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Biography

Since graduating with a BSc (Hons) Physio. in 1994 I have worked clinically as a physiotherapist in a number of hospitals in the United Kingdom and Ireland and have specialised in the field of 'musculoskeletal physiotherapy' (incorporating orthopaedics and rheumatology) and chronic pain.

I have been the primary investigator on a number of research projects that investigated physiotherapists clinical reasoning of pain, and mechanisms-based classifications of low back pain.

I have co-supervised the research of three PhD candidates and a number of undergraduate and masters-level physiotherapy students and collaborated on a number of other national and international research projects. These studies have variously investigated the nature and prognostic impact of pain sensitisation in knee osteoarthritis; the effectiveness of acceptance and commitment therapy combined with exercise in the treatment of chronic pain; sensory profiles in chronic low back pain and advanced physiotherapy practice.

I am currently supervising two PhD candidates investigating pain in people living with obesity and pain prevalence and pain education in children.

I also have an interest in evidence synthesis and have authored/co-authored a number of systematic reviews including Cochrane systematic reviews and qualitative evidence syntheses.

I have ongoing research interests related to pain, undergraduate pain education and advanced practice physiotherapy.

I also maintain a small clinical caseload as a clinical specialist physiotherapist at St Vincent's University Hospital within the field of musculoskeletal physiotherapy and orthopaedic triage.

Activities

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Employment (2)

University College Dublin: Dublin, IE

2020-01-02 to present | Lecturer/Assistant Professor (UCD School of Public Health, Physiotherapy and Sports Science)
Employment
Source: Self-asserted source
Keith Smart

St. Vincent's University Hospital: Dublin, IE

2011-12-22 to present | Clinical Specialist Physiotherapist (Physiotherapy)
Employment
Source: Self-asserted source
Keith Smart

Education and qualifications (1)

University College Dublin: Dublin, IE

2007-01-01 to 2009-12-31 | PhD
Education
Source: Self-asserted source
Keith Smart

Works (40)

OptiMeth-CRPS: A Methodological Framework for Optimising Clinical Trial Methods for Complex Regional Pain Syndrome (CRPS)

2025-04-23 | Preprint
DOI: 10.31219/osf.io/x5zsy_v3
Contributors: Keith Matthew Smart; Victoria Abbott-Fleming; Frank Birklein; Stephen Bruehl; Erica Corcoran; Simon Day; Michael C Ferraro; Sharon Grieve; Ralf-Dieter Hilgers; Carolyn Ingram et al.
Source: check_circle
Crossref

Physiotherapist managers views on advanced practice physiotherapy in Ireland. A qualitative study

Physiotherapy Theory and Practice
2025-04-03 | Journal article
DOI: 10.1080/09593985.2024.2370362
Contributors: Marie Ó Mír; Máire-Bríd Casey; Keith M Smart
Source: check_circle
Crossref

OptiMeth-CRPS: A Methodological Framework for Optimising Clinical Trial Methods for Complex Regional Pain Syndrome (CRPS)

2025-03-21 | Preprint
DOI: 10.31219/osf.io/x5zsy_v1
Contributors: Keith Matthew Smart; Victoria Abbott-Fleming; Frank Birklein; Stephen Bruehl; Erica Corcoran; Simon Day; Michael C Ferraro; Sharon Grieve; Ralf-Dieter Hilgers; Carolyn Ingram et al.
Source: check_circle
Crossref

ENTRUST-PE: An Integrated Framework for Trustworthy Pain Evidence. White Paper.

2024-07-22 | Preprint
DOI: 10.31219/osf.io/e39ys_v1
Contributors: Neil O'Connell; Georgia Catherine Richards; Nadia Soliman; Michael C Ferraro; Daniel Segelcke; Christopher Eccleston; gavin stewart; Keith Matthew Smart; Tonya M. Palermo; Andrew SC Rice et al.
Source: check_circle
Crossref

ENTRUST-PE: An Integrated Framework for Trustworthy Pain Evidence. White Paper.

