Emeritus Professor Gwendolen Jull

Emeritus Professor

School of Health and Rehabilitation Sciences
Faculty of Health and Behavioural Sciences
g.jull@uq.edu.au
+61 7 336 55560

Overview

The research focuses on the evaluation and management of neck pain from a physical therapy perspective

The research in the Cervical Spine and Whiplash Research Unit in the School of Health and Rehabilitation Sciences has an applied clinical focus. Two models of neck pain are being investigated, idiopathic neck pain and neck pain following trauma. The research questions and investigates the possible physical and psychological processes underlying the pain and functional disturbances associated with neck disorders to better identify and quantify the impairments or disturbances in the sensory, muscle, sensorimotor and psychological systems.

Whiplash associated disorders

Processes associated with chronic whiplash associated disorders have been researched, identifying problems in the sensory, motor and postural control systems. A prospective study of prognostic indicators for whiplash from within 4 weeks of injury to recovery or chronicity (6 months post injury) identified sensory, motor and psychological processes associated with recovery and non recovery. A multicentre, international collaborative project is underway to test the sensitivity and specificity of these indicators. This research questions the current classification system for whiplash associated disorders. One RCT of management of chronic whiplash associated disorders has been completed. Currently an RCT is underway to test whether a pragmatic multi-professional management program for acute whiplash will lessen the incidence of transition to chronicity.

Cervicogenic headache

Research into cervicogenic headache has established the physical criteria which characterise cervicogenic headache. A specific pattern of articular and muscle impairment clearly identifies cervicogenic headache from other types of benign intermittent frequent headache with symptomatic overlap (eg tension-type headache and frequent migraine without aura). An RCT has been conducted to investigate the efficacy of physiotherapy treatment methods designed to address these impairments. Current research is investigating cervicogenic headache in the elderly.

Impairment in the neck muscle system and sensorimotor control

The nature of impairments in the cervical muscle system associated with neck pain is being researched. Impairments in the motor control of the deep and superficial neck muscles have been identified in cognitive, functional and automatic tasks. The changes appear to be generic reactions to neck pain syndromes regardless of aetiology. Two randomised controlled trials have been conducted testing the effectiveness of a specific exercise regime developed from this research. The possible physiological mechanisms underlying the effectives of different therapeutic exercise strategies are currently being researched to ensure best evidence-based practice in the field of therapeutic exercise for cervical disorders.

Qualifications

  • PhD, The University of Queensland
  • Fellowship Australian College of Physiotherapists
  • Master of Physiotherapy, The University of Queensland
  • Graduate Diploma Manipulative Therapy, S.Aust.
  • Diploma Physiotherapy, The University of Queensland

Publications

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Publications

Featured Publications

Book

Book Chapter

  • Macri, Erin, Sran, Meena and Jull, Gwendolen (2012). Neck pain. In P. Brukner, Roald Bahr, Steven Blair, Jill Cook, Kay Crossley, Jenny McConnell, Paul McCrory and Timothy Noakes (Ed.), Brukner and Khan’s clinical sports medicine 4th ed. (pp. 313-341) Sydney, Australia: McGraw-Hill Education.

  • Chow, David W., Jull, Gwendolen and Slipman, Curtis W. (2011). Algorithmic approach to cervical axial pain. In Michael J. DePalma (Ed.), ISpine : Evidence-based interventional spine care (pp. 286-297) New York, United States: Demos Medical Publishing.

  • Falla, Deborah, Elliot, James and Jull, Gwendolen (2011). Neuromuscular dysfunction in whiplash associated disorders. In Michele Sterling and Justin Kenardy (Ed.), Whiplash: Evidence base for clinical practice (pp. 52-68) Chatswood, NSW, Australia: Elsevier Australia.

  • Jull, G. A. (2009). Physiotherapy management of cervicogenic headache: Part 1. In Selvaratnam, Peter, Niere, Ken and Zuluaga, Maria (Ed.), Headache, Orofacial Pain and Bruxism - Diagnosis and multidisciplinary approaches to management 1 ed. (pp. 169-180) United Kingdom: Elsevier. doi:10.1016/B978-0-443-10310-0.00014-9

  • Jull, G. A. (2009). Physiotherapy management of cervicogenic headache: Part 2. In Selvaratnam, Peter, Niere, Ken and Zuluaga, Maria (Ed.), Headache, Orofacial Pain and Bruxism - Diagnosis and multidisciplinary approaches to management 1 ed. (pp. 181-194) United Kingdom: Elsevier. doi:10.1016/B978-0-443-10310-0.00015-0

  • Goff, L. and Jull, G. A. (2007). Manual Therapy. In C. McGowan, L. Goff and N. Stubbs (Ed.), Animal Physiotherapy: Assessment, Treatment and Rehabilitation of Animals 1st ed. (pp. 164-176) Oxford: Blackwell Publishing Ltd..

