Musculoskeletal Research Group - Department of Public Health and Nursing - Faculty of Medicine and Health Sciences
Activity, Sleep and Pain

Sleep, pain and participation in education and work
In short: This project aims to improve our understanding of how sleep, pain, and social factors interact during this important stage of life. Using device-measured sleep data, we will investigate how sleep behaviours and sleep disorders, alone and in combination with chronic pain, influence the risk of school dropout and the use of healthcare services. We will also examine how family relationships and the school environment may shape these associations. Building on this knowledge, we will develop and evaluate a video-based psychoeducational tool designed to help young adults with chronic pain improve their sleep habits and sleep quality. By improving sleep, we hope to support greater participation in education, work, and everyday life. The project brings together researchers and partners from NTNU, St. Olav’s University Hospital, the Norwegian Labour and Welfare Administration (NAV), and Trondheim Municipality to address this important public health challenge.
Contact person: Eivind Schjelderup Skarpsno
Project members involved: Karen Hara, Elisa Maharjan, Charlotte Hessevik
Project period: 2026-2030
Funder: Stiftelsen Dam
Supporting health and work participation in midlife women
In short: This project aims to address 4 of the 10 highlighted knowledge gaps in menopause research: (1) risk factors and strategies to manage sleep disturbances; (2) impact of different lifestyles in different stages of menopause; (3) identification of safe and effective non-hormonal treatments; and (4) approaches to prepare women for menopause and support informed decision making. This project has close collaboration with Trondheim Municipality/Healthy Life centre, University in Bergen, Nav and University of Copenhagen.
Contact person(s): Anne Lovise Nordstoga, Hanne Finnestrand
Other members involved: Lene Aasdahl, Eivind S. Skarpsno
Project duration: 2026-2030
Funder: NTNU Health and Life Science
The role of sleep, inflammation, and genetic vulnerability in psoriasis
In short: Sleep problems are common among people with psoriasis, but we still know surprisingly little about how specific sleep characteristics, such as insomnia, affect the disease. Sleep plays an important role in regulating the immune system and inflammation, and poor sleep may contribute to both the development and progression of psoriasis. This project aims to improve our understanding of the relationship between sleep and psoriasis. We will examine objectively measured sleep patterns and insomnia in individuals with psoriasis, investigate how insomnia and inflammation interact in disease risk, and explore whether genetic predisposition to insomnia, sleep duration, and chronotype is associated with psoriasis.
Contact persons: Eivind Schjelderup Skarpsno, Mari Løset
Project members involved: Atle Kongsvold, Paul Jarle Mork
Project period: 2026-2030
Funder: Stiftelsen Dam
Physical Activity Variation
In short: In this project we are interested in maximising the information obtained from minute-to-minute, objective measurements of physical activity. Using accelerometer data collected as part of HUNT4 we aim to describe patterns and variation in people's daily physical activity, rather than relying solely on daily totals and averages. Furthermore, we are interested in whether there are potential causal relationships between differences in how physical activity is accumulated and optimal health benefits.
Contact person(s): Julia Debik, Rachel McLeod
Other members involved: Paul Jarle Mork
Project duration: 2025-2029
Funder: Onsager fellowship
Musculoskeletal Health in Menopause Transition
In short: Menopause is a natural phase of life and marks the end of the reproductive years. Studies show that women in menopausal transition are more likely to experience musculoskeletal pain compared to men in midlife and women of other ages. Increasing evidence suggests that the decline in sex hormone levels during menopausal transition influences musculoskeletal health. However, MSK pain is rarely considered as a symptom of menopause and seldom treated as such. This project aims to gain insight into the association between menopause and musculoskeletal health, and to investigate the influence on work participation. The Health Survey in Nord Trøndelag (The HUNT study) and the Norwegian Prescription Database will be used to perform the project. This knowledge can support women’s health and inform strategies to retain women at work during the menopause transition and thereafter.
Contact person(s): Anne Lovise Nordstoga, Allissa Mylan Nguyen
Other members involved: Lene Aasdahl, Eivind S. Skarpsno, Tom Ivar Lund Nilsen
Project duration: 2025-2028
Funder: Norske Kvinner Sanitetsforening
More information on the project can be found here: https://sanitetskvinnene.no/prosjektbibliotek/musculoskeletal-health-menopause-transition
LABDA
In short: LABDA is a network project funded by the EU's Marie Skłodowska-Curie Actions programme. The aim of the project is to develop advanced analysis methods of 24/7 data on physical activity and sleep. This knowledge is used in various models to study the connection between physical activity and sleep and to develop targeted interventions.