2024-07-22 | Preprint
DOI: 10.31219/osf.io/e39ys
Contributors: Neil O'Connell; Georgia Catherine Richards; Nadia Soliman; Michael C Ferraro; Daniel Segelcke; Christopher Eccleston; gavin stewart; Keith Matthew Smart; Tonya M. Palermo; Andrew SC Rice et al.
Source: check_circle
Crossref

The experiences of people living with obesity and chronic pain: A Qualitative Evidence Synthesis (QES) protocol

PLOS ONE
2024-05-24 | Journal article
DOI: 10.1371/journal.pone.0302051
Contributors: Natasha S. Hinwood; Zeina El Ali; Maire-Brid Casey; Catherine Doody; Catherine Blake; Brona M. Fullen; Gráinne O’Donoghue; Colin G. Dunlevy; Susie Birney; Fionnuala Fildes et al.
Source: check_circle
Crossref

Patients’ experiences following total knee arthroplasty: a qualitative evidence synthesis

Disability and Rehabilitation
2024-01-16 | Journal article
DOI: 10.1080/09638288.2022.2159548
Contributors: Robert Pryce; Emma Langan; Katie Tector; Leah Raggett; Roisin Flynn; Keith M. Smart
Source: check_circle
Crossref

Pain science and practice as a ‘threshold concept’ within undergraduate and pre-registration physiotherapy education: a jewel of the curriculum?

BMC Medical Education
2023-10-06 | Journal article
DOI: 10.1186/s12909-023-04733-z
Contributors: Keith M. Smart
Source: check_circle
Crossref

The biopsychosocial model of pain in physiotherapy: past, present and future

Physical Therapy Reviews
2023-03-04 | Journal article
DOI: 10.1080/10833196.2023.2177792
Contributors: Keith M. Smart
Source: check_circle
Crossref

Multidimensional pain profiling in people living with obesity and attending weight management services: a protocol for a longitudinal cohort study

BMJ Open
2022-12 | Journal article
DOI: 10.1136/bmjopen-2022-065188
Contributors: Keith M Smart; Natasha S Hinwood; Colin Dunlevy; Catherine M Doody; Catherine Blake; Brona M Fullen; Carel W Le Roux; Jean O’Connell; Clare Gilsenan; Francis M Finucane et al.
Source: check_circle
Crossref

Exercise combined with Acceptance and Commitment Therapy compared with a standalone supervised exercise programme for adults with chronic pain: a randomised controlled trial

Pain
2022-06 | Journal article
DOI: 10.1097/j.pain.0000000000002487
Contributors: Máire-Bríd Casey; Keith M. Smart; Ricardo Segurado; Conor Hearty; Hari Gopal; Damien Lowry; Dearbhail Flanagan; Lance McCracken; Catherine Doody
Source: check_circle
Crossref

Advanced musculoskeletal physiotherapy practice: The patient journey and experience

Musculoskeletal Science and Practice
2020 | Journal article
DOI: 10.1016/j.msksp.2019.102077
EID:

2-s2.0-85074629970
Contributors: Fennelly, O.; Blake, C.; FitzGerald, O.; Caffrey, A.; Fletcher, L.; Smart, K.; Corcoran, S.; Shé, É.N.; Casserley-Feeney, S.; Desmeules, F. et al.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

The Relationship between Clinical and Quantitative Measures of Pain Sensitization in Knee Osteoarthritis

Clinical Journal of Pain
2020 | Journal article
DOI: 10.1097/AJP.0000000000000798
EID:

2-s2.0-85078737233
Contributors: Moore, R.; Clifford, A.M.; Moloney, N.; Doody, C.; Smart, K.M.; O'Leary, H.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Acceptance of chronic pain. Perspectives of individuals following an Acceptance and Commitment Therapy pain management programme: An interpretative phenomenological analysis

Physiotherapy Practice and Research
2019 | Journal article
DOI: 10.3233/PPR-180120
EID:

2-s2.0-85061342432
Contributors: Casey, M.-B.; Smart, K.M.; Hearty, C.; Lowry, D.; Doody, C.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Physiotherapist-led triage of patients with thoracic spine pain in a musculoskeletal assessment clinic: A service evaluation of activity and outcomes

Physiotherapy Practice and Research
2019 | Journal article
DOI: 10.3233/PPR-190136
EID:

2-s2.0-85072531496
Contributors: Smyth, C.; Smart, K.; Fitzpatrick, M.; Caffrey, A.; McLoughlin, C.; Doody, C.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Prevalence of extreme trait sensory profiles and personality types in nonspecific chronic low back pain with predominant central sensitization: Secondary analysis of an international observational study

Pain Physician
2019 | Journal article
EID:

2-s2.0-85066948763
Contributors: Clark, J.R.; Nijs, J.; Smart, K.; Holmes, P.; Yeowel, G.; Goodwin, P.C.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Physiotherapist‐Led Triage at a Rheumatology‐Based Musculoskeletal Assessment Clinic: an 18‐Month Service Evaluation of Activity and Outcomes

