Back in Motion Research Group

Pain in motion textmoln

Research Focus

The overarching aim of the Back in Motion Research Group is to improve the functioning for people with pain. The research group covers clinically relevant research questions throughout the life span, from children to the older adults. To reach our goals we combine Research, Education and Innovation.

Since pain is a complex phenomenon, the group uses a variety of research methodologies to answer their research questions.

Research projects and activities 

The group runs several projects aiming to increase functioning in patients with pain throughout the life-span.

 

PREPARE - The most well-funded project is PREPARE (PREhabilitation, Physical Activity and ExeRcisE) persons with severe low back pain for an optimal functional outcome after lumbar fusion surgery: a randomised controlled trial. We have included 97 of 110 patients and inclusion is planned to be completed in March 2017.

Research Group Leader 

Senior lecturer

Mari Lundberg

Organizational unit: Division of Physiotherapy
E-mail: mari.lundberg@ki.se

Educational Focus

The Research Group is active in pain education. The research group leader runs courses at the academic level, but also in the clinical setting and in collaboration with national and international educators and researchers. 

Educational Activities 

The research group leader is responsible for the content of pain through the physiotherapy program at Karolinska Institutet. In order to make it possible for physiotherapists to learn about pain from undergraduate level to the research level the group have designed a pain education plan, with progression from a beginner to the research level. 

Figure 1. On-going pain courses within Physiotherapy at Karolinska Institutet 

Current educational activities 

Organizer of the Pain Science in Motion congress in collaboration with The Pain in Motion Group 

Group Members

Max Jakobsson, RPT, BSc. Measurement instruments of functioning and physical activity in persons with low back pain – exemplified in persons who are to undergo lumbar fusion surgery

Co-supervisor: Helena Brisby (MD, Professor), Institute of Clinical Sciences, Department of Orthopaedics, GU; Rob Smeets (MD, Professor); Annelie Gutke (PT, PhD) Institute of Neuroscience and Physiology, Department of Health and Rehabilitation.

 

Hanna Lotzke, RPT, MSc. What kind of exercise is the most suitable before spinal surgery – general pieces of advice or cognitive behavioural therapy guided exercise?  Institute of Clinical Sciences, Department of Orthopaedics, GU.

Co-supervisor: Helena Brisby (MD, Professor), Institute of Clinical Sciences, Department of Orthopaedics, GU.

 

Anna Ahlqwist, RPT, MSc. Back off – A physical therapy approach to help children and adolescents with low back pain to stay active.

Co-supervisor: Helena Brisby (MD, Professor), Institute of Clinical Sciences, Department of Orthopaedics, GU; Co-supervisor: Emma Varkey (RPT, PhD) Institute of Neuroscience and Physiology, Department of Health and Rehabilitation.

 

Elke Schubert, RPT, MSc. Functioning in children with hypermobility syndrome.

Co-supervisor: Ann-Charlott Söderpalm (MD, PhD). Institute of Clinical Sciences, Department of Orthopaedics, GU. Co-supervisor: Anders Fasth (MD, Professor). Institute of Medicine, Department of Rheumatology.

 

Collaborators or partners

Helena Brisby, MD, Professor

Area of expertise: Orthopaedics, Spinal Surgery

Affiliation: Department of Orthopaedics, University of Gothenburg

 

Jennifer Bullington, PT, Philosopher, Professor

Area of expertise: Psychosomatics, Phenomenology

Affiliation: Ersta Sköndal University College

 

Maria Bäck, PT, PhD

Area of expertise: Cardiac rehabilitation in relation to kinesiophobia

Affiliation: Department of Physiotherapy, Linköping University

Affiliation: Department of Physiotherapy, Sahlgrenska University Hospital

 

Åsa Cider, PT, PhD

Area of expertise: Exercise Physiology

Affiliation: Department of Health and Rehabilitation, University of Gothenburg

Affiliation: Department of Physiotherapy, Sahlgrenska University Hospital

 