Contact person: Paul Jarle Mork
Other members involved: Rayane Haddadj
Project duration: 2023-2026
Funder: Horizon Europe, Marie Skłodowska-Curie Actions programme
More information on the project can be found here: https://labda-project.eu/
Better health for people with musculoskeletal pain
In short: This project aims to investigate the role of multimorbidity and familial factors (e.g., familial history of pain) on outcomes relevant for musculoskeletal pain management, i.e., long-term course of musculoskeletal pain, sickness absence, use of specialist healthcare and opioid medications. A series of prospective observational studies are conducted using rich data from the Health Survey in Nord-Trøndelag (the HUNT Study) linked to national registries.
Contact person: Anna Marcuzzi
Other members involved: Tom Ivar Lund Nilsen, Paul Jarle Mork, Anne Lovise Nordstoga, Sigmund Gismervik, Eivind Schjelderup Skarpsno, Lene Aasdahl
Project duration: 2022-2026
Funder: Stiftelsen Dam
More information on the project can be found here: https://osf.io/qev97/overview
SmaRTWork
In short: SmaRTWork project - a digital system for personalized return to work recommendations for sick-listed with musculoskeletal disorders. The decision support system will use "case-based reasoning" (CBR). The main principle of CBR is to use knowledge of previously successful "cases" to propose measures for new and similar "cases". The project is carried out in collaboration with the Department of Computer Technology and Informatics.
Contact person: Lene Aasdahl
Project duration: 2021-2027
Funder: Research Council of Norway
More information on the project can be found here: https://prosjektbanken.forskningsradet.no/project/FORISS/315041?Kilde=FORISS&distribution=Ar&chart=bar&calcType=funding&Sprak=no&sortBy=date&sortOrder=desc&resultCount=30&offset=0&Organisasjon.1=UoH-sektor
Non-pharmacological treatment of sleep problems in primary care
In short: Non-pharmacological treatment of sleep problems in primary care is a study investigating the effectiveness of the municipal sleep course Sleep well on insomnia severity and other sleep- and health-related outcomes among participants with insomnia symptoms.
Contact person(s): Ingebrigt Meisingset, Eivind Schejeldrup Skarpsno
Other members involved: Maria Hrozanova
More information on the project can be found here: https://www.ntnu.edu/ism/non-pharmacological-treatment-of-sleep-problems
DE-PASS
In short: The aim of this project is to identify and measure factors that influence physical activity in different age groups and arenas (school, work, leisure etc.) and use this knowledge to develop targeted interventions.
Contact person: Paul Jarle Mork
Project duration: 2021-2024
Funder: EU COST Action Programme
More information on the project can be found here: https://depass.eu/
SupportPrim
In short: The SupportPrim project will develop and evaluate decision support systems for personalized care in patients with common musculoskeletal complaints in primary health care. Case-based reasoning, an artificial intelligence approach, and risk-stratified care will be evaluated in physiotherapy and general practice.
Contact person: Ingebrigt Meisingset
Project duration: 2020-2025
More information on the project can be found here: https://www.ntnu.edu/supportprim
The physical activity behavior and sleep study
In short: This project is a collaboration with the Department of Computer Technology and Informatics. The project develops new analysis methods (machine learning) of sensor data on physical activity and sleep collected in HUNT4. The data is used, among other things, to study the connection between genetics and physical activity/sleep, as well as the connection between physical activity/sleep and various health outcomes.
Contact person: Paul Jarle Mork
Other members involved: Atle Kongsvold
Project duration: 2020-2024
Funder: NTNU Health and Life Science
More information on the project can be found here: https://www.ntnu.edu/health-lifescience/physical-activity-behaviour-and-sleep-study
Back-UP
In short: Back-UP Project aims to develop a new health care platform with a prognostic model to support more effective and efficient management of neck and lower back pain.
Contact person: Paul Jarle Mork
Project duration: 2018-2021
Funder: EU Horizon 2020
More information on the project can be found here: https://backup-project.eu/?page_id=126
HUNT4
In short: In the HUNT4 study (2017-2019) the research group was responsible for detailed recordings of physical activity among 33 000 participants over one week. The unique data hold objective information about physical activity within daily life and will be used to study associations between physical activity, disease, and common disorders in the public.
Contact person(s): Paul Jarle Mork, Tom Ivar Lund
Other members involved: Atle Kongsvold
Project duration: 2017-2019
Funder: Norwegian Research Council/NTNU
More information on the project can be found here: https://www.ntnu.edu/hunt
selfBACK
In short: The selfBACK project is coordinated by our group and aims to develop a decision support system for self-management of lower back pain.
Contact person: Paul Jarle Mork
Project duration: 2016-2021
Funder: EU Horizon 2020
More information on the project can be found here: https://www.selfback.eu/