Dr Trudy Rebbeck

Dr Trudy Rebbeck

PhD, FACP, MAppSc (ManipPhty) BAppSc (Phty)
Specialist Musculoskeletal Physiotherapist

Dr Trudy Rebbeck is a specialist musculoskeletal physiotherapist with expertise in whiplash, neck pain and headache. She is a research fellow at the University of Sydney and an Assessor for the State Insurance Regulatory Authority (SIRA), Motor Accidents, Medical Assessment Service (MAS). 

In both this capacity and as an independent consultant and clinical specialist, Trudy has provided many independent assessments for patients with whiplash for referring physiotherapists, CTP or Workers Compensation insurance personnel.
Her ongoing research and clinical expertise is in the implementation of clinical guidelines for whiplash. She is a co-author of the NHMRC and MAA guidelines for whiplash and has published in peer reviewed journals.
She runs national educational seminars in the management of whiplash for physiotherapists, chiropractors, general practitioners and insurance personnel.

Trudy’s output includes over 40 publications, h-Index of 14, over 1000 citations, and publications in the highest impact journals within and external to her profession and over $5 million in competitive grant funding. Trudy’s research skills include development and co-authorship of several multi-disciplinary guidelines for NSW government and NHMRC, and completion of multi-centre randomised clinical trials, longitudinal prospective cohort studies. and excellence in higher degree research supervision. 

Qualifications
2007 – FACP (Fellow of the Australian College of Physiotherapists)
2007 – PhD (University of Sydney) 
1995 – MAppSc: Manipulative Physiotherapy (University of Sydney)
1988 – BAppSc: Physiotherapy (University of South Australia) 

Current Positions
2013 – Present: Research Fellow, University of Sydney
2007 – Present: Examiner and Training Facilitator Australian College of Physiotherapists (APC)
2009 – Present: Director, Sydney Specialist Physiotherapy Centre
2000 – Present: Lecturer/ Senior Lecturer, Faculty of Health Sciences, University of Sydney
1999 – Present: Assessor, State Insurance Regulatory Authority (SIRA), Motor Accidents, Medical Assessment Service (MAS).

Past Clinical Positions
1999 – 2009 Director, Bay Active Physiotherapy Double Bay
1996 – 1999 Manipulative Physiotherapist, Hunters Hill Physiotherapy
1992 – 1994 Physiotherapist Warringah Mall Medical Centre
1990 – 1992 Physiotherapist, various hospital positions in the UK and Germany
1989 – 1990 Graduate physiotherapist, Royal Adelaide Hospital

Past Professional Appointments
2013-2016 NHMRC EC Research Fellow, University of Sydney
2008 – 2009 Council, Australian College of Physiotherapists
2000 – 2004 Vice President IFOMT
1997 – 2000 National Chairman, MPA
2003 Convenor: MPA Biennial Conference, Sydney, Australia
2000 Olympic and Paralympic Physiotherapist, SOCOG
2002 – 2003 APA Representative to NHMRC Australian Acute Musculoskeletal Guidelines Group to develop guidelines for acute musculoskeletal pain

Memberships
• Australian College of Physiotherapy (ACP) (Since 2007)
• Musculoskeletal Physiotherapy Australia (MPA) (Since 1996)
• Australian Physiotherapy Association (APA) (Since 1988)

Education experience, University
Trudy has over 17 years of university level teaching experience. This has included subject co-ordination, lecturing, classroom and hospital based (clinical) tutoring. She has led the course development in regards to the cervical spine for both the undergraduate and graduate entry programmes in Musculoskeletal Physiotherapy at Sydney University. In 2012, she was part of a team that won both a Faculty and Vice-Chancellors teaching award for this work. At a post-graduate clinical masters level, Trudy has extensive experience in curriculum development, provision of course content, lecturing and tutoring for the MHSc (Musculoskeletal and Sports physiotherapy) at both Sydney and Griffith Universities. Both of these programmes have accreditation from the APA to allow graduates to qualify for Tier II membership of the APA. Examples of this teaching experience are listed below.
2013-current Senior lecturer, Musculoskeletal Physiotherapy, Faculty of Health Sciences, University of Sydney.
2000-2007: Clinical Tutor and Lecturer; Master of Health Sciences (Manipulative Physiotherapy) at the Discipline of Physiotherapy, University of Sydney, Faculty of Health Sciences.
2009-current: Invited lecturer/ tutor Masters in Sports and Musculoskeletal physiotherapy; Griffith University

Professional post-graduate education experience
Over the past 17 years, Trudy has taught on many post-graduate nationally and internationally run clinical courses in the areas of whiplash, neck pain and headache. These are often run by the national physiotherapy body. Below are examples over the past 5 years.

