ORCID Profile
0000-0002-9724-767X
Current Organisations
Aalborg University
,
Aalborg Universitet
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Publisher: Wiley
Date: 12-08-2019
DOI: 10.1002/EJP.1458
Abstract: Efficacy of pain modulation is assessed as the difference in pain sensitivity during a painful conditioning, compared to before (conditioning pain modulation, CPM). Attention can be assessed with the Stroop task, in which participants report the number of words on a screen either congruent or incongruent with the value of the words. Attention away from painful stimuli during CPM enhances the CPM effect. However, it is unknown if attention influences CPM effects when the two are done in sequence. Healthy men (n = 25) underwent cuff algometry CPM-assessment where the pressure-pain detection and tolerance thresholds (PTT) were recorded on one leg with and without contralateral conditioning. Two identical sessions of four test stimuli equal to PTT (5 s, 1-min interval, scored on a visual analogue scale, VAS) with a painful conditioning from the second to the last test-stimulus were performed. Stroop sessions were followed by test stimuli with or without painful conditioning. The VAS scores in the first two sessions showed excellent reliability (ICC = 0.92). VAS scores were lower in sessions with Stroop compared to sessions without Stroop (p = .05) indicating an analgesic effect of Stroop. Participants were subgrouped into CPM responders and CPM non-responders according to CPM effects in the first two sessions. CPM non-responders (n = 13) showed facilitation to repeated noxious stimuli in all sessions with no effect of conditioning or Stroop (p = .02). Attention and CPM both modulate pain in healthy men. Attention-induced analgesia works in CPM non-responders. Results indicate that attention and CPM are not the same and that they do not demonstrate additive effects when applied in sequence. Pain sensitivity is reduced after an attention task in healthy men. The delayed effects from attention only have minor effects on Conditioned Pain Modulation (CPM), and results support that attention-driven analgesia works independently of CPM. Results indicate that in idual strategies for pain inhibition exist and that an overlap between the mechanisms of CPM and selective attention is limited. Moreover, painful phasic stimuli may increase the number of healthy volunteers with negative CPM effects.
Publisher: Universidad San Jorge
Date: 2022
Abstract: Las acciones dirigidas a la mejora de la seguridad y de la salud laboral surgieron de la necesidad de proteger frente a los accidentes a los empleados que trabajaban en industrias europeas como en centrales nucleares o en industrias químicas de gran escala. Actualmente, este c o ha evolucionado en multitud de direcciones, siendo la prevención y el manejo de los trastornos musculoesqueléticos (TME) una de sus principales líneas de actuación, debido a que son el principal motivo de baja laboral en los trabajadores. Concretamente, la prevalencia de los TME representa más de 1,3 mil millones de personas y una pérdida de más de 100 millones de años de vida por incapacidad siendo una causa común de incapacidad y de bajas laborales. Históricamente, el abordaje de los TME desde el lugar de trabajo se ha focalizado en la adopción de medidas ergonómicas, lo que ha sido positivo en algunos casos. Sin embargo, a pesar de las ergonómicas y biomecánicas llevadas de manera generalizada en los puestos de trabajo, el aumento de la prevalencia de los TME a escala global indica que no son medidas suficientes por si solas., Por lo tanto, nuevos enfoques holísticos que tengan en cuenta aspectos biológicos, psicológicos y sociales para su abordaje son necesarios. Desde la Alianza Europea Prevent4Work para la prevención de los TME en el ámbito laboral, se ha elaborado este documento en forma de guía en base al conocimiento científico más reciente y relevante. Tanto las empresas como sus trabajadores se pueden beneficiar de las recomendaciones de esta guía.
