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Lena Holm

Senior Lecturer

Affiliations:
Intervention and implementation research for worker health
Departments:
Institute of Environmental Medicine (IMM), C6

About me

I have a background in investigative sociology and insurance medicine, and I have worked part-time in various research projects since 1994.

I  work in a reserach group; Musculoskeletal & Sports Injury Epidemiology Center (MUSIC). The group consists of persons from various professions with interest in musculoskeletal health and sports medicine, such as naprapaths, physiotherapists, chiropractors and medical doctors. We have access to extensive high quality research data from cohort studies, and clinical randomized trials. See further Research Project MUSIC

I have international research collaboration especially with the Institute of Health Policy, Management and Evaluation, University of Toronto, Canada

Research description

My research is largely conducted within MUSIC; see above.

My research is focused on risk and prognostic factors in musculoskeletal disorders, especially neck- and back pain.  A topic of special interest is the influence of person´s health expectations on recovery. I am also co-responsible for projects in Sports Medicine; see below.

The largest project I am currently heading include a follow-up approximately 9,000 employees in the public sector. The aims are to assess the protective effect of good health, life style and good work environmental with respect to sick spell over a 10 years period. 

Other current projects is to predict prognosis after porttraumatic headache following car crashes.

In international collaboration and by using qualitative methods, we also seek to, increase the understanding in how patients with muskuloskeletal disorders, form their expectations on recovery from such disorders.

Grants

AFA European Spine Society RTF

 

Ongoing Projects.

 

Randomized controlled trials of interventions

  • Manual Intervention Trial -MINT-study

Investigate the treatment effect of different combinations of manual therapy within naprapathy, and adverse effects of the treatment. Data from the study is also used to identify prognostic factors,

 

  • Manual Intervention Stockholm Neck Trial STONE-study

In collaboration with University of Ontario Institute of Technology, to evaluate the effect of massage and physical exercise in patients with sub-acute and long-lasting neck pain, and to study the course of neck pain. Data will also be used to identify prognostic factors and to perform health economic evaluation, comparing the different intervention regimes.

Cohorts studies of risk and prognostic factors for neck, back and/or should pain and cerebral concussion

  • Stockholm Public Health Cohort – a follow-up study within Stockholm County

Research questions:

Is healthy lifestyle of importance for onset of neck/back pain in the general population? Is healthy lifestyle of importance for the prognosis of neck/back pain in the general population? Are sleep deprivations a risk factor for neck/back pain in the general population?

 

  • Swedish Traffic Injury Cohort (STRIKS)  - a follow- up study of injuries following motor vehicle collisions (MVC)

Research questions:

Is it possible to, with acceptable certainty, predict what persons with posttraumatic headache following an MVC, have a less favorable outcome?  

  • Karolinska Handball Study – KHAST study

A project with the purpose to increase the knowledge about injuries and functional status in shoulder/shoulder joint in young elite handball players. A cohort of 400 players. 15-17 years of age attending handball profile d high schools in Sweden, are followed for two seasons with respect to shoulder injuries, training and match.  

 

  • Sustainable Health in Municipalities and Counties- HaKuL – project. 10 years follow up with respect to sick spell

A follow up of approximately 9,000 persons employed by the public sector in Sweden. The objective is to investigate the importance of good health and lifestyle factors and good psychosocial work environment for decreased risk of sickness abcence over a 10 years.  Answers from extensive questionnaire from the years 2000-2003 from the baseline in this project and the outcome is years with long-term sickness absenteeism

Education

Associate Professor in Epidemiology, Karolinska Institutet, 2012

Doctor in Medical Science (Epidemiology), Karolinska Institutet, 2007 Doctoral thesis: ”Epidemiological Aspects on Pain in Whiplash-Associated Disorders”. Main supervisor Professor Anders Ahlbom

Bachelor of Art (BA) Investigative Sociology, Stockholm University, 2003

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