Aina Danielsson, MD, Associate Professor

Area of expertise: Orthopaedics (in children)

Affiliation: Department of Orthopaedics, University of Gothenburg

 

Marlies Den Hollander, Behavioural Therapist, PhD student

Area of expertise: Behavioural therapy

Affiliation: Department of Clinical Psychological Science, Maastricht University

 

Anna Grimby Ekman, Statistician, Associate Professor

Area of expertise: Statistical methodology applied in pain science

Affiliation: Department of Public Health and Community Medicine, University of Gothenburg

 

Annelie Gutke, PT, PhD

Area of expertise: Low back pain in women, Functional testing

Affiliation: Department of Health and Rehabilitation, University of Gothenburg

 

Karin Grävare – Silbernagel, PT, Assistant Professor

Area of expertise: Sports medicine, overuse injuries

Affiliation: Department of Physical Therapy, University of Delaware

 

Anders Fasth, MD, Professor

Area of expertise: Rheumatology, children

Affiliation: Department of Pediatrics, University of Gothenburg

 

Maria Hagströmer, PT, Associate Professor

Area of expertise: Physical Activity

Academic Affiliation: Division of Physiotherapy, Karolinska Institutet

 

Olle Hägg, MD, PhD (Orthopaedics)

Area of expertise: Spine Surgery; SWESPINE

Affiliation: Spine Center, Gothenburg                        

 

Bengt Jansson, Psychologist

Area of expertise: Psychometrics

Affiliation: Department of Psychology, University of Gothenburg

 

Jesper Lundgren, Psychologist, Associate Professor

Area of expertise: Fear, psychometrics

Academic Affiliation: Department of Psychology, University of Gothenburg

 

Jo Nijs, PT, Professor

Area of expertise: Exercise as pain modulation, Central sensitization

Affiliation: Vrije University

 

Lars-Eric Olsson, Nurse, Senior lecturer institute of Health and Care Sciences, The Sahlgrenska Academy, Associate Professor

Area of expertise: Person-centred care and orthopaedic nursing.

Affiliation: Associated with University of Gothenburg Centre for Person-Centred Care (GPCC) Sahlgrenska University hospital Department of Orthopaedics

 

Romy Parker, PT, Associate Professor

Area of expertise: Pain Education

Affiliation: Department of Health and Rehabilitation Sciences, University of Cape Town

 

Rob Smeets, MD, Professor

Area of expertise: Rehabilitation Medicine, Functional Performance

Affiliation: CAPHRI, Maastricht University

 

Laura Simons, Psychologist, PhD

Area of expertise: Children in Pain, Fear of Pain Questionnaire

Affiliation: Departments of Psychiatry & Anesthesiology, Perioperative, and Pain Medicine, Harvard Medical School

 

Michael Sullivan, Psychologist, Professor

Area of expertise: Catastrophizing

Affiliation: McGill University, Montréal, Canada

 

Mikael Svensson, Professor

Area of expertise: Health Economics

Affiliation: Department of Public Health and Community Medicine

 

Ann-Charlotte Söderpalm, MD, PhD  

Area of expertise: Orthopaedics in children

Affiliation: Department of Orthopaedics, University of Gothenburg

 

Emma Varkey, Physical Therapist, PhD, University of Gothenburg

Area of expertise: Migraine, pain modulation through exercise

Affiliation: Department of Health and Rehabilitation, University of Gothenburg

 

Financial Support

Year Funding (Funder:Title)
2015 Swedish Research Council (VR): Person centred prehabilitation physical therapy for prsons who are to undergo surgery for low back pain - a randomized controlled trial
2015 EUROSPINE: Optimal pre-surgical management for persons who undergo spinal fusion surgery - Incorporation an evidence based rehabilitation approach in an RCT
2014 EUROSPINE: Optimal pre-sugical management for persons who undergo spinal fusion sugery - Incorporation an evidence based rehabilitation approach in an RCT
2013 AFA: Optimal presurgical management for persons who undergo spinal fusion surgery - Incorporation an evidence based rehabilitation approach in a randomized controlled clinical trial

