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Musculoskeletal disorders from a biopsychosocial perspective

Our research focus is on musculoskeletal pain and clinical interventional advances devoted to improve prevention and patient management. This includes development and evaluation of clinical diagnostics and prevention methods with the aim to improve health and work ability.

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We currently have three main translational research programs in our group: one that incorporates chronic or recurrent pain conditions in the primary, secondary and tertiary care sector, a second with a focus on occupational health, especially the military community, and a third that concerns sports medicine currently with an emphasis in extreme sports.

Our main programs include several defined research projects with different principal investigators (PI:s). In these projects, we handle a wide range of scientific methods that deal with registry, clinical, empirical and laboratory data, as well as qualitative methods. Our group is interdisciplinary and we work actively to understand and critically evaluate health-related variables from a bio-psycho-social perspective. The long-term goal is to develop and implement updated knowledge into clinical actions to meet the challenge of tomorrow's patients with musculoskeletal pain.

Research programs and projects

Research on Pain

  • ​SBU rapport: Arbetsmiljöns betydelse för ryggproblem
  • Multi-disciplinary approach rehabilitation in patients with chronic pain
  • Musculoskeletal disorders in primary and secondary health care
  • Expectations related-research
  • Pregnancy-related lumbopelvic pain
  • Non-pharmacological treatment of autoimmune connective tissue diseases

Research in occupational health

Research in sport medicine

  • Parachute opening shock in skydiving
  • Motor control and movement control tests

Clinimetric research

  • ICF classification of sickness certificates
  • Cross-cultural adaptation and validation of instruments of MSDs

Research group leader

Wilhelmus Grooten

Lecturer senior
H1 Department of Neurobiology, Care Sciences and Society

Selected scientific publications

Detecting Prolonged Sitting Bouts with the ActiGraph GT3X.
Kuster RP, Grooten WJA, Baumgartner D, Blom V, Hagströmer M, Ekblom Ö
Scand J Med Sci Sports 2019 Nov;():

The effects of exercise on cardiovascular disease risk factors and cardiovascular physiology in rheumatoid arthritis.
Metsios GS, Moe RH, van der Esch M, van Zanten JJCSV, Fenton SAM, Koutedakis Y, et al
Rheumatol. Int. 2019 Dec;():

Aspects influencing clinical reasoning and decision-making when matching treatment to patients with low back pain in primary healthcare.
Widerström B, Rasmussen-Barr E, Boström C
Musculoskelet Sci Pract 2019 06;41():6-14

Visual assessment of movement quality in the single leg squat test: a review and meta-analysis of inter-rater and intrarater reliability.
Ressman J, Grooten WJA, Rasmussen Barr E
BMJ Open Sport Exerc Med 2019 ;5(1):e000541

Measuring Sedentary Behavior by Means of Muscular Activity and Accelerometry.
Kuster RP, Huber M, Hirschi S, Siegl W, Baumgartner D, Hagströmer M, et al
Sensors (Basel) 2018 Nov;18(11):

Prognostic Factors for Physical Functioning After Multidisciplinary Rehabilitation in Patients With Chronic Musculoskeletal Pain: A Systematic Review and Meta-Analysis.
Tseli E, Boersma K, Stålnacke BM, Enthoven P, Gerdle B, Äng BO, et al
Clin J Pain 2019 Feb;35(2):148-173

Protocol for the development of a core outcome set for pelvic girdle pain, including methods for measuring the outcomes: the PGP-COS study.
Wuytack F, Gutke A, Stuge B, Mørkved S, Olsson C, Robinson HS, et al
BMC Med Res Methodol 2018 12;18(1):158

Mapping a measure of physical ability for persons with long-term musculoskeletal pain to the ICF and ICF Core Sets.
Fresk M, Brodin N, Grooten WJ, Joseph C, Kiessling A
Eur J Public Health 2019 04;29(2):286-291

Resistance Training for Professional String Musicians: A Prospective Intervention Study.
Lundborg B, Grooten WJ
Med Probl Perform Art 2018 06;33(2):102-110

How does exercise dose affect patients with long-term osteoarthritis of the knee? A study protocol of a randomised controlled trial in Sweden and Norway: the SWENOR Study.
Torstensen TA, Grooten WJA, Østerås H, Heijne A, Harms-Ringdahl K, Äng BO
BMJ Open 2018 05;8(5):e018471

Reliability and validity of a novel Kinect-based software program for measuring posture, balance and side-bending.
Grooten WJA, Sandberg L, Ressman J, Diamantoglou N, Johansson E, Rasmussen-Barr E
BMC Musculoskelet Disord 2018 01;19(1):6