Publisher: Prevent4Work
Date: 2021
Abstract: Históricamente, el papel de los profesionales especializados en la seguridad y salud ocupacionales (OHS, por sus siglas en inglés) surgió de la necesidad de proteger a los empleados que trabajaban en industrias de alto riesgo, como en centrales nucleares o en industrias químicas de gran escala en Europa. Más recientemente, ersos estudios señalan que el rango de actividades vinculadas con las responsabilidades de gestión de la seguridad y salud ocupacionales deben incluir control y preparación de informes inspección y verificación cumplimiento normativo respuesta ante emergencias investigación de accidentes evaluación de amenazas y riesgos y formación. Además, hay algunos deberes suplementarios no relacionados directamente con la seguridad, como incluir responsabilidad ecológica. Al considerar que los trastornos musculoesqueléticos en el ámbito laboral (WRMD, por sus siglas en inglés) son un problema a escala mundial, -suman más de 1,3 mil millones de casos una pérdida de más de 100 millones de años de vida por incapacidad y que dichas enfermedades son causas comunes de incapacidad y de bajas laborales - este ámbito es muy importante para los profesionales especializados en la seguridad y salud ocupacionales. En los Estados Miembros de la Unión Europea sobre los que hay datos disponibles, una gran mayoría de los trabajadores informan de quejas relacionadas con los trastornos musculoesqueléticos como sus problemas de salud laborales más graves. El porcentaje de trabajadores que informan de esas quejas como sus problemas más graves oscila entre el 40% en Luxemburgo al 70% en la República Checa y en Finlandia. Además, más de la mitad de los trabajadores con trastornos musculoesqueléticos informaron de haber estado de baja laboral en un periodo que comprendía los últimos 12 meses. En la Unión Europea, el 26% de los trabajadores con trastornos musculoesqueléticos de larga duración (es decir, de más de 3 meses) combinadas con otros problemas de salud, informaron de más de 8 días de ausencia laboral al año. Los Centros de Enseñanza Universitarios tienen un papel clave a la hora de diseminar y de aumentar la accesibilidad de las evidencias más actualizadas disponibles, en cuanto al impacto y a la gestión de trastornos musculoesqueléticos para facilitar la implementación del conocimiento en la puesta en práctica. De esta manera, la Alianza Europea para la prevención de los trastornos musculoesqueléticos en el ámbito laboral Prevent4Work, ha elaborado este documento en base al conocimiento más reciente y relevante en este ámbito. Se pueden beneficiar de las recomendaciones aquí presentadas los Centros de Enseñanza Universitarios que ofrezcan cursos de seguridad y salud ocupacionales, así como los cursos universitarios y de posgraduado para profesionales de la salud que trabajen en dicha área.
Publisher: BMJ
Date: 09-2021
DOI: 10.1136/BMJOPEN-2021-052602
Abstract: Work-related musculoskeletal (MSK) pain is a highly prevalent condition and one of the main contributors to disability and loss of work capacity. Current approaches to the management and prevention of work-related MSK pain do not consistently integrate current evidence-based knowledge and seem to be outdated. The Prevent4Work (P4W) Project aims to collect and spread evidence-based information to improve the management and prevention of work-related MSK pain. P4W will longitudinally investigate (1) risk factors associated with the prevalence of work-related MSK pain, (2) predictive factors for new events of work-related MSK pain in the short term and (3) the modification of pain beliefs after participating in evidence-based e-learning courses. This project employs a mixed-methods design with international cohorts of workers from Spain, Italy and Denmark. All participants will be assessed using self-reported variables at baseline (ie, cross-sectional design) with follow-up after 3 and 6 months (ie, prospective–predictive design). Throughout the first phase (0–3 months), all participants will be offered to self-enrol in e-learning courses on work-related MSK pain. Changes in pain beliefs (if any) will be assessed. The dataset will include sociodemographic characteristics, physical and psychological job demands, lifestyle-related factors, MSK pain history and pain beliefs. At baseline, all participants will additionally complete the P4W questionnaire developed to detect populations at high risk of suffering work-related MSK pain. Descriptive statistics, binary logistic regression, and analysis of variance will be used to identify the significant factors that influence the history of work-related MSK pain, evaluate the short-term prediction capacity of the P4W questionnaire, and investigate whether workers’ participation in e-learning courses will modify their pain beliefs. The study received ethical approval from the Ethical Committee of San Jorge University (USJ011-19/20). The results will be made available via peer-reviewed publications, international conferences and P4W official channels.
