Monitor Placement
With regard to the monitor, one must take in to consideration how the placement and maintenance of the monitor can effect both the eyes and the musculoskeletal system. The following suggestions can help prevent the development of eye strain, neck pain and shoulder fatigue while using your computer workstation:
- Make sure the surface of the viewing screen is clean.
- Adjust brightness and contrast to optimum comfort.
- Position the monitor directly in front of user to avoid excessive twisting of the neck.
- Position the monitor approx. 20-26 inches (arm's length) from user.
- Tilt top of the monitor back 10 to 20 degrees.
- Position monitors at right angles from windows to reduce glare.
- Position monitors away from direct lighting which creates excessive glare or use a glare filter over the monitor to reduce glare.
- The top of the viewing screen should be at eye level when the user is sitting in an upright position (NOTE: Bifocal wearers may need to lower monitor a couple of inches).
back to top
Adjusting Your Chair
Contrary to popular belief, sitting, which most people believe is relaxing, is hard on the back. Sitting for long periods of time can cause increased pressure on the intervertebral discs— the springy, shock-absorbing part of the spine. Sitting is also hard on the feet and legs. Gravity tends to pool blood in the legs and feet and create a sluggish return to the heart.
The following recommendations can help increase comfort for computer users:
- "Dynamic sitting", don't stay in one static position for extended periods of time.
- When performing daily tasks, alternate between sitting and standing.
- Adjust height of backrest to support the natural inward curvature of the lower back.
- It may be useful to use a rolled towel or lumbar pad to support the low back.
- The backrest angle is set so that your hip-torso angle is 90 degrees or greater.
- Adjust height of chair so feet rest flat on floor (use footrest if necessary).
- Sit upright in the chair with the low back against the backrest and the shoulders touching the backrest.
- Thighs should be parallel to the floor and knees at about the same level as the hips.
- Back of knees should not come in direct contact with the edge of the seat pan (there should be 2-3 inches between the edge of the seat and the back of the knee).
- Don't use armrests to slouch.
- Adjust height and/or width of armrests so they allow the user to rest arms at their sides and relax/drop their shoulders while keyboarding.
- Where armrests are used, elbows and lower arms should rest lightly so as not to cause circulatory or nerve problems.
back to top
Desktop Placement
If you are like many computer users, your computer, keyboard, and mouse are resting on your desk or a portable computer workstation. There is no specific height recommended for your desktop; however, the working height of your desk should be approximately elbow height for light duty desk work.
To allow for proper alignment of your arms your keyboard should be approximately 1 inch to 2 inches above your thighs (see Keyboard and Mouse Placement). Most times this requires a desk which is 25 inches to 29 inches in height (depending upon size of individual) or the use of an articulating keyboard tray. The area underneath the desk should always be clean to accommodate the user's legs and allow for stretching.
The desktop should be organized so frequently used objects are close to the user to avoid excessive extended reaching. If a document holder is used, it should be placed at approximately the same height as the monitor and at the same distance from the eyes to prevent frequent eye shifts between the screen and reference materials.
back to top
Keyboard and Mouse Placement
Many ergonomic problems associated with computer workstations occur in the forearm, wrist, and hand. Continuous work on the computer exposes soft tissues in these areas to repetition, awkward postures, and forceful exertions.
The following adjustments should be made to your workstation to help prevent the development of an ergonomic problem in the upper extremities:
- Adjust keyboard height so shoulders can relax and allow arms to rest at sides (an articulating keyboard tray is often necessary to accommodate proper height and distance).
- Keyboard should be close to the user to avoid excessive extended reaching.
- Forearms parallel to the floor (approximately 90 degree angle at elbow).
- Mouse should be placed adjacent to keyboard and at the same height as the keyboard (use articulating keyboard tray if necessary).
- Avoid extended and elevated reaching for keyboard and mouse. Wrist should be in neutral position (not excessively flexed or extended).
