adjusting your workstation...issues common to computer users. ehs offers guidelines on how to adjust...
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Office Ergonomics
Ergonomic Guidelines for Computer UsersFrank Gonzales, CEES, CEAS
Ergonomics Program Services
What other services are provided?
– Training sessions
Office, Industrial (can be specific to dept/job/task)
– Job Site Analysis (JSA’s)/Ergonomic Evaluations
Individuals
Groups (tasks, jobs)
– Written Documentation
Reports (problems, recommendations, etc)
– Equipment Loans
Computer Equipment, mats, knee pads, gloves, etc (as available)
When have you used
Ergonomics?
The following recommendations focus on ergonomic
issues common to computer users. EHS offers guidelines on
how to adjust your furniture, computer equipment, and work
aids; to organize your work area and tasks; and to
incorporate change and movement into your daily routine.
When improving your workstation setup,
keep in mind that changes may feel
unusual or awkward at first. It may
take a few days before they feel
natural.
Ergonomics
Designing the job to fit the
worker, not forcing the
worker to fit the job.“
Make physically
demanding job tasks as
easy on the body as
possible!
Fewer Injuries
Increased Productivity
Increased Efficiency
Improved Quality of work
Improved Employee attitude
Lower employee turnover
Makes the job easier
How Ergonomics Helps
Benefits of Ergonomics
2008 Liberty Mutual Workplace Safety Index
The estimated direct workers’ compensation costs in the United
States for the most disabling workplace injuries and illnesses in
2006 were $48.6 billion
Ergoweb estimates the total cost for ergonomics-related injuries at
$30.9 billion!! (63.6% of total disabling injuries)
– Direct cost of worker's compensation claims.
Indirect costs…… estimated 2 – 5 times the direct costs. Estimate of
true cost to USA business at $61.8 to $154.5 billion.
Office ErgonomicsIt could be worse
What is the problem?
Work related injuries
– Musculoskeletal
Disorders (MSD)
(Also called):
Cumulative Trauma
Disorders
– (Occur over time)
Repetitive Strain injury
(Repetitive motion)
– Accidents
Slips, trips and falls
Cuts
How Injuries Occur
Static Muscle Contraction
Muscles Tense
Blood Flow is reduced
Muscle Nutrition is reduced
Waste products (lactic acid) build up
Muscle pain and fatigue
Injury/Disability
Other
Common
Office
Injuries
MSD’s: Definition
An MSD is an injury to the
muscles, ligaments,
tendons, joints, cartilage,
bones, spinal discs, nerves,
blood vessels etc. (soft
tissues)
These can occur in any part
of the body
Common MSD’s
Tendonitis
Bursitis
Tenosynovitis
Epicondylitis
– Tennis Elbow
– Golfers Elbow
Carpal Tunnel
Syndrome
Trigger Finger
Back Strain
Neck Strain
Herniated Discs
Thoracic Outlet
Shoulder Impingement
Cubital Tunnel
Syndrome
MSD Signs and Symptoms
Fatigue
Aches and Pain
Weakness
Stiffness
Discomfort
Numbness
Burning
Tingling
Swelling
Body parts “Falling
asleep”
IF YOU HAVE AN INJURY…
Report the problem to your supervisor
– Recognize the signs & symptoms (Do NOT ignore
them!)
– Report signs and symptoms EARLY!!
– Contact Ergonomics Program Staff
File appropriate paperwork
See a qualified physician
Contact Workers’ Compensation Department
with any questions
OTHER RISK FACTORS for
MSD’s Contact Stress
Cold/heat
Vibration
Noise
Physical Stress
Emotional Stress
Etc
Risk Factors
These risk factors just mentioned are things
we need to try and avoid.
The more risk factors involved in daily
activity the higher the risk increases.
How to avoid risk factors?
– Achieving neutral posture and following other
guidelines and tips which are in place for your
protection.
FORCE
Forceful exertions increase the risk of
developing MSDs.
