Do you work an office job? Chances are that you do or at least you spend a lot of time behind a computer screen.
Did you know regular computer users perform 50,000 to 200,000 keystrokes each day? Under certain circumstances and for vulnerable individuals, frequent computer use that involves awkward postures, repetition, and forceful exertions may be related to nerve, muscle, tendon, and ligament damage.
If you use a computer extensively (several hours each day), many experts recommend that you consider proper workstation layout and posture techniques to minimize your risk of developing injuries of the hand/arm, shoulder, neck, and back.
Overuse injuries develop over time, and may set in more quickly if you spend long hours sitting at a computer at home, as well as at work.
Symptoms
Symptoms of a problem can include numbness in the fingers, sore wrists, lower back pain, or eyestrain (redness, dryness, soreness, temporary blurring of vision, and headaches).
You may also develop general aches and pains in the neck, shoulders, arms, back, thighs, and lower legs (postural fatigue) or persistent pain or discomfort in muscles, tendons, and other soft tissue (repetitive strain injury).
Injury Prevention
To avoid most computer-related overuse injuries, some experts suggest that to reduce your risk:
- Use a properly set-up workstation.
- Use correct posture including keyboard and pointing device techniques.
- And most importantly, take frequent rest breaks. (Orthoinfo, 2019)
Chair
Using a chair that provides for your needs is one of the most important things to reduce pain or injury over time. Many people find that a good chair is one that adapts to their bodies. You may want to choose one that is stable and adjusts easily for height and tilt. Consider a chair with a backrest that supports the curve of your lower (lumbar) back. Sit back in the chair when you work at a computer.
Experts suggest that you consider positioning your thighs horizontal with your knees at about the same level as your hips. Rest your feet comfortably on the floor or on a footrest if you need one.
Other things to consider are:
- Does it support your forearms with adjustable armrests that position your elbows near your waist?
- Is there a padded seat with a pan at least one inch wider than your hips and thighs?
- Does it slope down slightly and allow a 2 to 3 finger breath-space between the seat cushion and the back of your knees when sitting?
- Does it have at least 5 points that roll on wheels?
The more your chair checks off these questions, the better it will be for your everyday use.
Work Surfaces
Many people may be most comfortable when the height of the desks is at about elbow level when sitting down. Check that there is enough room below the work surface to comfortably fit your knees and thighs.
Consider having the height of the surface holding your keyboard and mouse or trackball about 1 to 2 inches above your thighs. Center the keyboard in front of your body.
Many experts suggest that when you use a correctly positioned keyboard:
- Your elbows stay near your body in an open angle allowing circulation to the lower arms and hands.
- Your arms are nearly perpendicular to the floor.
- Your wrists are nearly straight.
You may be more comfortable if you use your arm, not just your wrist, to move the mouse. Choose a mouse that fits the size of your hand comfortably and is as flat as possible to minimize wrist strain.
Posture, Keyboard, and Pointing Techniques
When you use a properly set-up workstation, you can sit at the computer in a natural (neutral), relaxed position that may help reduce your risk of developing musculoskeletal injuries:
- Spine: Ears are in line with tops of shoulders, and shoulders in line with hips.
- Shoulders: Upper arms hang relaxed and close to the body.
- Wrists: Hands are in straight lines with lower arms.
Keyboarding and pointing techniques:
- Keep your fingers relaxed while typing and using a mouse.
- Use a soft touch on the keyboard instead of pounding keys with unnecessary force.
- Grasp the mouse gently.
- Avoid holding a pen or anything else in your hands while you type or use the mouse.
- Relax your fingers and hands between bursts of typing or mousing using a flat, straight wrist posture.
Additional tips:
- Don’t rest your elbows on hard surfaces.
- Rest your eyes occasionally by focusing on distant objects (i.e., look out a window). (OrthoInfo2019)
Frequent Rest Breaks
The body is not designed to sit still, even in correct position, for long periods of time. Some individuals find that using a computer extensively can cause discomfort, so regular pauses are not a waste of time. Change your seated position occasionally, stand up or stretch whenever you start to feel tired. Depending upon your work and environment, you may want to take breaks.
Basic stretching exercises can help keep limber the joints and muscles you use when you sit at a computer. Some examples:
- General: Stand up and stretch your arms over your head.
- Neck: Tilt your head to one side (ear to shoulder); hold; relax; repeat on other side.
- Shoulders: Slowly bring shoulders up to the ears and hold briefly.
- Wrist: Hold arm straight out in front of you; pull hand backwards with other hand, then pull downward; hold; relax; repeat with other hand.
Laptop Computers
Some individuals may find the design of a laptop computer is inherently problematic because the screen and keyboard are not in separate places. When you use a laptop, either your head/neck bends to see the screen, or your hands/wrists use poor posture at the keyboard. If you use a laptop frequently, consider buying either an external monitor or an external keyboard to improve the workstation set-up. If you use a laptop only occasionally, you may find that positioning the computer in your lap for the most neutral wrist posture is most comfortable.
What are some tips and tricks you’ve learned over the years? Do you have a favorite chair or desk? Let us know in the comments below!