ACR Open Rheumatology
2019-06 | Journal article
DOI: 10.1002/acr2.1022
Contributors: Aoife Caffrey; Keith M. Smart; Oliver FitzGerald
Source: check_circle
Crossref

Exercise combined with Acceptance and Commitment Therapy (ExACT) compared to a supervised exercise programme for adults with chronic pain: Study protocol for a randomised controlled trial

Trials
2018 | Journal article
DOI: 10.1186/s13063-018-2543-5
EID:

2-s2.0-85044258473
Contributors: Casey, M.-B.; Smart, K.; Segurado, R.; Hearty, C.; Gopal, H.; Lowry, D.; Flanagan, D.; McCracken, L.; Doody, C.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Pain sensitization associated with nonresponse after physiotherapy in people with knee osteoarthritis

Pain
2018 | Journal article
DOI: 10.1097/j.pain.0000000000001288
EID:

2-s2.0-85060150934
Contributors: OʼLeary, H.; Smart, K.M.; Moloney, N.A.; Blake, C.; Doody, C.M.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Exercise-induced Hypoalgesia in People with Knee Osteoarthritis with Normal and Abnormal Conditioned Pain Modulation

Clinical Journal of Pain
2017 | Journal article
DOI: 10.1097/AJP.0000000000000418
EID:

2-s2.0-84981711274
Contributors: Fingleton, C.; Smart, K.M.; Doody, C.M.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Nervous System Sensitization as a Predictor of Outcome in the Treatment of Peripheral Musculoskeletal Conditions: A Systematic Review

Pain Practice
2017 | Journal article
DOI: 10.1111/papr.12484
EID:

2-s2.0-84994619195
Contributors: O'Leary, H.; Smart, K.M.; Moloney, N.A.; Doody, C.M.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Prevalence of neuropathic pain in knee or hip osteoarthritis: A systematic review and meta-analysis

Seminars in Arthritis and Rheumatism
2017 | Journal article
DOI: 10.1016/j.semarthrit.2017.02.008
EID:

2-s2.0-85015409242
Contributors: French, H.P.; Smart, K.M.; Doyle, F.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Variable selection for latent class analysis with application to low back pain diagnosis

Annals of Applied Statistics
2017 | Journal article
DOI: 10.1214/17-AOAS1061
EID:

2-s2.0-85042653829
Contributors: Fop, M.; Smart, K.M.; Murphy, T.B.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Physiotherapy for pain and disability in adults with complex regional pain syndrome (CRPS) types I and II

Cochrane Database of Systematic Reviews
2016 | Journal article
DOI: 10.1002/14651858.CD010853.pub2
EID:

2-s2.0-84961964232
Contributors: Smart, K.M.; Wand, B.M.; O'Connell, N.E.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Pain sensitisation and the risk of poor outcome following physiotherapy for patients with moderate to severe knee osteoarthritis: Protocol for a prospective cohort study

BMJ Open
2015 | Journal article
DOI: 10.1136/bmjopen-2014-007430
EID:

2-s2.0-84931273237
Contributors: O'Leary, H.; Smart, K.M.; Moloney, N.A.; Blake, C.; Doody, C.M.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Pain sensitization in people with knee osteoarthritis: A systematic review and meta-analysis

Osteoarthritis and Cartilage
2015 | Journal article
DOI: 10.1016/j.joca.2015.02.163
EID:

2-s2.0-84930822604
Contributors: Fingleton, C.; Smart, K.; Moloney, N.; Fullen, B.M.; Doody, C.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Intraexaminer and interexaminer reliability of manual palpation and pressure algometry of the lower limb nerves in asymptomatic subjects

Journal of Manipulative and Physiological Therapeutics
2014 | Journal article
DOI: 10.1016/j.jmpt.2013.12.006
EID:

2-s2.0-84895076091
Contributors: Fingleton, C.P.; Dempsey, L.; Smart, K.; Doody, C.M.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Orthopaedic triage at a physiotherapist-led ‘Musculoskeletal Assessment Clinic’: A seven-month service evaluation of outcomes

Irish Journal of Medical Science
2014 | Journal article
DOI: 10.1007/s11845-013-1052-5
EID:

2-s2.0-84919881874
Contributors: O’Farrell, S.; Smart, K.M.; Caffrey, A.; Daly, O.; Doody, C.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Triage of knee pain by an Extended Scope Physiotherapist (ESP) in an orthopaedic clinic: A clinical audit