National Invited Courses (2015- 2017)
• Rebbeck T, The Advanced Upper Cervical Spine. 2 day Course. Australian Physiotherapy Association. Perth WA 29 & 30 July 2017
• Rebbeck T, Magarey M, Boland R, The complete upper quadrant. 3-day course. Australian Physiotherapy Association and Australian Specialist Physiotherapy Education 17-19 March 2017, 27-29 March 2015.
• Rebbeck T, O’Leary S, Pulsford N, Ryan M. The Advanced upper cervical spine. 3-day workshop, Australian Specialist Physiotherapy Education 18-20 March 2016; Australian Physiotherapy Association 11-13 August 2017.
• Rebbeck T. Complete Upper Cervical Spine. Invited 1-day workshop. Australian Physiotherapy Association, Perth WA, 27 June 2015
• Rebbeck T. The complete upper cervical spine. Invited 1-day workshop. APA, Hobart Tasmania, 31 May 2015
• Rebbeck T, Beales D, Ryan M. The Complete lumbar spine and Pelvis. 3-day course. Australian Specialist Physiotherapy Education. Sydney NSW, 19-21 June 2015, 28-30 October 2016
• Invited keynote Rebbeck T. Clinical Assessment and Management of Whiplash. Australian Physiotherapy Association, Tasmanian Branch. Annual Forum. 30 May 2015. http://physiotherapy.asn.au/APAWCM/The_APA/news/2015/APA_Tasmania_%20-_%20Annual_Forum_tackles_neck_pain_head_on.aspx

International Invited Courses/ Workshops/ Symposia (2015-2017)
• Individualized treatment for whiplash associated disorders. Sterling M, Elliott J, Rebbeck T, Treleaven J, Walton D. May 7 2017, Gold Coast.
• Assessment and management of the patient with complex whiplash. Assessment and Management of Whiplash. Sterling M, Rebbeck T Treleaven J, Ning Z. Pre-conference course. World Congress of Physical Therapy, May 2015, Singapore.
• The Complete Cervical Spine. Invited Course: Rebbeck T. German Manual Therapy Association, September 2015, Hamburg Germany.
• The Complete Cervical Spine. Accredited course for the South African Physiotherapy Association. Rebbeck T. Invited 2-day Course: Johannesburg and Cape Town South Africa February 2013.

Research Impact 
1. Implementation of a novel clinical pathway of care for common musculoskeletal disorders in primary care (2018-2020)
Chief Investigators: Rebbeck T (CIA), Simic M, Ferreira P, Cameron I, Sterling M, Nicholas M, Trevena L, Beales D, Connelly L, Refshauge K.
Funding Body Grant Type: NHMRC Project
2. Centre for research excellence in recovery following road traffic injuries (2014-2018)
Chief Investigators: Sterling M, Cameron I, Refshauge K, Collie A, Mazza D, Connelly L, Kendall E, Kenardy J, Galloway G. AI: Brijnath B, Rebbeck T, Grant G. 
Funding Body Grant Type: NHMRC, CRE 
3. Faculty of Health Sciences Research Fellowship
Chief Investigator: Rebbeck T (CIA) 
Funding Body Grant Type: University of Sydney, Fellowship
4. Implementation of guidelines for whiplash: an audit of CTP insurer practise (2016-2017)
Chief Investigator: Rebbeck T (CIA), Cameron I, Leaver A 
Funding Body Grant Type: SIRA- Project 
5. Implementation of a guideline based clinical pathway of care to improve health outcomes following whiplash injury (2015-2019)
Chief Investigators: Sterling M, Rebbeck T (CIA), Refshauge K, Willcock S, Cameron I, Kenardy J, Connelly L, Mitchell G
Funding Body Grant Type: NHMRC, SIRA, MAIC- Partnership 
6. Development of an outline package to support the assessment and treatment of people with whiplash (2014-2017)
Chief Investigators: Rebbeck T (CIA), Sterling M, Ritchie C, Leaver A 
Funding Body Grant Type: SIRA- Project
7. Factors Influencing Social and Health Outcomes Following Road Traffic Injury (FISH) (2012-2017)
Chief Investigators: Jagnoor J, Blyth F, Gabbe B, Derrett S, Boufous S, Dinh M, Day R, Button G, Gillett M, Joseph T, Nicholas M, Ivers R, Maher CG, Willcock S, Kennardy J, Collie A, & Cameron I. AI: Rebbeck, T. 
Funding Body Grant Type: SIRA- Project
8. Feasibility of text message based intervention for ongoing support and education of whiplash associated disorder among people with injury in a land transport crash (2014-2017)
Chief Investigators: Jagnoor J, Rebbeck T (CIB), Cameron I. 
Funding Body Grant Type: SIRA- Project
9. Improving recovery in cervical spine disorders (2013-2016)
Chief Investigators: Rebbeck T (CIA) 
Funding Body Type Grant: NHMRC- Early Career Fellowship 
10. Does evidence based management differ in people at high and low risk of recovery after WAD? (2012-2018)
Chief Investigators: Rebbeck T (CIA), Cameron I, Kenardy J, Sterling M
Funding Body Grant Type: SIRA- Project 

