The use of computer is widespread at almost all workplaces
in offices and production units now a days. This growing population has been
subjected to increased diversity in their work pattern, associated with human
computer interaction environment. Literatures from West indicate that the
repetitive nature of computer work results in an increased incident of health
problems, e.g., visual and muscuclo-skeletal discomfort, psycho-physiological
as well as psychosocial stresses among professional computer users.
Musculo-skeletal pain and discomfort (together with eye strain) constitute at
least half, in some surveys up to 80 percent, of all complaints and symptoms of
computer operators. One of the enduring concerns of the human-computer
environment is to mitigate the effects of changed work characteristics and
stresses on the ultimate outcome variables (e.g. work performance, reliability,
health and comfort.) There is the interrelationship between posture, comfort,
reliability and performance in computer based tasks. .
Here we will discuss:
- Factors of work stresses of computer users including long-term effects of musculo-skeletal system.
- Interrelationships between posture and comfort.
- Measures to mitigate the stress and strain and remedial work design interventions for computer operators.
People who do continuous, intensive computer
work, such as data entry, for prolonged periods during a shift are at increased
risk of developing a number of health problems. These include: visual fatigue,
headaches, upper limb musculoskeletal injuries (e.g., carpal tunnel syndrome),
and back pain.
While seeing to the ergonomics, three matters are to be kept
in mind.
- Awkward position
- Duration
- Repetitive motions
Awkward Positions
Body postures determine which joints and muscles are used in
an activity, as well as the amount of force exerted. Poor postures place
unusual or excessive forces on components of the body. Examples of poor
positions include keeping a computer mouse far from the keyboard or not
locating the keyboard and monitor in a straight line from your seat. These
kinds of awkward positions create undue stresses at the wrists, shoulders, and
neck.
Duration
This refers to the amount of time a person holds a static
position to perform a given task. The longer the same muscle or muscle group is
used, the greater the likelihood of both localized and general fatigue. This is
why rest breaks or changing tasks is so important to decrease prolonged static
postures and thereby reduce the risk of injury. Also important is the use of
position aides—such as foot rests, copy holders, adjustable chairs, and
keyboard trays—to minimize fatigue to muscle groups not directly involved in
the computer work activity.
Repetitive Motions(continuous monotonous activity)
Motions performed only infrequently, even if performed in an
awkward position, seldom result in any bodily harm. However, as a particular
motion becomes more and more frequent, the risk of injury increases. With
keyboard work, some motions are repeated as often as every few seconds, and
some even faster. When performed for prolonged periods, e.g., hours without a
break, fatigue and strains accumulate. Changing tasks during the day, or taking
periodic breaks, can provide muscles and tendons with the time needed to
recover to their normal, unstressed state.
It is very important for you to be aware of risk factors
that can lead to potential work related musculoskeletal problems. Awareness of
these risks can help you to avoid discomfort and injury when using a computer.
Risk factors
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Tips to reduce risk
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repetition
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Alternate tasks.. Take frequent breaks.
|
Awkward postures
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Sit supported against the back of your chair. Keep spine straight.
Shoulders back and relaxed, arms at sides, elbows at 100 to 110 degrees,
wrist neutral or bent forward slightly. Knees and ankles at 90 degrees, thigh
and feet well supported.
Keep work materials within reach. Use a headset for frequent phone
use.
Change positions frequently.
|
Force
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Key with a light touch.
Avoid prolonged or excessive grip of mouse
|
environment
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Reduce glare on screen.
Rest eyes in between.
|
Chairs
|
Adjust the seat tilt so that you
are comfortable when you are working on the keyboard. Usually, this will be
close to horizontal but some people prefer the seat tilted slightly forwards.
Your knees should be bent at a
comfortable angle and greater than 90º flexion. If this places an uncomfortable
strain on the leg muscles, or if the feet do not reach the floor, then a
footrest should be used. The footrest height must allow your knees to be bent
at 90º; the height of the footrest may need to be adjustable.
