky.social · 15/09/2026
Hope everyone attending #ICTMC2026 in Birmingham & particularly the @warwickmed.bsky.social CTU crowd have a fab time. Don't miss the awesome @nihr.bsky.social REPPORT Trial methods posters!
000
Toby Smith @tobysmith.bsky.social · 21/08/2026
Our @nihr.bsky.social funded Robotic Knee Replacement trial (RACER-Knee) paper now published in @thelancet.com - thank you to all patient-participants, hospitals, surgeons, nurses, physios & everyone who helped @warwickmed.bsky.social www.thelancet.com/journals/lan...
thelancet.com
Robotic-arm-assisted versus conventional total knee replacement (RACER-Knee): a pragmatic, multicentre, participant-masked and assessor-masked, superiority, randomised controlled trial
In this pragmatic trial, rTKR as delivered in routine practice was more costly than cTKR and did not provide a clinically meaningful patient benefit at 12 months after randomisation. The two groups ha...
033
Reposted by Toby Smith
britorthopaedic.bsky.social @britorthopaedic.bsky.social · 04/06/2026
Exciting Opportunity: BOA/ORUK Research Fellowship Two fellowships of up to £65,000 are available for research in any area of orthopaedics. BOA Members at any trainee grade, post-CCT members and SAS surgeons are invited to apply. Deadline: 10th June 2026 👉 Find out more at: bit.ly/4usI3M4
002
Reposted by Toby Smith
Acta Orthopaedica @actaorthopaedica.bsky.social · 04/06/2026
Editorial: Improving the reporting and sound methodology of scientific articles: introduction of an editorial series Søren Overgaard et al. doi.org/10.2340/1745...
001
Toby Smith @tobysmith.bsky.social · 28/04/2026
If you'd like to get more information about the GRRAND trial, please visit www.warwick.ac.uk/GRRAND
000
Toby Smith @tobysmith.bsky.social · 28/04/2026
Well done the @warwickmed.bsky.social and the awesome @nihr.bsky.social 18 trial teams from across the UK involved with GRRAND...reached 200 trial participants on this important rehab trial for people recovering from surgery for head & neck cancer.
010
Toby Smith @tobysmith.bsky.social · 27/04/2026
Very happy to receive my @nihr.bsky.social GEKO Trial mug today promoting this awesome trial investigating genicular embolisation for osteoarthritis of the knee, led by @ndorms.bsky.social - thanks guys!
011
Reposted by Toby Smith
UK CTU Network @ukctunetwork.org · 24/04/2026
We’re very pleased to announce the publication of a new paper exploring approaches to central data monitoring in clinical trials. This work reflects continued collaboration across the #CTUNetwork & contributes to ongoing efforts to strengthen trial quality & efficiency. 🔗 tinyurl.com/3yayznnw
tinyurl.com
Central data monitoring of clinical trials: A survey of the UK clinical research collaboration (UKCRC) registered clinical trial units
Central data monitoring involves activities performed by trial staff to improve the quality, integrity, and reliability of trial processes and data co…
021
Reposted by Toby Smith
AGILE - Physiotherapists working with Older People @agilecsp.bsky.social · 23/04/2026
Results and feedback from Wave 3 coming soon Microlearning with the #bgs also coming soon! Wave 4 .. taking expressions of interest out (see comments)
133
Reposted by Toby Smith
FORENSIC-UK @forensic-uk.bsky.social · 24/04/2026
Read the latest updates from FORENSIC-UK in the April 2026 Newsletter...
011
Toby Smith @tobysmith.bsky.social · 05/04/2026
Happy Easter to Everyone. Hope you have a restful day and, if working, that is goes smoothly 🐰
000
Reposted by Toby Smith
The Guardian @theguardian.com · 03/04/2026
NHS rehabilitation care staff shortage fails stroke patients, say health leaders
theguardian.com
NHS rehabilitation care staff shortage fails stroke patients, say health leaders
People receive rehab only three to four days a week in hospital – and one to two days once they are discharged, data suggests The NHS is failing stroke patients and limiting their chances of recovery because of a shortage of rehabilitation care staff, health leaders have said. More people are surviving strokes than ever before in the UK. But their hopes of getting better are being dashed because of a lack of physiotherapists and other specialist staff, according to the Chartered Society of Physiotherapy and the Association of Chartered Physiotherapists in Neurology. Continue reading...
74218
Reposted by Toby Smith
RCSI University of Medicine and Health Sciences @rcsi.bsky.social · 31/03/2026
A new osteoarthritis pathway is transforming patient care in Ireland while delivering major cost savings. Developed by the RCSI HSE National Clinical Programme for Trauma and Orthopaedic Surgery with the HSE, it is changing how hip and knee osteoarthritis is managed. 🔗 www.rcsi.com/dublin/news-...
rcsi.com
Innovative national osteoarthritis pathway transforms patient care and delivers major cost savings
Results from a review of a new osteoarthritis pathway for hip and knee patients shows faster access to care, improved patient outcomes and major cost savings across two pilot sites.
001
Toby Smith @tobysmith.bsky.social · 28/03/2026
Nice early spring morning walk in Norwich
000
Reposted by Toby Smith
BritSpine Conference and Exhibition @britspine.bsky.social · 06/02/2026
📅 Save the Date! 📅 We are pleased to announce that #BritSpine2027 will take place on: 21–23 April 2027 at the International Convention Centre (ICC) Wales! Details on programme, abstracts and registration to follow later this year. Further info at: www.BritSpine.com
076
Toby Smith @tobysmith.bsky.social · 12/03/2026
The @jameslindalliance.bsky.social Research Priorities Exercise on Problematic Hip Replacement Research now out - bmjopen.bmj.com/content/16/3...
bmjopen.bmj.com
Top 10 priorities for problematic hip replacement research: a priority setting partnership led by the British Hip Society and the James Lind Alliance
Objectives To identify and prioritise research uncertainties regarding the assessment, management and rehabilitation of patients with problematic hip replacements through a national Priority Setting P...
