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The Effect of Alternate Style Keyboards on Severity of Symptoms and Functional Status of Individuals with Work Related Upper Extremity Disorders

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Abstract

There is evidence that performing job tasks involving repetition, vibration, sustained posture or forceful movement may contribute to symptoms of work related upper extremity disorders. Typing is one such activity; symptoms that develop as a result of this activity can affect performance of work, self-care and leisure occupations. Studies investigating the impact of ergonomic keyboards on symptom reduction are limited, and little research exists regarding the reduction of key activation force as an intervention. Methods: This randomized, prospective study used a sample of 68 symptomatic workers employed by a single company. One group received a commercially available ergonomic keyboard, a second group used a modified version of the same keyboard designed to reduce activation force, vibration and key travel. We measured symptoms and clinical signs, functional status, and device satisfaction in both groups over a six-month study period. Results: Between-groups analyses indicated that the groups performed similarly on the outcomes of interest. Repeated-measure analysis identified a reduction of symptoms, an improvement in functional status, preference for and increased satisfaction with the intervention keyboards, and maintenance of typing speed and accuracy for both groups. Conclusions:

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Reference

  1. Canadian Centre for Occupational Health and Safety. Work-related Musculoskeletal Disorders. Canadian Centre for Occupational Health and Safety 2005;Available from: URL:http://www.ccohs.ca/oshanswers/diseases/rmirsi.html#top

  2. Manitoba Workers' Compensation Board. Workers' Compensation Board Annual Report, 2003. Manitoba Workers' Compensation Board 2004;Available from: URL: http://www.wcb.mb.ca/download/wcb_pdf/publications/archive/WCB03AR.pdf

  3. Viikari-Juntura E. Risk factors for upper limb disorders: Implications for prevention and treatment. Clin Orthop Relat Res 1998;351:39–43.

    Article  PubMed  Google Scholar 

  4. Moore JS. Carpal tunnel syndrome. Occup Med 1992;7:741–63.

    CAS  PubMed  Google Scholar 

  5. Pascarelli EF, Hsu Y. Understanding work-related upper extremity disorders: clinical findings in 485 computer users, musicians, and others. J Occup Rehabil 2001;11:1–21.

    Article  CAS  PubMed  Google Scholar 

  6. Conrad JC, Osborn JB, Conrad KJ, Jetzer TC. Peripheral nerve dysfunction in practicing dental hygienists. Journal of Dental Hygiene 1990;October:-382.

  7. Osborn JB, Newell KJ, Stoltenberg RJ. Carpal tunnel syndrome among Minnesota dental hygienists. J Dent Hyg 1990;64:79–85.

    CAS  PubMed  Google Scholar 

  8. McDonald G, Robertson MM, Erickson JA. Carpal tunnel syndrome among California dental hygienists. Dent Hyg 1988;July/August:322–8.

  9. Fabrizio AJ. Work-related upper extremity injuries: prevalence, cost and risk factors associated with computer work. WORK: A J Prev Assess Rehabil 2002;18:115–21.

    Google Scholar 

  10. Pransky G, Benjamin K, Hill-Fotouhi C, Fletcher KE, Himmelstein J. Occupational upper extremity conditions: a detailed analysis of work-related outcomes. J Occup Rehabil 2002;12:131–8.

    Article  PubMed  Google Scholar 

  11. Atwood MJ, Michalak C. The occurrence of cumulative trauma in dental hygienists. WORK: A J Prev Assess Rehabil 1992;2:17–31.

    Google Scholar 

  12. Martin C, Andrew-Tuthill DM. Office ergonomics: measurements for success. AAOHN J 1999;47:479–91.

    CAS  PubMed  Google Scholar 

  13. Carter JB, Banister EW. Musculoskeletal problems in VDT work: a review. Ergono 1994;37:1623–48.

    CAS  Google Scholar 

  14. Serina E, Tal R, Rempel D. Wrist and forearm postures and motions during typing. Ergono 1999;42:938–51.

    Article  CAS  Google Scholar 

  15. Tittiranonda P, Rempel D, Armstrong T, Burastero S. Effect of four computer keyboards in computer users with upper extremity musculoskeletal disorders. Am J Ind Med 1999;35:647–61.

    Article  CAS  PubMed  Google Scholar 

  16. Armstrong T, Foulke JA, Martin BJ, Gerson J, Rempel DM. Investigation of applied forces in alphanumeric keyboard work. Am Ind Hyg Assoc J 1994;55:30–5.

    CAS  PubMed  Google Scholar 

  17. Sommerich CM, Marras WS, Parnianpour M. A quantitative description of typing biomechanics. J Occup Rehabil 1996;6(1):33–55.

    Article  Google Scholar 

  18. Gerard MJ, Armstrong TJ, Foulke JA, Martin BJ. Effects of key stiffness on force and the development of fatigue while typing. Am Ind Hyg Assoc J 1996;57(9):849–54.

    CAS  PubMed  Google Scholar 

  19. Rempel D, Serina E, Klinenberg E, Martin BJ, Armstrong TJ, Foulke JA, Natarajan S. The effect of keyboard keyswitch make force on applied force and finger flexor muscle activity. Ergono 1997;40(8):800–8.

    Article  CAS  Google Scholar 

  20. Dennerlein JT, Diao E, Mote CD, Rempel DM. In vivo finger flexor tendon force while tapping on a keyswitch. J Orthop Res 1999;17(2):178–84.

    Article  CAS  PubMed  Google Scholar 

  21. Fagarasanu M, Kumar S. Carpal tunnel syndrome due to keyboarding and mouse tasks: a review. Int J Ind Ergono 2003;31(2):119–36.

