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      Usually, the alignment between the user and the computer components and accessory devices is not proper. This makes it difficult for the user to maintain good postures, such as straight wrists, elbows close to the body, and head straight and in -line with the torso. Let’s see a few instances that we face in our everyday life to which causes such misalignment:


 

  1. When your monitor is positioned too high, you tend to tilt your head back, which fatigues the neck and shoulder muscles.  

 

  1. If your keyboard tray is too small, you tend to move the mouse to a position of the desk that requires you to reach to perform mouse tasks. This pulls the elbow away from the body and can cause you to support your arm in an elevated position for prolonged hours leading to discomfort and fatigue.

 

  1. If your keyboard is too low, you tend to bend your wrists at extreme angles, which can cause the finger tendons and tendon sheaths to bend around the bones of the wrist. Sitting in such awkward postures irritate or strain the bone-tendon-muscle connections.

 

4.      Muscles when stretched or compressed become inefficient resulting in possible fatigue and overexertion.

 

  1. Postures that are not neutral ones can pull and stretch tendons, blood vessels, and nerves over ligaments or bone thus increasing their chances of becoming pinched and restricted.

 

  1. Tendons and their sheaths can rub on bone and ligaments leading to irritation and fraying. This in turn leads to swelling within confined areas such as the carpal tunnel, which then restricts nerves and blood vessels.

 

  1. The user may also suffer from tingling and numbness of the fingers and hands as well as pain from tendonitis and tenosynovitis (inflammation of a tendon sheath). If the workstation is properly adjusted, it can help the users to minimize awkward postures. It is ideal to place the monitor in front of you at a height where you can look straight ahead and not tilt your head forward or backward. You can keep the items that you access frequently such as keyboards and pointing devices very near to you so that you don’t have to strain yourself while reaching out for them every time.

 

  1. You need to adjust and position keyboard trays and chairs so that you don’t have to bend your wrists up, down, or to the side. Adjust the chair so as to give good support to your feet and back. If you maintain proper neutral postures, you can work with minimal stress on the musculoskeletal system.

 

Contact Stress

 

     There are two types of contact stress - internal and external. When a tendon, nerve, or blood vessel is stretched or bent around a bone or tendon, you suffer from internal contact stress. When a part of your body rubs against a component or device in the workstation, like chair seat pan or the desk edge, you are said to be suffering from external contact stress. This may lead to irritation of the nerves or contraction of the blood vessels.

 

  1. The users experience contact stress to their forearms when they rest them on the leading edges of worktables or, if the nerves in the forearm are affected, their fingers and hands may tingle and feel numb, similar to the feeling when they hit their "funny bone".

 

  1. If blood circulation is cut off by contact with the leading edge of a chair, the users are sure to experience pain and numbness in their legs.

 

  1. The forearms and wrists can be affected if the edges of the wrist rests are sharp and hard leading edges.

 

  1. If the wrist is kept bent throughout the jobs like typing which is a repetitive finger motion task, the tendons are sure to get damaged.

 

     You can solve such problems by carefully selecting wrist rests, chairs, and desk surfaces as well as by taking frequent rest and stretch breaks to minimize the amount of contact stress that you may experience. Your workstation should be adjusted in such a way as to maintain neutral wrist postures.

 

Force

     Usually, when we talk about force, it is thought of as a strenuous physical exertion, such as when lifting a heavy weight or pushing a heavy load. In computer parlance, force is totally different from the usual definition. Computer work seldom requires this type of laborious exertion, but there are tasks that require concentrated force that can affect smaller, localized muscle groups.

 For instance.

 

  1. Pretend you are using a pointing device that is too sensitive that you find it so difficult to control. There are all chances that your finger and forearm muscles become sore because the muscles of hand and arm must work hard continually to keep the device steady.

 

  1. Pretend your mouse is placed very far from you that you have difficulty reaching for it every time. This time what really happens is that your shoulder and neck muscles become strained as they are continually being used to lift the arm away from your body.

 

  1. Pretend your monitor is kept very high from the recommended height. You tend to tilt your head back to get a clear view of the monitor. This time the muscles of your back can become strained due to continued use.

 

     Normally, when injuries happen, the first point of pain is the muscle. But, the tendon, which attaches the muscle to bone, can also be affected. Localized pain, stiffness, and tenderness are some of the symptoms showing that the muscle or tendon has been exerted beyond its capacity. If you arrange the computer and associated components in your workstation properly and appropriately, so as to maintain neutral postures, you can avoid such problems to a large extend. Select adjustable furniture so that you can minimize the amount of time spent in one posture.