Publications past 5 years (2012-2017)
1. Elbers NA, Chase R, Craig A, Guy L, Harris IA, Middleton JW, Nicholas MK, Rebbeck T, Walsh J, Willcock S, Lockwood K, Cameron ID. Health care professionals’ attitudes towards evidence-based medicine in the workers’ compensation setting: a cohort study. BMC Medical Informatics and Decision Making.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5440905/
2. Lluch E, Nijs J, Courtney C, Rebbeck T, Wylde V, Baert I, Wideman T, Howell N, Skou ST. Clinical criteria for the classification of central sensitization pain in patients with knee osteoarthritis. Disability and Rehabilitation.  
3. Kelly J, Sterling M, Rebbeck T, Bandong AN, Leaver A, Mackey M, Ritchie C. “Health practitioners’ perceptions of adopting clinical prediction rules in the management of musculoskeletal pain: a qualitative study in Australia”. BMJ Open.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5629683/
4. Doorbar-Baptist S.J., Adams, R., Waddington, G Rebbeck T. (2017) Ultrasound-based motor control training for the pelvic floor pre- and post-prostatectomy: Scoring reliability and skill acquisition. Physiotherapy Theory and Practice. Scoring reliability and Skill Acquisition, Physiotherapy Theory and Practice. http://www.tandfonline.com/doi/full/10.1080/09593985.2017.1290171?scroll=top&needAccess=true
5. Rebbeck T. The role of exercise and patient education for non-invasive management of whiplash: a Clinical Commentary. Journal of Orthopaedic and Sports Physical Therapy. http://www.jospt.org/doi/full/10.2519/jospt.2017.7138
6. Aguila, MR, Rebbeck, T, Mendoza, KG, De La Peña, ML, Leaver, AM. Definitions and participant characteristics of frequent recurrent headache types in clinical trials: A systematic review. Cephalalgia (Epub ahead of print; Accepted 23 March 2017). https://www.ncbi.nlm.nih.gov/pubmed/28440672
7. Aguila M-ER, Rebbeck T, Leaver AM, Lagopoulos J, Brennan PC, Hübscher M, Refshauge KM: The Association between Clinical Characteristics of Migraine and Brain GABA Levels: an Exploratory Study. The Journal of Pain 2016. 
8. Rebbeck T, Leaver A, Bandong AN, Kenardy J, Refshauge K, Connelly L, Cameron I, Mitchell G, Willcock S, Ritchie C et al: Implementation of a guideline-based clinical pathway of care to improve health outcomes following whiplash injury (Whiplash ImPaCT): protocol of a randomised, controlled trial. Journal of Physiotherapy 2016. https://www.ncbi.nlm.nih.gov/pubmed/26996096
9. Rebbeck T, Moloney N, Azoory R, Hübscher M, Waller R, Gibbons R, Beales D. Clinical Ratings of Pain Sensitivity Correlate With Quantitative Measures in People With Chronic Neck Pain and Healthy Controls: Cross-Sectional Study. Physical Therapy, 2015. https://academic.oup.com/ptj/article/95/11/1536/2888283
10. Aguila ME; Lagopoulos J; Leaver AM; Rebbeck T; Hubscher M; Brennan PC; Refshauge KM. (2015). Elevated levels of GABA+ in migraine detected using (1) H-MRS. NMR in Biomedicine, 2015.
11. Michaleff DZ, Maher PCG, Lin DC-WC, Rebbeck T, Jull G, Connelly L, Latimer J, Maher C (2014). Comprehensive physiotherapy exercise program or advice alone for chronic whiplash (PROMISE): a pragmatic randomised controlled trial (ACTRN12609000825257). Lancet 2014. https://www.ncbi.nlm.nih.gov/pubmed/24703832
12. Rebbeck T, Liebert A (2014). Clinical management of cranio-vertebral instability after whiplash, when guidelines should be adapted. Manual Therapy; 2014. https://www.ncbi.nlm.nih.gov/pubmed/24560490
13. Guidelines for the management of Acute whiplash-associated disorders – for health professionals. 3rd edition (2014) © State Government Regulatroy Authority (SIRA) of NSW. Steering Committee (alphabetically): Professor Ian Cameron, Professor Lisa Harvey, Dr Joe Ierano, Dr Jagnoor Jagnoor, Dr Kathryn Nicholson Perry, Dr Trudy Rebbeck, Professor Michele Sterling, Dr Clive Sun, Professor Simon Wilcock.
14. Rebbeck T, Macedo LG, Maher CG (2013). Compliance with clinical guidelines for whiplash improved with a targeted implementation strategy: a prospective cohort study. BMC Health Services Research, 2013. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3734039/
15. Markus Hübscher, Niamh Moloney, Andrew Leaver, Trudy Rebbeck, James H. McAuley, Refshauge KM (2013). No relationship between quantitative sensory testing and pain or disability in people with spinal pain – a systematic review and meta-analysis. Pain 2013. https://www.bodyinmind.org/wp-content/uploads/1-s2.0-S0304395913002704-main.pdf
16. Hubscher M, Moloney N, Rebbeck T, Traeger A, Refshauge KM (2013). Contributions of Mood, Pain Catastrophizing and Cold Hyperalgesia in Acute and Chronic Low Back Pain – A Comparison With Pain-Free Controls. Clinical Journal of Pain. http://journals.lww.com/clinicalpain/Abstract/2014/10000/Contributions_of_Mood,_Pain_Catastrophizing,_and.8.aspx
17. Liebert A, Rebbeck T, Elias S, Hawkins D, Adams R (2013). Musculoskeletal Physiotherapists’ perception of non-responsiveness to treatment for cervicogenic headache Physiotherapy Theory and Practice.http://www.tandfonline.com/doi/abs/10.3109/09593985.2013.783894
18. Rebbeck T, Macedo LG, Paul P, Trevena L, Cameron I. (2013) General practitioners knowledge of whiplash guidelines improved with online education. Australian Health Review.
19. Michaleff ZA, Maher CG, Verhagen AP, Rebbeck T, Lin CW (2012). Accuracy of the Canadian C-spine rule and NEXUS to screen for clinically important cervical spine injury in patients following blunt trauma: a systematic review. CMAJ Canadian Medical Association Journal. https://www.ncbi.nlm.nih.gov/pubmed/23048086