– Example: Striking the keys on a keyboard with
excessive force, repeatedly may result in
soreness in the fingers and forearm.
Excessive Force
REPETITION
Too much repetition or too little movement
can result in MSDs.
– Example: Using an input device (mouse)
steadily for several hours may result in
significant fatigue in the hand & forearm.
AWKWARD POSTURE
Awkward posture, especially if associated
with force & repetition, can increase the
risk of developing an MSD.
– Example: Looking down at a small laptop
screen with your neck bent all day, can lead to
stiff neck and headaches.
CONTACT STRESS
Contact Stress can increase the risk of
developing an MSD.
– Example: Leaning against the hard edge of a
desk can reduce blood flow to the hands and
lead to injury.
INSUFFICIENT RECOVERY
EXTENDED DURATION
Biggest problem
Avoid 10-12 hour work days!
Perfect setup will still not prevent injury if
body does not have a chance to recover.
With an increased work load, the body
needs time to recover or injury may result.
Recovery
GET UP!!– Get away from the computer
– This is one of the biggest factors in
office ergonomics
– Don’t be a robot
Use your chair – Move!
Future Workstation?
Variety & Movement
Chairs
Keyboard & Mouse
Wrist/Mouse Rests
Computer Monitor
Vision
Phone
Copy Holders
topics
CHAIRS!
Your Chair
Which one pair should
be used for a marathon?
Find the chair that
works for you
Use dynamic sitting
postures (MOVE)
Like your shoes….need
the right fit and type
Proper Chair Position
Feet flat on the floor
Knees and hips in 90 degree angles
– (to start)
Sitting back in chair
2-4 inches from edge of chair to back of knee
Lumbar support near belt line (slightly higher)
Shoulders and upper back relaxed
What is the proper way to sit?
There is NO such thing as a perfect sitting position.
The best position (reduced forces on the lower back) is either a declined or reclined position– Technically the best posture for the back (reduced forces)
is STANDING!
The best sitting posture is the NEXT posture.
DO NOT SIT IN ONE POSITION FOR EXTENDED DURATIONS!! – (Change positions periodically)
Remember Try to adjust your chair
first. Then adjust your keyboard, mouse, etc
There is no perfect sitting position.
Varying your posture can help.
Make adjustments throughout the day but remember to keep the sitting guidelines in mind and avoid awkward postures.
Question
What can you do if your desk is
too high??
Problems
Desk height is too high so I must raise my chair.
Solution = Foot rest and raise chair or install a keyboard tray.
If you cannot lower your workstation or install a keyboard tray then you must raise your chair.
Feet may dangle given chair height so a foot rest is needed.
Desks & the Overall
Workstation
Ensure proper layout and desk design
– Adequate space, height, etc
If unsure, contact me for help
What is the Correct Desk
Height?
It Depends!!
Regardless of what the desk height may
be the elbows should be in ~ 90 degree
angles when typing
90
Problems
If the desk is too high
– Shoulder elevation (upper back, neck and
shoulder discomfort)
If the desk is too low
– Elbow extension, rounding shoulders forward
(upper back, neck and shoulder discomfort)
Desk Too High
Desk is too high,
causes shoulder
elevation
Contact stress
(wrists)
Wrist flexion
Desk Too Low
Desk is too low
causing, slouching,
extension of arms
(elbows)
Wrist extension
Rounding shoulders
forward
Keyboard Distance
Keyboard is too far
away from the body
(reach, rounding
shoulders)
Keyboard is too
close to the body
Ergonomics Means
Adjustment There is no such thing
as one size fits all desk
(unless it adjusts)
– A ~30” desk (standard)
is too high for most
~14” difference in
seated elbow height
for 5th %tile female
and 95th %tile male
Solutions to Desk Height
Keyboard tray– One of the best solutions (adjustability)
– Some people dislike keyboard trays. Obtain what works for you.