Publisher: BMJ
Date: 02-2020
DOI: 10.1136/BMJOPEN-2019-032668
Abstract: Musculoskeletal (MSK) pain is the primary contributor to disability worldwide. There is a growing consensus that MSK pain is a recurrent multifactorial condition underpinned by health and lifestyle factors. Studies suggest that education on work-related pain and in idualised advice could be essential and effective for managing persistent MSK pain. The objective of this scoping review was to map the existing educational resources for work-related MSK (WRMSK) pain, and the effects of implementing educational strategies in the workplace on managing WRMSK pain. This scoping review assessed original studies that implemented and assessed education as a strategy to manage WMSK pain. Literature search strategies were developed using thesaurus headings (ie, MeSH and CINAHL headings) and free-text search including words related to MSK in an occupational setting. The search was carried out in PubMed, CINAHL, Cochrane Library and Web of Science in the period 12–14 February 2019. A total of 19 peer-reviewed articles were included and the study design, aim and outcomes were summarised. Of the 19 peer-reviewed articles, 10 randomised controlled trial (RCT) studies assessed the influence of education on work-related MSK pain. Many studies provided a limited description of the education material and assessed/used different methods of delivery. A majority of studies concluded education positively influences work-related MSK pain. Further, some studies reported additive effects of physical activity or ergonomic adjustments. There is a gap in knowledge regarding the best content and delivery of education of material in the workplace. Although beneficial outcomes were reported, more RCT studies are required to determine the effects of education material as compared with other interventions, such as exercise or behavioural therapy.
Publisher: BMJ
Date: 04-2021
DOI: 10.1136/BMJOPEN-2020-043800
Abstract: This study aims to define appropriate domains and items for the development of a self-administered questionnaire to assess the risk of developing work-related musculoskeletal disorder (WMSD) and the risk of its progression to chronicity. Literature review and survey study. A literature review and a two-round interview with 15 experts in musculoskeletal pain were performed to identify the available domains for WMSD assessment. To ensure quality, only validated questionnaires were included for the Delphi process. A three-round Delphi method, with three round steps, was used to select the most pertinent and relevant domains and items. Nine questionnaires were identified through the expert discussion and literature review, comprising 38 candidate domains and 504 items. In the first round of the Delphi group, 17 domains reached more than 70% agreement and were selected. In the second round, 10 domains were rejected, while 11 were selected to complete the pool of domains. In the third and final round, 89 items belonging to 28 domains were defined as significant to develop a WMSDs risk assessment questionnaire. No specific risk assessment questionnaires for WMSDs were identified from the literature. WMSD risk of presence and chronicity can be defined by an assessment tool based on the biopsychosocial model and the fear-avoidance components of chronic pain. The present study provides the formulation and operationalisation of the constructs in domains and items needed for developing and validating the questionnaire.