- Do not rest the hand on the mouse when you are not using it. Rest hands in your lap when not entering data.
back to top
Lighting
Lighting not suited to working with a Video Display Terminal is a major contributing factor in visual discomforts including eyestrain, burning or itching eyes, and blurred or double vision. Typical office environments have illumination levels of 75 to 100 foot-candles, but according to the American National Standards Institute (ANSI), computer workstations require only 18 to 46 foot-candles.
Use the following recommendations to reduce eyestrain and eye fatigue:
- Close drapes/blinds to reduce glare. Adjust lighting to avoid glare on screen (light source should come at a 90 degree angle, with low watt lights rather than high.) Place monitor at 90 degree angle to windows (where possible). Reduce overhead lighting (where possible). Use indirect or shielded lighting where possible. Walls should be painted medium or dark color and not have reflective finish.
- Use a glare screen to reduce glare (alternatively, place a large manila folder on top of the monitor and let it hang over the monitor 2 inches -3 inches to reduce glare from overhead lighting).
back to top
Eye Exercises
Eye Comfort Exercises
- Blinking (produces tears to help moisten and lubricate the eyes)
- Yawning (produces tears to help moisten and lubricate the eyes)
- Expose eyes to natural light
Palming
- while seated, brace elbows on the desk and close to the desk edge
- let weight fall forward
- cup hands over eyes
- close eyes
- inhale slowly through nose and hold for 4 seconds
- continue deep breathing for 15-30 seconds
Eye Movements
- close eyes
- slowly and gently move eyes up to the ceiling, then slowly down to the floor
- repeat 3 times
- close eyes
- slowly and gently move eyes to the left, then slowly to the right
- repeat 3 times
Focus Change
- hold one finger a few inches away form the eye
- focus on the finger
- slowly move the finger away
- focus far into the distance and then back to the finger
- slowly bring the finger back to within a few inches of the eye
- focus on something more than 8 feet away
- repeat 3 times
back to top
Musculoskeletal Exercises
Deep Breathing
- while standing, or in an otherwise relaxed position
- place one hand on the abdomen and one on the chest
- inhale slowly through the nose
- hold for 4 seconds
- exhale slowly through the mouth
- repeat
Cable Stretch
- while sitting with chin in, stomach in, shoulders relaxed,
hands relaxed in lap, and feet flat on the floor,
imagine a cable pulling the head upward
- hold for 3 seconds and relax
- repeat 3 times
Side Bend: Neck Stretch
- tilt head to one side (ear towards shoulder)
- hold for 15 seconds
- relax
- repeat 3 times on each side
Diagonal Neck Stretch
- turn head slightly and then look down as if looking in your pocket
- hold for 15 seconds
- relax
- repeat 3 times on each side
Shoulder Shrug
- slowly bring shoulders up to the ears and hold for approx. 3 seconds
- rotate shoulders back and down
- repeat 10 times
Executive Stretch
- while sitting, lock hands behind head
- bring elbows back as far as possible
- inhale deeply while leaning back and stretching
- hold for 20 seconds
- exhale and relax
- repeat 1 time
Foot Rotation
- while sitting, slowly rotate each foot from the ankle
- rotate 3 times in one direction, then 3 times in the opposite direction
- relax
- repeat 1 time
Hand Shake
- while sitting, drop arms to the side
- shake hands downward gently
- repeat frequently
Hand Massage (Note: Perform very gently!)
- massage the inside and outside of the hand using the thumb and fingers
- repeat frequently (including before beginning work)
Finger Massage (Note: Perform very gently!)
- massage fingers of each hand individually, slowly, and gently
- move toward nail gently
- massage space between fingers
- perform daily
Wrist Stretch
- hold arm straight out in front of you
- pull the hand backwards with the other hand, then pull downward
- hold for 20 seconds
- relax
- repeat 3 times each
![wrist stretch down image](https://webarchive.library.unt.edu/web/20121017000939im_/http://www.ors.od.nih.gov/sr/dohs/PublishingImages/wrist-stretch-down.jpg)