– Request ergo eval for help
Other options
Desk is too high – Raise chair, use a foot rest
– Lower the desk (if feasible)
Desk is too low– Raise it up (bricks, wood, etc)
Main Goal:
Get the keyboard and mouse to the proper height to allow for the
~90 degree elbow angle!!
Mouse Positioning
Mouse
The mouse should be at the same height as
your keyboard and right next to it without
creating a reach.
Reach For The Mouse
NO Yes
Poorly Designed Desks
Desks which have lack of
space force mouse into
poor location
Increased reach or
awkward arm/shoulder
position
Reach for mouse
If the mouse is:
– Not close to the keyboard
– Causes a reach
If there is inadequate space for the mouse
on desktop, drawer or tray then………..
OPTIONS
Adjustable keyboard tray w/ mouse platform
Keyboard w/o 10-key function
Keyboard commands that replace mouse activity
Mouse Stage
Touch-Pad Keyboard
Alternate mousing hands
Trackball Mice
Mouse Alternatives
Mouse Position Goal
Get the mouse as close to the keyboard as
possible.
Use what works best FOR YOU!
Avoid reaching!!!!
Mouse Wrist Issues
Try to avoid excessive movements with the wrist
to control the mouse.
Other mouse options may work better
– Trackball, touchpad, roller mouse
Goal is to reduce wrist movements (repetition)
and awkward wrist angles (awkward posture)
Mouse Options
Ideal position for the
hand when mousing is
in the “hand shake”
position
Mouse shown helps
provides this position
Which mouse to use?
Which mouse you choose will vary on your preference and possible discomfort.
Trackballs– Reduce wrist, forearm movements
– Require greater thumb and finger movements
Touchpad– Greater thumb and finger movements
Vertical mouse– Greater forearm, shoulder movements
– Less emphasis on wrist and smaller muscle groups
I’ve Tried Everything!!
What is next?
Switch hands
Mouse with the non-dominant hand!!
Two mice
May be difficult but will reduce repetition
Pointer Speed
Change mouse pointer speed to “fast”
1. Control Panel
2. Printers and other hardware
3. Mouse
4. Pointer options
5. Select a faster pointer speed (change to fastest speed)
This will reduce movements (fingers, wrists)
Keyboard
Correct Typing Position/ Posture
Recommended Hand/Arm
Position
~90 degree angle in the elbows
– No arm extension
Elbows close to the torso
Forearms parallel to the ground
Shoulders relaxed (not rounded forward)
Wrist positioning
The wrists should be as straight
as possible when typing
Wrist extension - bad
Ulnar deviation - bad
Ideal - good
Ideal - good
Solutions
Wrist rests
Raise/lower keyboard
Ergonomic keyboards
– Tented/split
– Natural
Wrist Deviation Risk Factors
Any Deviation in the wrist can
lead to:
– Bursitis
– Tendonitis
– NOT CARPAL TUNNEL!!
Carpal Tunnel Syndrome (CTS)
There are no scientific findings which support that CTS is in any way related or caused by working on a computer (keyboard).
Personal factors play an increased role
– Smoking, obesity, age, gender, etc
Personal hobbies/work tasks
– Pinch grip w/wrist flexion
Keyboard Ideal Wrist Position
Wrists are not:
– Deviated (ulnar deviation)
– Extended
– Pronated
Hands should be in “hand shake” position
Keyboard shown provides this (expensive)
Keep the Wrists as
Straight as Possible
Reduce Typing and Mousing
Use Programs to eliminate repetition
Dragon Naturally Speaking Software
Break time Software
Etc
Goal in many programs is to reduce repetition
Unfortunately…… some programs can be
expensive, difficult to learn
• Poor ergonomics with respect to vision can lead to eyestrain, headaches, & neck pain.
Screen Clarity
If necessary, reposition the monitor to reduce
direct glare and reflections.
Choose screen colors that have sufficient
contrast but that do not clash with one another.
"20/20 rule" – Every twenty minutes, look twenty feet away for twenty
seconds.
