Workstation Health and
Fitness for RSI
by: Gerard Bulger
Repetitive Strain Injury (RSI)
is now a major industrial disease affecting millions of people
around the world. RSI includes conditions such as carpel
tunnel syndrome, tenosynovitis and tendinitis - often c
ollectively referred to as upper limb disorders,
musculoskeletal disorders, occupational overuse syndrome (OOS),
computer related injuries or cumulative trauma disorders, or
CTD. Often the posotion of
workstations and the design of the pc and accessories can
affect how our health and safety.
1. Workstation Ergonomics
A well designed workstation is essential to maintaining good
posture and reducing the risk of lower back pain and other
computer related injuries.
2. Ergonomic Keyboards and Mice
There are quite a few ergonomically designed keyboards and mice
available. The Microsoft Natural Keyboard is one example. This
keyboard splits the keys into two panels - one for each hand,
and angles each panel so that the hands sit naturally on the
keyboard, rather than requiring them to be twisted into an
unnatural position which is the case with normal keyboards.
Many mice are now designed to fit neatly into either hand, and
can often have a scrolling wheel, which can make scrolling
through documents easier and less stressful than using scroll
bars.
These ergonomic devices are generally more expensive than
standard designs, but can be well worth the investment.
3. Ergonomic Use of Keyboards and Mice
The computer mouse was originally designed to make using a
computer easier - it is much easier to point at a picture and
click than to learn a relatively complicated series of
keystrokes. However, research has shown that using a mouse is a
significant cause of repetitive strain injury. Especially if
the mouse is located at the same level and to the side of the
keyboard - it's usual location. This requires extending your
arm which introduces significant tensions and stresses in your
arm, shoulder and neck.
The best position for your mouse is on a raised platform
slightly above the numeric keypad on your computer. Also, if
you reduce the speed of the mouse and the number of clicks you
have to make you can greatly reduce the muscle tension in your
arm and hand. Additionally, you can swap the primary and
secondary mouse buttons (the left and right buttons), to change
the mouse from being right handed to left handed. Using your
left hand - or right hand if you are left handed - can take
some getting used to, but can be very helpful if you are
suffering from any aches and pains in one hand. Regularly
alternating between left and right hands can also give your
arms and hands a rest, thus minimizing the risk of developing
any RSI condition. You can swap the mouse buttons using the
Mouse applet in the Windows Control Panel - or directly from
the Stress Buster context menu - with fewer mouse clicks and/or
key strokes.
To reduce the mouse speed, open the Mouse applet in the Windows
Control Panel, select the tab Pointer Options and move the
pointer speed slider to the left to slow. Click OK.
To reduce the number of clicks you have to make, open the My
Computer icon, then select Tools, Folder Options, and then
under Click Items As Follows, choose Single-click to open an
item.
If you can you should avoid using the mouse as much as
possible. Most actions and commands can be carried out using
keyboard shortcuts instead of the mouse. For example, to reduce
the number of clicks you have to make with your mouse - as
described above, you could use the following keyboard
shortcuts:
Press the button on your keyboard to open the Windows Start
Menu.
Use the arrow keys to select My Computer (or the alternative
name you may have given to your computer), and then press Enter
or Return. This will open an explorer window for your
computer.
Hold down the Alt key and press "T" to open the Tools menu,
then press "O" to open Folder Options.
In Folder Options, hold down the Alt key, and press "S". This
will select the option Single-click to open an item.
Press Enter or Return to close the Folder Options dialog.
Windows Help provides extensive help on using keyboard
shortcuts with Windows. Individual applications such as
Microsoft Office also have their own keyboard shortcuts - with
the appropriate help. Learning keyboard shortcuts can take some
time, but once learnt, using them tends to be faster than using
the mouse, and avoids much of the discomfort associated with
the mouse.
4. Rest Breaks
All ergonomic experts agree that taking frequent rest breaks is
essential to avoid the risk of computer related injuries.
You should take frequent "eye breaks" - staring at a computer
monitor for long periods causes you to blink less often -
resulting in dryer eyes. Every 10 to 15 minutes you should look
away from your monitor and blink your eyes rapidly for a few
seconds. This will refresh the tear film and clear any dust
from the surface of the eyes. Additionally you should focus on
something at a distance - preferably 20 feet or more away -
look out of the window if you can - this will relax the muscles
inside the eye.
You should take frequent short pauses or "micro pauses" - for
10 seconds or so up to a minute - every 10 minutes or
thereabouts. You should take regular short breaks - for 5
minutes or more - every hour or so - maybe go for a coffee or a
short walk around the office, and you should take a long break
every two or three hours - for at least 15 minutes, or
preferably 30 minutes to an hour. Exactly how long and how
frequent your breaks are depends on your own personal
preferences and working environment.
5. Stretching Exercises
Regular stretching is an essential part of RSI prevention and
recovery, remember that your body is not designed to be sat at
a desk for 8 hours a day clicking a mouse. Respect your body
and give it the movement and range of motion it normally
expects.
6. Posture
Good posture is essential to avoid repetitive strain injury and
other computer related injuries. Well designed workstation
ergonomics can help in maintaining a good posture.
Make sure that you can reach the keyboard with your wrists as
flat as possible (not twisted up or down) and straight (not
twisted left or right). An ergonomic keyboard can help to keep
your wrists straight.
Make sure that your elbow angle is 90 degrees or more to avoid
nerve compression at the elbow.
Make sure that your upper arm and elbow are as close to the
body and as relaxed as possible for mouse use - avoid
overreaching. Also make sure that your wrist is as straight as
possible when the mouse is being used.
Make sure that you sit back in the chair and that you have good
back support - especially lumber support.
Make sure that your feet are flat on the floor. Use a foot rest
if necessary.
Make sure that your head and neck are as straight as possible
.
Make sure that you are relaxed. Forcing yourself to sit up
straight can sometimes introduce unhealthy tensions in the back
muscles.
7. Alternative Input Devices
There are a number of alternative input devices you can use,
instead of the mouse and keyboard, which you might find
helpful. Examples are the trackball, a graphics table and pen,
a touchpad, and even voice control.
RSI is a very serious health risk, especially with the young
people who are coming to any industry sector that has
continuous use of a PC. You need to take all the actions and
preventions necessary to help minimize that risk.
About The Author
Gerard Bulger is a part of the company www.threadbuilder.co.uk/
which creates Stress Buster the automated background program
that monitors peoples computer usage and indicates when breaks
should be taken to help alleviate RSI.
gbadvice@yahoo.co.uk
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