Doctoral Theses 

16 th November 2012 Maria Bäck, RPT, MSc. Exercise and Physical Activity in Relation to Kinesiophobia and Cardiac Risk Markers in Coronary Artery Disease. Institute of Department of Molecular and Clinical Medicine, GU Main supervisor: Johan Herrlitz (MD, Professor) Institute of Department of Molecular and Clinical Medicine, GU Co-supervisor: Åsa Cider (PT, PhD) the Department of Neuroscience and Rehabilitation/Physiotherapy, University of Gothenburg (GU)

Selected Publications 

Bäck M, Lundberg M, Cider Å, Herlitz J, Jansson B. The relevance of kinesiophobia in relation to changes over time among patients with acute coronary artery disease. Accepted for publication in Journal of Cardioplumonary Rehabilitation and Prevention, Oct 13, 2016

Åkerström M-L, Ekman A, Lundberg M. Work ability and kinesiophobia among patients with persistent pain. Accepted for publication in Physiotherapy Theory and Practice, June 27, 2016

Use of the PREPARE (PREhabilitation, Physical Activity and exeRcisE) program to improve outcomes after lumbar fusion surgery for severe low back pain: a study protocol of a person-centred randomised controlled trial.
Lotzke H, Jakobsson M, Brisby H, Gutke A, Hägg O, Smeets R, et al
BMC Musculoskelet Disord 2016 Aug;17(1):349 

Kinesiophobia mediates the influences on attendance at exercise-based cardiac rehabilitation in patients with coronary artery disease.
Bäck M, Cider , Herlitz J, Lundberg M, Jansson B
Physiother Theory Pract 2016 Nov;32(8):571-580 

Lundberg M. Die Angt Wegbewegen (Move the fear away!  - Thinks to consider when applying the knowledge and principles of the cognitive fear-avoidance model into sports medicine). Sportphysio 2015; 03(04): 186-190 DOI: 10.1055/s-0035-1566284 (In German), 

Addressing sleep problems and cognitive dysfunctions in comprehensive rehabilitation for chronic musculoskeletal pain.
Nijs J, Lluch Girbés E, Lundberg M, Malfliet A, Sterling M
Man Ther 2015 Feb;20(1):e3-4 

Exercise therapy for chronic musculoskeletal pain: Innovation by altering pain memories.
Nijs J, Lluch Girbés E, Lundberg M, Malfliet A, Sterling M
Man Ther 2015 Feb;20(1):216-20 

Pain, mind, and movement in musculoskeletal pain: is physical activity always health-promoting or are there detrimental aspects?
Hasenbring M, Lundberg M, Parker R, Söderlund A, Bolton B, Smeets R, et al
Clin J Pain 2015 Feb;31(2):95-6 

Avoidance behavior towards physical activity in chronic fatigue syndrome and fibromyalgia: the fear for post-exertional malaise.
Nijs J, Lundberg M
Clin. Rheumatol. 2014 Jan;33(1):151-2 

Fear of movement and avoidance behaviour toward physical activity in chronic-fatigue syndrome and fibromyalgia: state of the art and implications for clinical practice.
Nijs J, Roussel N, Van Oosterwijck J, De Kooning M, Ickmans K, Struyf F, et al
Clin. Rheumatol. 2013 Aug;32(8):1121-9 

Ability to perform a single heel-rise is significantly related to patient-reported outcome after Achilles tendon rupture.
Olsson N, Karlsson J, Eriksson B, Brorsson A, Lundberg M, Silbernagel K
Scand J Med Sci Sports 2014 Feb;24(1):152-8 

Validation of a questionnaire to detect kinesiophobia (fear of movement) in patients with coronary artery disease.
Bäck M, Jansson B, Cider A, Herlitz J, Lundberg M
J Rehabil Med 2012 Apr;44(4):363-9 