  • Hodges, P and Jull, G A (2006). Spinal segmental stabilization training. In C.Liebenson (Ed.), Rehabilitation of the Spine 2nd ed. (pp. 585-611) Baltimore: Lippencott, Williams & Wilkins.

  • Jull, G. A., Falla, D. L., Treleaven, J. M., Sterling, M. M. and O'Leary, S. P. (2004). A therapeutic exercise approach for cervical disorders. In J. Boyling and G. Jull (Ed.), Grieve's Modern Manual Therapy (pp. 451-470) Edinburgh, UK: Churchill Livingstone - Elsevier Science.

  • Bogduk, N., Bolton, P., Jull, G., Bellamy, N., Giles, P. and Barnsley, L. (2004). Acute neck pain. In N. Spearing (Ed.), Evidence-based Management of Acute Musculoskeletal Pain. A Guide for Clinicians 1 ed. (pp. 35-43) Brisbane, Australia: Australian Academic Press.

  • Yelland, M. J., Charlton, K., Jull, G., Brooks, P. and Bellamy, N. (2004). Acute thoracic spinal pain. In N. Spearing (Ed.), Evidence-based Management of Acute Musculoskeletal Pain. A Guide for Clinicians 1 ed. (pp. 30-34) Brisbane, Australia: Australian Academic Press.

  • Rainoldi, A., Casale, R., Hodges, P. and Jull, G. A. (2004). EMG applications in rehabilitation medicine and related fields. In Roberto Merletti and Philip Parker (Ed.), Electomyography: Physiology, engineering and non-invasive applications (pp. 403-433) John Wiley & Sons Inc. Hoboken New Jersey: IEEE.

  • Jull, G. A. (2004). Headache in a mature athlete. In M.A. Jones and D.A. Rivett (Ed.), Clinical Reasoning for Manual Therapists (pp. 135-148) Philadelphia, USA: Butterworth Heinemann.

  • Sterling, M. M., Treleaven, J.M. and Jull, G. A. (2004). Mechanisms underlaying pain and dysfunction in whiplash associated disorders: Implications for physiotherapy management. In J. Boyling and G. Jull (Ed.), Grieve's Modern Manual Therapy (pp. 275-289) Edinburgh, UK: Churchill Livingstone - Elsevier Science.

  • Hoving, J. L., Jull, G. A. and Koes, B. (2004). Methodological and practical issues in clinical trials on manual therapy. In J. Boyling and G. Jull (Ed.), Grieve's Modern Manual Therapy (pp. 581-590) Edinburgh, UK: Churchill Livingstone - Elsevier Science.

  • Jull, G. A. and Niere, K. (2004). The cervical spine and headache. In J. Boyling and G. Jull (Ed.), Grieve's Modern Manual Therapy (pp. 291-309) Edinburgh, UK: Churchill Livingstone - Elsevier Science.

  • Boyling, J. and Jull, G. A. (2004). The future scope of manual therapy. In J. Boyling and G. Jull (Ed.), Grieve's Modern Manual Therapy (pp. 3-5) Edinburgh, UK: Churchill Livingstone - Elsevier Science.

  • Jull, G. A. (2003). Management of cervical headache. In Karen S. Beeton (Ed.), Manual Therapy Masterclasses: The Vertebral Column 2003 ed. (pp. 3-17) UK: Elsevier.

  • Richardson, C. A. and Jull, G. A. (2003). Muscle control - pain control. What exercises would you prescribe?. In Karen S. Beeton (Ed.), Manual Therapy Masterclasses: The Vertebral Column 1 ed. (pp. 49-62) UK: Elsevier.

  • Hides, J. A., Richardson, C. A. and Jull, G. A. (2003). Use of real-time ultrasound imaging for feedback in rehabilitation. In Karen S. Beeton (Ed.), Manual Therapy Masterclasses: The Vertebral Column (pp. 127-138) UK: Elsevier.

  • Jull, G. A. (2002). Management of cervicogenic headache. In Andrew Allen and Marjory Fraser (Ed.), Physical Therapy of the Cervical and Thoracic Spine 3rd ed. (pp. 239-266) United States: Elsevier Science Ltd.

  • Richardson, C. A., Jull, G. A. and Hides, J. A. (2000). A New Clinical Model of the Muscle Dysfunction Linked to the Disturbance of Spinal Stability: Implications for Treatment of Low Back Pain. In Lance T. Twomey and James R. Taylor (Ed.), Physical Therapy of the Low Back 3rd ed. (pp. 249-267) New York: Churchill Livingstone.

Journal Article

Conference Publication

Other Outputs

Grants (Administered at UQ)

PhD and MPhil Supervision

Current Supervision

Completed Supervision