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Santiago, Rui José

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  • The portuguese Osteopathic Practitioners Estimates and RAtes (OPERA): A cross-sectional survey
    Publication . Santiago, Rui José; Nunes, Alexandre; Esteves, Jorge Eduardo; Cerritelli, Francesco; Verbeeck, Johan; Lopes, Sónia; Paquete, Manuel; van Dun, Patrick
    A voluntary online-based survey was distributed across Portugal between February and June 2020. The survey, composed of 52 questions and seven sections, was formally translated from English to Portuguese and adapted from the original version. Two pilot tests evaluated cultural adaptation and reproducibility. Adult, self-defined osteopaths working in Portugal were eligible. Recruitment of participants was performed through social media and an e-based campaign. A total of 222 osteopaths participated in the study, 143 were male (64%), aging between 30 and 39 years (42%), mainly working in Lisbon (30%). Most respondents had preliminary healthcare training (68%), mainly as massage therapists. The majority of respondents were self-employed (83%), owner of a clinic (55%) and working alone (59%). The median number of consultations per week was 21–25 and respondents scheduled 46–60 min for each consultation. The majority of patients seek care for lumbar (52%), cervical (38%) and upper spine (38%) complaints. Although most respondents experience a strong osteopathic identity, they do not advertise themselves exclusively as osteopaths. This study represents the first nationwide document to determine osteopaths' characteristics in Portugal. The study results provide a basis for future surveys that will include cohorts with higher levels of education, as well as findings from other European countries.
  • Response to: Models and theoretical frameworks for osteopathic care - A critical view and call for updates and research
    Publication . Santiago, Rui José; Campos, Bruno; Moita, João; Nunes, Alexandre
    Practicing osteopathy in a country where it has recently been regulated at an academic level, and recognizing the absolute importance of background education in professional practice.
  • Total forearm support during a typing task may reduce the risk of Trapezius' Myalgia development.
    Publication . Santiago, Rui José; Baptista, João Santos; Magalhães, André; Costa, José Torres
    Evaluate the influence of alternating the position of the upper limbs, between fully supported and unsupported forearms, in the Upper Trapezius (UT) activity during a typing task on a straight-edged desk. Ergonomic barriers, such as reduced desk area, is one of the reasons that force computer users to work without supporting their forearms. Unsupported forearms may lead to increased UT muscle fatigue, increasing the potential for lesions, with Trapezius Myalgia (TM) being a possible outcome. 15 healthy volunteers were assessed (6 females, average age of 3,7 ± 9,5 years old). The protocol included an alternated position of forearms every 5 min between fully supported and unsupported forearms, with a 20-min total duration of a typing task. Surface electromyography readings were collected from both UTs. Significant differences were found in the variation of the EMG signal between the two positions for the non-dominant arm after 10 min (p < .05) of typing. The non-dominant UT registered higher levels of activity than the dominant UT. Supported forearms reduced the electrical activity in both UTs, with a greater difference in the non-dominant. This study consolidates the current knowledge that unsupported upper limb during typing tasks significantly increases UT’s electrical activity. By fully supporting the forearm, that activity is reduced. Females and the non-dominant UT showed higher electrical activity, potentially increasing the risk of developing TM. Healthcare providers, safety and health professionals, and ergonomists should be mindful of the forearm position when advising computer users to prevent TM.