The impact on kinesiophobia (fear of movement) by clinical variables for patients with coronary artery disease.
Bäck M, Cider , Herlitz J, Lundberg M, Jansson B
Int. J. Cardiol. 2013 Jul;167(2):391-7 

Change in kinesiophobia and its relation to activity limitation after multidisciplinary rehabilitation in patients with chronic back pain.
Lüning Bergsten C, Lundberg M, Lindberg P, Elfving B
Disabil Rehabil 2012 ;34(10):852-8 

Catastrophizing during and after pregnancy: associations with lumbopelvic pain and postpartum physical ability.
Olsson C, Grooten W, Nilsson-Wikmar L, Harms-Ringdahl K, Lundberg M
Phys Ther 2012 Jan;92(1):49-57 

High degree of kinesiophobia after lumbar disc herniation surgery: a cross-sectional study of 84 patients .
Svensson G, Lundberg M, Ostgaard H, Wendt G
Acta Orthop 2011 Dec;82(6):732-6 

Pain-related fear: a critical review of the related measures.
Lundberg M, Grimby-Ekman A, Verbunt J, Simmonds M
Pain Res Treat 2011 ;2011():494196 

The impact of fear-avoidance model variables on disability in patients with specific or nonspecific chronic low back pain.
Lundberg M, Frennered K, Hägg O, Styf J
Spine 2011 Sep;36(19):1547-53

 My prosthesis as a part of me: a qualitative analysis of living with an osseointegrated prosthetic limb.
Lundberg M, Hagberg K, Bullington J
Prosthet Orthot Int 2011 Jun;35(2):207-14

 Cross-validation of the Depression, Anxiety, and Positive Outlook Scale (DAPOS) for clinical use.
Olaya-Contreras P, Styf J, Lundberg M, Jansson B
Clin J Pain 2011 May;27(4):330-7

 The majority of patients with Achilles tendinopathy recover fully when treated with exercise alone: a 5-year follow-up.
Silbernagel K, Brorsson A, Lundberg M
Am J Sports Med 2011 Mar;39(3):607-13

 Impact of postpartum lumbopelvic pain on disability, pain intensity, health-related quality of life, activity level, kinesiophobia, and depressive symptoms.
Gutke A, Lundberg M, Östgaard H, Öberg B
Eur Spine J 2011 Mar;20(3):440-8

Erkmar E, Dahlin-Ivanoff S, Lundberg M. Women on sick leave - participation in encounters with rehabilitation stakeholders. Advances in Physiotherapy. 2010;12(4):201-7. 

 On what patients does the Tampa Scale for Kinesiophobia fit?
Lundberg M, Styf J, Jansson B
Physiother Theory Pract 2009 Oct;25(7):495-506

 Kinesiophobia among physiological overusers with musculoskeletal pain.
Lundberg M, Styf J
Eur J Pain 2009 Jul;13(6):655-9

 Experiences of moving with persistent pain--a qualitative study from a patient perspective.
Lundberg M, Styf J, Bullington J
Physiother Theory Pract ;23(4):199-209

 Kinesiophobia among patients with musculoskeletal pain in primary healthcare.
Lundberg M, Larsson M, Ostlund H, Styf J
J Rehabil Med 2006 Jan;38(1):37-43

Lundberg MKE, Styf J, Carlsson SG. A psychometric evaluation of the Swedish version of the Tampa Scale for Kinesiophobia (TSK) – from a physiotherapeutic perspective. Physiother Theory Pract. 2004; 20: 121-133.

 Preoperative oral carbohydrate treatment attenuates endogenous glucose release 3 days after surgery.
Soop M, Nygren J, Thorell A, Weidenhielm L, Lundberg M, Hammarqvist F, et al
Clin Nutr 2004 Aug;23(4):733-41

Physiotherapy