Adjust the backrest so that it
supports the lower back when you are sitting upright.
Avoid cradling the phone between your head and shoulder when
answering calls. If you need to use your computer at the same time, use a
headset or the phone's hands-free/speaker-phone .
Monitors
Set the eye-to-screen distance at the distance that permits
you to most easily focus on the screen. Usually this will be within an arm's
length.
Set the height of the monitor so that the top of the screen
is below eye level and the bottom of the screen can be read without a marked
inclination of the head. Usually this means that the centre of the screen will
need to be near shoulder height. Your eyes should be level with the tool bar.
People who wear bifocal or multi-focal lenses will need to
get a balance between where they see out of their lenses and avoid too much
neck flexing.
Document
holder
Place the document holder close to the monitor screen in the
position that causes the least twisting or inclination of the head.
Desks
Adjust the height of the work surface and/or the height of
the chair so that the work surface allows your elbows to be bent at 90º,
forearms parallel with the floor, wrist straight, shoulders relaxed.
Place all controls and task materials within a comfortable
reach of both hands so that there is no unnecessary twisting of any part of the
body. Most people prefer the document holder to be between the keyboard and the
monitor. There are many different types of document holders available.
Lighting
Place the monitor to the side of the light source/s, not
directly underneath. Try to site desks between rows of lights. If the lighting
is fluorescent strip lighting, the sides of the desks should be parallel with
the lights. Try not to put the screen near a window. If it is unavoidable
ensure that neither the screen nor the operator faces the window.
Glare
and reflection
It is important to detect the presence of glare and
reflection. To determine whether there is glare from overhead lights, sit down
and hold an object such as a book above the eyes at eyebrow level and establish
whether the screen image becomes clearer in the absence of overhead glare.
To detect whether there are reflections from the desk
surface, hold the book above the surface and assess the change in reflected
glare from the screen.
You can eliminate or reduce the influence of these
reflections in a number of ways:
Tilt the screen (top part forwards) so that the reflections
are directed below eye level.
Cover the screen with a light diffusing surface or
anti-glare screen.
Negative contrast screen (dark characters on light
background) will reduce the influence of these reflections.
If you experience eye discomfort when using a bright screen
you should make the following adjustments:
Turn the screen brightness down to a comfortable level.
Look away into the distance in order to rest the eyes for a
short while every 10 minutes or so.
Change the text and background colours. We recommend black
characters on white or yellow background, or yellow on black, white on black,
white on blue and green on white. Avoid red and green and yellow on white.
Using a mouse
A well-designed mouse should not cause undue pressure on the
wrist and forearm muscles. A large bulky mouse may keep the wrist continuously
bent at an uncomfortable angle.
Pressure can be reduced by releasing the mouse at frequent
intervals and by selecting a slim-line, low-profile mouse. Keep the mouse as
close as possible to the keyboard, elbow bent and close to the body.
Keyboard
Place the keyboard in a position that allows the forearms to be close to the horizontal and the wrists to be straight. That is, with the hand in line with the forearm. If this causes the elbows to be held far out from the side of the body then re-check the work surface height.Some people prefer to have their wrists supported on a wrist rest or the desk. Be careful not to have the wrist extended or bent in an up position.
Typing is a physical activity, and
using a keyboard requires skill, hence the need to learn correct typing
technique. Unskilled typists are particularly at risk of
"occupational overuse injury" because they:
- often use only one or two fingers which may overload the finger tendons
- are constantly looking from keyboard to screen to keyboard, which may strain neck muscles
- often adopt a tense posture (wrists bent back and fingers 'poised to strike').
It is recommended that operators take regular
postural/stretching breaks to reduce intense periods of repetitive movement.
Posture and environment
Change your posture at frequent intervals to minimize
fatigue. Avoid awkward postures at the extremes of the joint range, especially
the wrists.
Take frequent short rest breaks rather than infrequent
longer ones. Avoid sharp increases in work rate. Changes should be gradual
enough to ensure that the workload does not result in excessive fatigue.
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