Of the studies that considered negatively sloped keyboards, results showed improved comfort and postural effects while typing on keyboards; however, few studies of negatively sloped keyboard angles and their resulting effects on objective physiological measures, psychological measures, and performance have been performed. The objective of this study was to quantify the effects of negative keyboard slopes on forearm muscle activity, wrist posture, key strike force, perceived discomfort, and performance to identify a negative keyboard angle or range of keyboard angles that minimizes exposure to hypothesized risk factors for hand/wrist work related musculoskeletal disorders. Ten experienced typists (4 males and 6 females) participated in a laboratory study to compare keyboard slopes ranging from 7° to -30°, at 10° increments from 0° to -30°, using an experimental wedge designed for use with QWERTY keyboards. Repeatability was examined by requiring participants to complete the experiment in two test sessions one week apart. Dependent variable data was collected during 10 minute test sessions. Wrist posture data revealed postural benefits for negative angles of 0° or greater compared to 7°. Specifically, the percentage of wrist movements within a neutral zone and percentage of wrist movements within ±5° and ±10° degrees increased as keyboard angle became more negative. EMG results were mixed with some variables supporting negative keyboard angles, while other results favored the standard keyboard configuration. Net typing speed supported the -10° keyboard angle, while other negative typing angles were comparable, if not better, than the standard. These findings showed that there was strong support for improved postural changes associated with negatively sloped keyboard wedges, though user perceptions favored the standard configuration. / Master of Science

Many epidemiological studies have named pinching, deviated wrist postures, and repetitive motion as ergonomic risk factors in the development of carpal tunnel syndrome (CTS). Evidence suggests that hypervascularization of the median nerve and increased intraneural blood flow proximal to the carpal tunnel result in response to ergonomic risk factors (finger pressing and deviated wrist postures). The purposes of this study were to 1) determine the effect of a pinch posture, with and without force exerted by the finger, thumb, or both and 2) determine the effect of repetitive wrist flexion and extension on intraneural blood flow velocity in the median nerve proximal to the carpal tunnel. Eleven healthy and eleven CTS symptomatic individuals participated in this study and completed three components: 15 pinch posture force trials, 3 repetitive wrist motion trials, and 3 static wrist posture trials. Intraneural blood flow was measured using pulse wave Doppler during each trial. Main effects of pinch posture force (F4,80 = 21.397, p < 0.001) and wrist posture (F2,40 = 14.545, p < 0.001) were observed. Trials where force was applied by the finger (2.21 cm/s), thumb (2.22 cm/s) or both (2.34 cm/s) produced higher intraneural blood flow velocities than trials with no force (1.79 cm/s) or relaxed hand (1.89 cm/s). Trials performed in flexion (2.24 cm/s) were greater than neutral (2.06 cm/s) and extension (1.97 cm/s). No interactions or main effects of time were found in response to repetitive wrist motion. These results suggest that at low force levels (6 N) it’s not how the force is applied but rather that the force is being applied that has an effect on the median nerve. Additionally these results suggest that the contribution of repetitive motion to the development of CTS may not be directly to the median nerve. / Thesis / Master of Science (MSc)

Work-related musculoskeletal disorders (WMSDs) are a major source of lost productivity and revenue in the workplace and disability in workers. There is strong evidence for a relationship between physical risk factors, such as repetitive motions and excessive force, and the development of WMSDs; yet there are unexplained discrepancies in determining which workers are more at risk. Researchers hypothesize that non-physical factors in the workplace, or psychosocial factors, may contribute to the development of WMSDs. The following study examined the effects of two psychosocial factors, mental workload and time pressure, on perceived workload and physiological reactions of the lower arm and wrist during typing activity by measuring muscle activation patterns, wrist posture and movement, key strike forces, and subjective assessments of overall workload. The results indicate that increases in time pressure lead to increases in lower arm muscle activation, key strike forces, and wrist deviations. Key strike forces may increase with higher mental workload levels, but other effects of mental workload were not clear. Perceived overall workload (time load, mental effort load, and stress load) increased with mental workload and time pressure, and typing performance decreased. The evidence from this study suggests that these psychosocial factors (mental workload and time pressure) mediate physical risk factors to increase risk for WMSD development in the upper extremities. The results illustrate the need for those designing jobs and work tasks to consider both physical and psychosocial aspects of the working environment to prevent injuries in employees. / Master of Science