Publisher: BMJ
Date: 12-2021
DOI: 10.1136/BMJOPEN-2021-053988
Abstract: The aim of this study was to develop a multifactorial, self-report questionnaire: Prevent for Work Questionnaire (P4Wq). The questionnaire is intended for screening for risk factors in work-related musculoskeletal disorders (WMSDs). Data were collected from otherwise healthy workers employed in three service areas at a specialist hospital in Italy: healthcare, administration and ancillary services. In all, 115 participants were enrolled (67% women average age 41.5±9.94 years). The content of the tool for WMSDs was derived from three participation rounds of analysis involving a select group of experts who identified the questionnaire domains and items. Participants responded to 89 items in addition to the EuroQol 5 Dimensions Questionnaire (EQ-5D-5L), Fear-Avoidance Beliefs Questionnaire (FABq) and Oswestry Disability Index (ODI). The proportion of missing data and the distribution of responses were analysed for each item. Items with a discrimination index .40 and an interitem correlation .80 were retained. Factor analysis was performed using the VARIMAX rotation method, factor extraction, and identification, assignment of items to subscales, and assignment of scores to items. Internal consistency, reliability, construct validity and face validity were also assessed. A total of 52 items were included in the factor analysis and four subscales identified: Physical Stress Subscore (six items) Mental Stress Subscore (six items) Job Satisfaction Subscore (four items) and Kinesiophobia/Catastrophizing Subscore (four items). The items in the final questionnaire version had a factor loading .7. The questionnaire consisted of 20 items with good internal consistency (Cronbach’s alpha 0.81–0.91), reliability (weighted kappa coefficient 0.617–1.00), good construct validity (EQ-5D-5L, r=−0.549, p .001 ODI, r=0.549, p .001 FABq work, r=0.688, p .001) and satisfactory face validity (universal validity index 96.04%). The P4Wq is a 20-item, multifactorial self-report risk assessment questionnaire. It may provide a useful tool for screening for WMSDs by specifically addressing back disorders. It investigates risks for in idual workers and may inform educational programmes and preventive strategies tailored to a worker’s needs. NCT04192604
Publisher: BMJ
Date: 16-09-2021
Publisher: Universidad San Jorge
Date: 2022
Abstract: Le azioni volte a migliorare la salute e la sicurezza sul lavoro sono nate dalla necessità di proteggere dagli incidenti i dipendenti che lavorano nelle industrie europee, come le centrali nucleari o le grandi industrie chimiche. Oggi, questo c o si è evoluto in molte direzioni, e la prevenzione e la gestione dei disturbi muscoloscheletrici (DMS) è una delle sue principali linee d'azione, dato che sono la ragione principale per cui i lavoratori si assentano dal lavoro. In particolare, la prevalenza dei DMS rappresenta più di 1,3 miliardi di persone e una perdita di più di 100 milioni di anni di vita a causa della disabilità sono una causa comune di inabilità e di assenza per malattia. Storicamente, l'approccio ai DMS sul posto di lavoro si è concentrato sull'adozione di misure ergonomiche, che in alcuni casi sono state positive. Tuttavia, nonostante le misure ergonomiche e biomeccaniche siano iamente implementate sul posto di lavoro, la crescente prevalenza dei DMS su scala globale indica che non sono misure sufficienti da sole, quindi sono necessari nuovi approcci olistici che tengano conto degli aspetti biologici, psicologici e sociali per affrontarli. L'Alleanza europea Prevent4Work per la prevenzione dei DMS sul posto di lavoro ha sviluppato questo documento come guida basata sulle più recenti e rilevanti conoscenze scientifiche. Sia le aziende che i loro dipendenti possono beneficiare delle raccomandazioni di questa guida.
Publisher: Universidad San Jorge
Date: 2022
Abstract: Actions to improve occupational health and safety arose from the need to protect employees working in European industries, such as nuclear power plants or large-scale chemical industries, from accidents. Today, the field has evolved in many directions, with the prevention and management of musculoskeletal disorders (MSDs) being one of its main lines of action. MSDs are the main reason for workers to take time off work. Specifically, the prevalence of MSDs represents more than 1.3 billion people and a loss of more than 100 million years of life due to disability they are a common cause of disability and sick leave. Historically, the workplace approach to MSDs has focused on adopting ergonomic measures, which has been positive in some cases. However, despite ergonomic and biomechanical measures being widely implemented in the workplace, the increasing prevalence of MSDs globally indicates that they are not sufficient measures on their own. Therefore, new holistic approaches that take biological, psychological, and social aspects are needed to address them. The European Prevent4Work Alliance for innovative measures to prevent MSDs in the workplace has developed this document as a guide based on the most recent and relevant scientific knowledge. Both companies and their employees can benefit from the recommendations of this guide
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Morten Hoegh.