 

General Controls

Keep in mind the following body postures when you arrange your work components and purchase new equipments:

  1. Do not bent or twist your head and neck. Keep them vertical and in-line with the spine.

 

  1. Maintain a straight torso. It should not be twisted, especially when lifting or bending.

 

  1. Whether in standing or sitting postures, keep your torso vertical or within 20 to 30 degrees of vertical.

 

  1. Avoid reaching your elbows frequently to your side, in front, or above your head. Keep them close to your body.

 

  1. Your forearms should be placed approximately parallel to the floor.

 

  1. Do not rotate your forearm repeatedly, especially when your wrist is bent. Try to maintain a neutral forearm posture whenever possible.

 

  1. Your wrists should be kept straight and in-line with your forearms. Do not bent them up or down or to either side.

 

8.      Your thighs should be placed approximately parallel to the floor and your hips slightly higher than your knees.

 

  1. Your feet should be placed firmly on the floor and your legs approximately perpendicular to the floor.

 

  1. Your keyboard and mouse should be placed close together at about the same height to minimize reaching.

 

  1. If you use a fully adjustable chair, it supports your body fully so that you can change your body postures frequently.

 

  1. Your work surface should be height adjustable so that multiple users can sit with their feet firmly on the floor. Do use an adjustable footrest if the work surface is not fully adjustable.

 

13. All frequently used components such as monitor, keyboard, and mouse should be placed in front of you so that you don’t have to turn your head from side to side every time you reach them.

  Learn more about Healthy Computing habits.


  1. Your monitor needs to be placed low enough so its top is not above your horizontal line of sight. This will minimize the need for you to tilt your head backward to see the screen.

 

  1. It is important to provide auxiliary, full-sized, keyboards and monitors if you are using laptops as primary work computers where intensive keyboard use is necessary.

 

Repetition

 

     Most of the jobs that we do on the computer are highly repetitive in nature. We may perform the same motions repeatedly at a fast pace and with little variation. The recovery time for the muscles and tendons become insufficient when your motions are isolated and repeated frequently for prolonged periods. The risk of injury is more if you combine repetitive tasks with factors such as awkward postures and force.

 

  1. Computers require little task variation. Old typing activities, such as adding paper or mechanically advancing pages, have been reduced or eliminated. Now, users can stay in their chairs and type/perform mouse work for prolonged hours. A proficient typist can easily perform more than 18,000 keystrokes per hour in such conditions. Such kind of repetitive motions can cause tendon and tendon sheath injuries, especially if the wrist is bent during the activity.

 

  1. The same is the case while using a pointing device such as a mouse. Here, the risk is greater because the concentration is only on a few fingers of a single hand.

 

3.      Most of the computer operators usually remain in essentially the same posture for an entire shift. This forces a few isolated muscles to repeatedly activate to accomplish a task such as holding the head up or focusing on a computer screen.

 

  1. A poorly designed workstation may force the user to repeatedly reach to use a mouse or answer the phone. This can fatigue the muscles of the shoulder and irritate the tendons.

 

     By properly arranging the workstation and its components, you can reduce repetition. Ideally, a mouse that is placed close to the keyboard should minimize repetitive reaching. However, for jobs like data entry operation, even the best-designed workstation cannot eliminate all highly repetitive motions.

 

     Hence, it is extremely important to maintain good posture by providing adequate adjustability at the workstation. All hand jobs should be performed with the wrist in a straight, neutral posture to allow the tendons to slide easily without interference. The following work process suggestions may also help reduce repetition.

 

  1. Task Rotation or Job Enlargement - Doing the same job for prolonged hours in front of the computer is monotonous as well as tiring. If your job involves a variety of other tasks too along with the computer job, manage your time and mix the tasks so that you don’t have to strain yourself from doing the same job for long time. Other non-computer tasks such as photocopying, phone work, filing papers, cleaning up, etc. can be done taking short breaks.

 

2.      Micro Breaks or Rest Pauses. You need to make it a habit to take short rest pauses while doing computer tasks. It is recommended to take short breaks frequently to avoid any kind of stress or strain. You can look at a farther distance, stretch your arms and feet, get up from your chair, or walk for sometime every hour taking a five-minute break. By taking such brief rest pauses, you are giving ample time for your muscles and tendons to recover.

 

 

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Note: While every care is taken to provide medically accurate and up to date information in this web site, it is to be noted that this advice is not intended to replace the advice of your physician. Before undertaking the advice contained in this web site, you should consult a medical professional.

 

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