Selection of Recent National and International Conference Presentations (last 3 years)
Presented at International Whiplash Symposium 5,6 May 2017 Gold Coast
• Rebbeck T. Implementation of a novel stratified clinical pathway of care for whiplash. Whiplash Meeting the Challenge. International Symposium. Invited speaker. 5, 6 May 2017, Gold Coast, Australia.
• Evidence-based care (EBC) in high- and low-risk groups following whiplash injury: A multi-centre inception cohort study Griffin, A. Jagnoor, J, Arora, M,, Cameron, I.D, Kifley, A., Sterling, M., Kenardy, , Rebbeck, T. Platform presentation. Whiplash Meeting the Challenge; International Symposium. Invited speaker. 5, 6 May 2017, Gold Coast, Australia.
• Development of an interactive website to support clinicians and patients in optimising recovery after whiplash. Rebbeck, T, Leaver, A, Ritchie, C, Bandong, A., Kelly, J, Basteris, A, Mackey, M, Sterling, M. Platform presentation. Whiplash Meeting the Challenge; International Symposium. Invited speaker. 5, 6 May 2017, Gold Coast, Australia.
• Health and psychological outcomes following motor vehicle related injuries: preliminary results from an inception cohort study. Griffin, A., Rebbeck, T., Nguyen, H., Jagnoor, J., Kifley, A., Cameron, I. Platform presentation. Whiplash Meeting the Challenge; International Symposium. Invited speaker. 5, 6 May 2017, Gold Coast, Australia.
• Responsiveness to exercise in whiplash: A qualitative study. Griffin, A.., Moloney, M., Leaver, A, Jagnoor, J., Michaleff, Z, Lin, C, Rebbeck, T. Platform presentation. Whiplash Meeting the Challenge; International Symposium. Invited speaker. 5, 6 May 2017, Gold Coast, Australia.
• Support for secondary referral to allied health specialists in musculoskeletal health care: A qualitative analysis. Bandong, A, Leaver, A, Mackey, M, Sterling, M., Kelly, J, Ritchie, C, Rebbeck., T. Platform presentation. Whiplash Meeting the Challenge; International Symposium. Invited speaker. 5, 6 May 2017, Gold Coast, Australia.
• Health practitioners’ perceptions of adopting a whiplash clinical prediction rule: a focus group study. Kelly, J., Sterling, M. Rebbeck, T, Bandong, A. N., Leaver, A, Mackey, M. & Ritchie C. Platform presentation. Whiplash Meeting the Challenge; International Symposium. Invited speaker. 5, 6 May 2017, Gold Coast, Australia.
• Implementation of guidelines for whiplash: An audit of clinician and insurer practise. Rebbeck, T., Bandong, A., Leaver, A., Mackey, M., Ingram, R., Shearman, S., Chan, C., Lockwood, K., Cameron, I. Platform presentation. Whiplash Meeting the Challenge; International Symposium. Invited speaker. 5, 6 May 2017, Gold Coast, Australia.