    Article  Google Scholar 

  22. Feuerstein M, Armstrong T, Hickey P, Lincoln A. Computer keyboard force and upper extremity symptoms. J Occup Environ Med 1997;39(12):1144–53.

    Article  CAS  PubMed  Google Scholar 

  23. Pascarelli EF, Kella JJ. Soft-tissue injuries related to use of the computer keyboard: a clinical study of 53 severely injured person. J Occup Med 1993;35:522–32.

    Article  CAS  PubMed  Google Scholar 

  24. Radwin RG, Jeng OJ. Activation force and travel effects on overexertion in repetitive key tapping. Hum Factors 1997;39(1):130–40.

    Article  CAS  PubMed  Google Scholar 

  25. Radwin RG, Ruffalo BA. Computer key switch force-displacement characteristics and short-term effects on localized fatigue. Ergono 1999;42(1):160–70.

    Article  CAS  Google Scholar 

  26. Rempel D, Tittiranonda P, Burastero S, Hudes M, So Y. Effect of keyboard keyswitch design on hand pain. J Occup Environ Med 1999;41:111–9.

    Article  CAS  PubMed  Google Scholar 

  27. Amell TK, Kumar S. Cumulative trauma disorders and keyboarding work. Int J Ind Ergono 1999;25(1):69–78.

    Article  Google Scholar 

  28. Kelso S. Quantification of the force required for activation of keys on a light touch keyboard. 2003. Ref Type: Unpublished Work

  29. Karasek R, Brisson C, Kawakami N, Houtman I, Bongers P, Amick B. The Job content Questionnaire (JCQ): An instrument for internationally comparative assessments of psychosocial job characteristics. J Occup Health Psychol 1998;3(4):322–55.

    Article  CAS  PubMed  Google Scholar 

  30. Levine DW, Simmons BP, Koris MJ, Daltroy LH, Hohl GG, Fossel AH, et al. A self-administered questionnaire for assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg 1993;75A:1585–92.

    Google Scholar 

  31. Salerno DF, Copley-Merriman C, Taylor TN, Shinogle J, Schulz RM. A review of functional status measures for workers with upper extremity disorders. J Occup Environ Med 2002;59:664–70.

    Article  CAS  Google Scholar 

  32. Katz JN, Keller RB, Simmons BP, Rogers WD, Bessette L, Fossel AH, et al. Maine carpal tunnel study: outcomes of operative and nonoperative therapy for carpal tunnel syndrome in a community-based cohort. J Hand Surg 1998;234:697–710.

    Google Scholar 

  33. Katz JN, Gelberman RH, Wright EA, Lew RA, Liang MH. Responsiveness of self-reported and objective measures of disease severity in carpal tunnel syndrome. Med Care 1994;32:1127–33.

    Article  CAS  PubMed  Google Scholar 

  34. Demers L, Weiss-Lambrou R, Ska B. The Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST 2.0): An overview and recent progress. Technol Disabil 2002;14:101–5.

    Google Scholar 

  35. American Society of Hand Therapists. Clinical assessment recommendations. 2 edn. Chicago, IL: American Society of Hand Therapists; 1992.

    Google Scholar 

  36. Brandsma JW, Shreuders TAR, Birke JA, Piefer A, Oostendorp R. Manual muscle strength testing: intraobserver and interobserver reliabilities for the intrinsic muscles of the hand. J Hand Ther 1995;8(3):185–90.

    CAS  PubMed  Google Scholar 

  37. MacDermid JC, Wessel J. Clinical diagnosis of carpal tunnel syndrome: a systematic review. J Hand Ther 2004;17:309–19.

    PubMed  Google Scholar 

  38. Auliciano PL. Clinical examination of the hand. In: Hunter JM, Mackin EJ, Callahan AD, editors. Rehabilitation of the hand: surgery and therapy. 4 ed. St.Louis: Mosby; 1995. pp. 53–75.

    Google Scholar 

  39. North Coast Medical I. North Coast Semmes-Weinstein monofilament instructions. San Jose, CA: North Coast Medical, Inc.; 1996.

  40. Jerosch-Herold C. Assessment of sensibility after nerve injury and repair: a systematic review of evidence for validity, reliability and responsiveness of tests. J Hand Surg 2005;30B(3):252–64.

    Google Scholar 

  41. Zecevic A, Miller DL, Harburn K. An evaluation of the ergonomics of three computer keyboards. Ergono 2000;43:55–72.

    Article  CAS  Google Scholar 

  42. Swanson NG, Galinsky TL, Cole LL, Pan CS, Sauter SL. The impact of keyboard design on comfort and productivity in a text-entry task. Appl Ergono 1997;28:9–16.

    Article  CAS  Google Scholar 

  43. Wessels RD, deWitte LP, Van Den Heuvel WJA. Measuring effectiveness of and satisfaction with assistive devices from a user perspective: An exploration of the literature. Technol Disabil 2004;16:83–90.

    Google Scholar 

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Acknowledgements

The research group would like to sincerely thank Manitoba Hydro for funding this project, Mary Cheang from the Biostatistical Consulting Unit at the University of Manitoba for her assistance with the statistical analysis, and Scott Young for his work as the initial research assistant for this project. Most importantly, thanks are extended to all study participants who gave of their time, energy, and patience to make this project possible.

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Correspondence to Jacquie Ripat.

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Ripat, J., Scatliff, T., Giesbrecht, E. et al. The Effect of Alternate Style Keyboards on Severity of Symptoms and Functional Status of Individuals with Work Related Upper Extremity Disorders. J Occup Rehabil 16, 707–718 (2006). https://doi.org/10.1007/s10926-006-9054-z

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  • DOI: https://doi.org/10.1007/s10926-006-9054-z

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