Physiotherapy Practice and Research
2014 | Journal article
DOI: 10.3233/PPR-130034
EID:

2-s2.0-84894201481
Contributors: Ashmore, K.; Smart, K.; O'Toole, G.; Doody, C.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Physiotherapy for pain and disability in adults with complex regional pain syndrome (CRPS) types I and II

Cochrane Database of Systematic Reviews
2013 | Journal article
DOI: 10.1002/14651858.CD010853
EID:

2-s2.0-84961874208
Contributors: Smart, K.M.; Wand, B.M.; O'Connell, N.E.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Mechanisms-based classifications of musculoskeletal pain: Part 1 of 3: Symptoms and signs of central sensitisation in patients with low back (±leg) pain

Manual Therapy
2012 | Journal article
DOI: 10.1016/j.math.2012.03.013
EID:

2-s2.0-84861529447
Contributors: Smart, K.M.; Blake, C.; Staines, A.; Thacker, M.; Doody, C.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Mechanisms-based classifications of musculoskeletal pain: Part 2 of 3: Symptoms and signs of peripheral neuropathic pain in patients with low back (±leg) pain

Manual Therapy
2012 | Journal article
DOI: 10.1016/j.math.2012.03.003
EID:

2-s2.0-84861482797
Contributors: Smart, K.M.; Blake, C.; Staines, A.; Thacker, M.; Doody, C.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Mechanisms-based classifications of musculoskeletal pain: Part 3 of 3: Symptoms and signs of nociceptive pain in patients with low back (±leg) pain

Manual Therapy
2012 | Journal article
DOI: 10.1016/j.math.2012.03.002
EID:

2-s2.0-84861479117
Contributors: Smart, K.M.; Blake, C.; Staines, A.; Thacker, M.; Doody, C.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Self-reported pain severity, quality of life, disability, anxiety and depression in patients classified with 'nociceptive', 'peripheral neuropathic' and 'central sensitisation' pain. The discriminant validity of mechanisms-based classifications of low back (±leg) pain

Manual Therapy
2012 | Journal article
DOI: 10.1016/j.math.2011.10.002
EID:

2-s2.0-84856958507
Contributors: Smart, K.M.; Blake, C.; Staines, A.; Doody, C.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

The discriminative validity of nociceptive, Peripheral neuropathic, and central sensitization as mechanisms-based classifications of musculoskeletal pain

Clinical Journal of Pain
2011 | Journal article
DOI: 10.1097/AJP.0b013e318215f16a
EID:

2-s2.0-80052758398
Contributors: Smart, K.M.; Blake, C.; Staines, A.; Doody, C.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Clinical indicators of 'nociceptive', 'peripheral neuropathic' and 'central' mechanisms of musculoskeletal pain. A Delphi survey of expert clinicians

Manual Therapy
2010 | Journal article
DOI: 10.1016/j.math.2009.07.005
EID:

2-s2.0-73449130127
Contributors: Smart, K.M.; Blake, C.; Staines, A.; Doody, C.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

The reliability of clinical judgments and criteria associated with mechanisms-based classifications of pain in patients with low back pain disorders: A preliminary reliability study

Journal of Manual and Manipulative Therapy
2010 | Journal article
DOI: 10.1179/106698110X12640740712897
EID:

2-s2.0-77953936568
Contributors: Smart, K.M.; Curley, A.; Blake, C.; Staines, A.; Doody, C.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Towards a mechanisms-based classification of pain in musculoskeletal physiotherapy?

Physical Therapy Reviews
2008 | Journal article
DOI: 10.1179/174328808X251984
EID:

2-s2.0-85006720929
Contributors: Smart, K.M.; O'Connell, N.E.; Doody, C.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

The clinical reasoning of pain by experienced musculoskeletal physiotherapists

Manual Therapy
2007 | Journal article
DOI: 10.1016/j.math.2006.02.006
EID:

2-s2.0-33846564382
Contributors: Smart, K.; Doody, C.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Mechanisms-based clinical reasoning of pain by experienced musculoskeletal physiotherapists

Physiotherapy
2006 | Journal article
DOI: 10.1016/j.physio.2006.04.004
EID:

2-s2.0-33748072462
Contributors: Smart, K.; Doody, C.
Source: Self-asserted source
Keith Smart via Scopus - Elsevier

Peer review (2 reviews for 2 publications/grants)

Review activity for British journal of sports medicine (1)
Review activity for Osteoarthritis and cartilage (1)
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