Eyes need to focus at different distances from time to time.
This is Hard to
Read
This is Hard on
the Eyes
OTHER CONSIDERATIONS
Have regular eye
exams
Take regular vision
breaks
Use eye drops if
needed
Remove overhead
bulbs
Use task lighting
(lamps)
Reposition the monitor
Reduce Glare
Use blinds or curtains
to reduce the glare
from windows
Position monitor
perpendicular to the
windows
Monitor Positioning
Monitor Placement
Should be:
Directly in front of the body
– Not to the left or right
About an arms length away
– 18-30 inches
Technically >24 inches away
Top of monitor in line with the eyes
– See later pictures
Recommended viewing area (side view)
(top view)
Monitor placement
Problems
Monitor too low (neck
flexion)
– Awkward posture increases
fatigue, lack of blood flow
and oxygen, can impact
arms
Monitor too high (neck
extension)
– Awkward posture increases
fatigue, lack of blood flow
and oxygen, can impact
arms
TOO LOW!
Dual/Multiple Monitors
As close to each other as possible
Matching height
Phone
“NO”
Cradling the phone
Avoid cradling when possible
Use a headset
– When phone use is > 1-2 hours/day
Other solutions
– Speaker phone
– Shoulder cradle
Holding phone with the hand
Switching hands “YES”
Document holders
Problems
Without a document
holder one might
experience:
– Repetitive neck
rotation
Upper back, neck and
shoulder fatigue and
discomfort
– Eye strain
Varying of focus
Document holders
Should be as close to the monitor as possible.
At or close to eye level.
Right, left or below monitor.
Depending on what tasks you may be working on.
Document holders
This holder creates reach
Causes neck rotation
This holder reduces reach
is heavy duty
Causes neck flexion
Writing - Ideal Posture
Sit back
Avoid leaning forward
Tilt the writing surface
– Use a writing board/slant board
– Bring work up to you versus adjusting your body to the table height
Slant board provides better angle for writing and viewing (less neck flexion)
Writing/Typing in Combination
Ideal Recommended Setup
Keyboard at correct
height
Document holder
Screen at correct
height
Sitting back in chair
Wrist straight
Add Tools that Work for You!
Reaching
Avoid reaching for
any item
– Phone, calculator,
printer, tape, coffee
cup, etc
Pull items frequently
used closer to the body
Think about what you
are doing and arrange
the items you use
Pens/Pencils, Staple Removal
(Pinch Grip) Pinch grip of pens/pencils
can be a problem.
Alternative s can help
There is NO perfect setup
What do I do??– Get things setup
– Follow guidelines
Most importantly………….
– TAKE BREAKS
If you do not allow for breaks to avoid (frequency, duration, intensity) the chance for injury remains high. Following guidelines will help but breaks are crucial
Work Patterns
Work Breaks
Stretching
For more stretches and information go to:www.ehs.colostate.edu/ergonomics
Techniques to reduce the risks associated with
intensive computer and office work.
“Mini Breaks”
Alternate different
tasks throughout the
day
Get a drink of water
Do your stretches!
Get away from your
workstation
Take 1-2 minute
breaks every 30 to 45
minutes
– Should be a part of
your daily work
routine
Stretching!! Improves flexibility
Promotes better circulation
Prevents muscular injuries
Prevents muscular soreness and stiffness
Reduces tension and helps RELAX
Helps develop better awareness of your body and its muscles
Don’t rely solely on stretching
– Does not eliminate hazard exposure but can help
Setup your workstation correctly first
Stretching tips Stretch in a slow relaxed manner.
Stretch until you feel a slight pull in the muscles. Hold for 20-30 seconds. Don’t BOUNCE.
It takes 5-10 seconds for muscles to release its tension.
Never stretch to the point of pain. Use caution.
Breathe normally. Do not hold your breath.
ANY QUESTIONS?
Environmental Health Services
491-6745 main line
491-2724 my office
www.ehs.colostate.edu/ergonomics