001
Reposted by Toby Smith
Vivensa Foundation @vivensa.bsky.social · 05/03/2026
⏱️ Two weeks left to apply for the Joint @gerisoc.bsky.social / Vivensa Foundation Doctoral Training Fellowship. The deadline for applications is 20 March, 5pm. More information and how to apply here: vivensafoundation.org.uk/apply-for-fu... #FundingForAgeingWell
vivensafoundation.org.uk
Funding opportunities - Vivensa Foundation
We know that there’s a huge amount to do, so we need to prioritise.  We will be focusing on some key themes for support for our current plan period (which you can find in our Strategic Framework 2025-...
035
Toby Smith @tobysmith.bsky.social · 02/03/2026
Daffodils were lovely today on @uni-of-warwick.bsky.social campus. Happy belated St David's Day
000
Reposted by Toby Smith
NIHR Research Support Service (RSS) @nihr-rss.bsky.social · 16/02/2026
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...
022
Reposted by Toby Smith
FORENSIC-UK @forensic-uk.bsky.social · 17/02/2026
See the latest updates in our February newsletter - exciting news of recruitment of both sites and participants.
002
Reposted by Toby Smith
The BMJ @bmj.com · 16/02/2026
Disruption and uncertainty in the US are leading many clinical trials to consider other countries for participation. How is the research landscape changing—and why are some places making a major play for trials fleeing the US? bit.ly/3ZFoLG4
bmj.com
Why clinical trials are leaving the US—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 landscape—and ...
12111
Reposted by Toby Smith
The BMJ @bmj.com · 05/02/2026
"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/...
12514
Reposted by Toby Smith
Acta Orthopaedica @actaorthopaedica.bsky.social · 03/02/2026
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
001
Toby Smith @tobysmith.bsky.social · 01/02/2026
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...
link.springer.com
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...
000
Toby Smith @tobysmith.bsky.social · 01/02/2026
New systematic review on surgical approach for hip arthroplasty & gait/functional outcomes. link.springer.com/article/10.1...
link.springer.com
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...
000
Reposted by Toby Smith
Osteoarthritis and Cartilage Journal @oacjournal.bsky.social · 30/01/2026
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 📚: sciencedirect.com/science/arti...
001
Reposted by Toby Smith
ACR Journals @acr-journals.bsky.social · 29/01/2026
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
doi.org
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...
001
Toby Smith @tobysmith.bsky.social · 25/01/2026
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...
nnuh.nhs.uk
Norfolk and Norwich University Hospitals NHS Foundation Trust » NNUH top recruiter for study into repeated kneecap dislocations
010
Toby Smith @tobysmith.bsky.social · 24/01/2026
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 🙂 link.springer.com/article/10.1...
link.springer.com
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...
010
Reposted by Toby Smith
Acta Orthopaedica @actaorthopaedica.bsky.social · 23/01/2026
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 Kärrholm, Perna Ighani Arani, Ola Rolfson doi.org/10.2340/1745... #Arthroplasty #Knee #Osteoarthrosis
001
Reposted by Toby Smith
Oxford Trauma and Emergency Care @oxtraumaresearch.bsky.social · 23/01/2026
🗞️Read more here: www.ndorms.ox.ac.uk/news/ndorms-... @ndorms.bsky.social @ox.ac.uk @ndcnoxford.bsky.social
ndorms.ox.ac.uk
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...
012
Toby Smith @tobysmith.bsky.social · 21/01/2026
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...
bmjopen.bmj.com
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)...
000
Reposted by Toby Smith
OCTRU Trials Hub @octructu.bsky.social · 21/01/2026
Great work from the SCIENCE study team! 👏 Results: science.digitrial.com/results Full paper: www.thelancet.com/journals/lan... @oxtraumaresearch.bsky.social
033
Reposted by Toby Smith
Fawn Harrad-Hyde @fawnharradhyde.bsky.social · 19/01/2026
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
012
Reposted by Toby Smith
Journal of Clinical Epidemiology @jclinepi.bsky.social · 19/01/2026
‘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...
jclinepi.com
‘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 ‘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...
032
Reposted by Toby Smith
Journal of Clinical Epidemiology @jclinepi.bsky.social · 19/01/2026
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...
jclinepi.com
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...
032
Toby Smith @tobysmith.bsky.social · 16/01/2026
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...
link.springer.com
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...
000
Toby Smith @tobysmith.bsky.social · 15/01/2026
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" 😀 link.springer.com/article/10.1...
link.springer.com
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...
031
Reposted by Toby Smith
Avril Drummond @avrildrummond1.bsky.social · 15/01/2026
Some reflections on research trials in rehabilitation.... doi.org/10.1177/0269...
doi.org
Randomised controlled trials (RCTs) in rehabilitation: Looking backwards, looking forwards - Avril Drummond, 2026
083
Toby Smith @tobysmith.bsky.social · 14/01/2026
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...
link.springer.com
Client Challenge
011
Toby Smith @tobysmith.bsky.social · 14/01/2026
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 👏🏻
001
Reposted by Toby Smith
UK CTU Network @ukctunetwork.org · 14/01/2026
🌟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 💬 What advice do you wish you’d had starting out? #UKCTUNetwork #TrialMonitoring #ClinicalTrials
013
Toby Smith @tobysmith.bsky.social · 13/01/2026
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...
thekneejournal.com
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...
000