Presented at International Federation for Orthopaedic Manipulative Therapists (IFOMPT) Glasgow, Scotland, July 4-8 2016.
• Moloney N, Rebbeck T, Azoory R, Huebscher M, Waller R, Beales D. Do measures of pain sensitivity predict pain and disability at 1-year follow up in people with chronic neck pain? Manual Therapy 2016.
• Rebbeck T, Desa V, Shirley D, Clarke J, Leaver A. Deep cervical extensor muscle thickness increases under contraction and can be measured reliably in the clinic using video real time ultrasound. Manual Therapy 2016.
• Rebbeck T, Reid D, McCarthy C. Cervical Spine Specialist Clinical Masterclass.

Invited Symposium. Manual Therapy 2016
• Sterling M, Elliott J, Nijs J, Rebbeck T. Where to from here with whiplash? New insights and new directions. Invited Symposium. Manual Therapy 2016.
• Aguila M, Rebbeck T, Leaver A, Lagopoulos J, Brennan PC, Hübscher M, Refshauge KM. Pain and self-reported central sensitisation symptoms are associated with brain gamma-aminobutyric levels in migraine: insights for physiotherapy assessment. Oral presentation: Australian Physiotherapy Association national conference, Gold Coast, October 2015.
• Rebbeck T, Desa V, Shirley D, Clarke J, Leaver A. How to assess contraction of the cervical deep muscle extensors using real-time ultrasound. Oral presentation: Australian Physiotherapy Association national conference, Gold Coast, October 2015.
• Rebbeck T, Leaver A, Ritchie C, Sterling M. A new direction for whiplash: development of a risk-based and guideline –based clinical pathway of care. Poster presentation: Australian Physiotherapy Association national conference, Gold Coast, October 2015.
• Rebbeck T, Moloney N, Beales D. How to assess for pain sensitisation in the clinic: neck and arm pain focus. Oral presentation: Australian Physiotherapy Association national conference, Gold Coast, October 2015.
• Rebbeck T, Moloney N, Azoory R, Huebscher M, Waller R, Gibbons R, Beales D.
Clinical ratings of pain sensitivity correlate with quantitative measures in people with chronic neck pain and health controls. Oral Presentation; World Congress of Physical Therapy, May 2015.
• Michaleff Z, Maher C, Lin C.-W.C, Rebbeck T, Jull G, Latimer J, Connelly L, Sterling M. Comprehensive physiotherapy exercise programme or advice for chronic whiplash (promise): a pragmatic randomised controlled trial. Oral Presentation; World Congress of Physical Therapy, May 2015. AWARD: BEST PAPER
• Aguila M.E, Leaver A, Rebbeck T, Lagopoulos J, Brennan P, Hübscher M, Refshauge K. Clinical characteristics associated with perceived disability and gaba level in adults with migraine: insights for physiotherapy assessment Oral Presentation; World Congress of Physical Therapy, May 2015.
• Liebert A, Ellias S, Adams R, Rebbeck T. Familial factors in cervicogenic headache; a study of sufferers and non-sufferers in family members. Poster Presentation; World Congress of Physical Therapy, May 2015.
• Rebbeck T, Reid D, Thoomes E. Focused symposia: Clinical Masterclass. IFOMPT Quebec Canada 30 Sept- 5 Oct 2012
• Rebbeck T, Macedo LG, Paul P, Trevena L, Cameron I. Online education is effective in improving general practitioners knowledge of clinical guidelines for whiplash. IFOMPT Quebec Canada 30 Sept – 5 Oct 2012