Strengthening Health Systems for Persons With Traumatic Spinal Cord Injury in South Africa and Sweden: A Protocol for a Longitudinal Study of Processes and Outcomes.
Conradsson D, Rhoda A, Mlenzana N, Nilsson Wikmar L, Wahman K, Hultling C, et al
Front Neurol 2018 ;9():453

Anatomical landmarks of the intra-pelvic side-wall as sources of pain in women with and without pregnancy-related chronic pelvic pain after childbirth: a descriptive study.
Torstensson T, Butler S, Lindgren A, Peterson M, Nilsson-Wikmar L, Eriksson M, et al
BMC Womens Health 2018 03;18(1):54

Clinical assessment and patient-reported outcome measures in low-back pain - a survey among primary health care physiotherapists.
Östhols S, Boström C, Rasmussen-Barr E
Disabil Rehabil 2019 Oct;41(20):2459-2467

Inter- and intra-rater reliability for measurement of range of motion in joints included in three hypermobility assessment methods.
Schlager A, Ahlqvist K, Rasmussen-Barr E, Bjelland EK, Pingel R, Olsson C, et al
BMC Musculoskelet Disord 2018 Oct;19(1):376

Movement control tests for the lumbopelvic complex. Are these tests reliable and valid?
Granström H, Äng BO, Rasmussen-Barr E
Physiother Theory Pract 2017 May;33(5):386-397

Construction of a web-based questionnaire for longitudinal investigation of work exposure, musculoskeletal pain and performance impairments in high-performance marine craft populations.
Lo Martire R, de Alwis MP, Äng BO, Garme K
BMJ Open 2017 Jul;7(7):e016006

Predictors of multidisciplinary rehabilitation outcomes in patients with chronic musculoskeletal pain: protocol for a systematic review and meta-analysis.
Tseli E, Grooten WJA, Stålnacke BM, Boersma K, Enthoven P, Gerdle B, et al
Syst Rev 2017 10;6(1):199

Are job strain and sleep disturbances prognostic factors for low-back pain?A cohort study of a general population of working age in Sweden.
Rasmussen-Barr E, Grooten WJA, Hallqvist J, Holm LW, Skillgate E
J Rehabil Med 2017 Jul;49(7):591-597

Assessing postural balance in early Parkinson's Disease-validity of the BDL balance scale.
Claesson IM, Grooten WJ, Lökk J, Ståhle A
Physiother Theory Pract 2017 Jun;33(6):490-496

Nonsteroidal Anti-inflammatory Drugs for Sciatica: An Updated Cochrane Review.
Rasmussen-Barr E, Held U, Grooten WJ, Roelofs PD, Koes BW, van Tulder MW, et al
Spine 2017 Apr;42(8):586-594

Does a dynamic chair increase office workers' movements? - Results from a combined laboratory and field study.
Grooten WJA, Äng BO, Hagströmer M, Conradsson D, Nero H, Franzén E
Appl Ergon 2017 Apr;60():1-11

Psychometric properties of the Swedish version of the Treatment Outcome Satisfaction Questionnaire.
Lo Martire R, Lis A, Skillgate E, Rasmussen-Barr E
Eur Spine J 2017 02;26(2):316-323

Neck Muscle EMG-Force Relationship and Its Reliability During Isometric Contractions.
Lo Martire R, Gladh K, Westman A, Äng BO
Sports Med Open 2017 Dec;3(1):16

A comparison between different outcome measures based on "meaningful important differences" in patients with lumbar spinal stenosis.
Wertli MM, Buletti FC, Held U, Rasmussen-Barr E, Weiser S, Burgstaller JM, et al
Eur Spine J 2017 02;26(2):450-461

Outcomes after acute traumatic spinal cord injury in Botswana: from admission to discharge.
Löfvenmark I, Hasselberg M, Nilsson Wikmar L, Hultling C, Norrbrink C
Spinal Cord 2017 Feb;55(2):208-212

Incidence, aetiology and injury characteristics of traumatic spinal cord injury in Stockholm, Sweden: A prospective, population-based update.
Joseph C, Andersson N, Bjelak S, Giesecke K, Hultling C, Nilsson Wikmar L, et al
J Rehabil Med 2017 May;49(5):431-436

Structured feedback on students' concept maps: the proverbial path to learning?
Joseph C, Conradsson D, Nilsson Wikmar L, Rowe M
BMC Med Educ 2017 May;17(1):90