Environmental Health & Safety

Guide to Keyboard and Mouse Use

A number of factors should be taken into consideration with respect to keyboard and mouse use. Discussed throughout much of this site, the workstation should facilitate a comfortable posture. Making improvements may be simple and effective; however, depending on circumstances and the possible combinations of equipment, optimizing a workstation can be complex.


Typing
It is generally recommended that the operator float their hands over the keyboard while typing, so their hands are maneuvered by (larger) shoulder muscles, and not the wrists. Inbetween periods of typing, the operator can rest by placing their hands on a palm rest or another comfortable surface. A separate palm rest may not always be necessary; as an example, many alternative keyboards will include a built-in palm rest. To minimize resistance and strain on soft tissues, a bend of less than ten degrees at the wrist should be maintained while typing.


Resting Palms
It is also important to distinguish between resting palms and resting wrists. Resting palms is recommended because the palm of the hand contains two protuberances which support the weight of the hand while keeping pressure off of blood vessels, tendons, and nerves that run through the wrist. Resting wrists, on the other hand, increases pressure on these soft tissues.


Avoiding Wrist Extension
Bending the hand back at the wrist, also known as wrist extension, should be avoided when typing because this will increase resistance on the tendons in the wrist. To avoid this posture, the keyboard should not be used in a positive tilt, so operators may want to consider closing the feet that are on the bottom of the keyboard. A palm rest may also be used to help avoid wrist extension.
Tilting the keyboard away from the operator by about seven degrees will further help to minimize wrist extension. This is usually achieved by using an appropriate adjustable keyboard tray, though other measures may be as effective.


Alternative Keyboards
In most cases, people should be able to avoid discomfort by properly using a straight keyboard. There are alternative keyboard designs that can be used to improve the posture of the hands and wrists; however, research has not shown that they substantially reduce the risk of discomfort. Size, shape, contour, or circumstances may also affect the usefulness of an alternative keyboard. Refer to this NIOSH publication for further information.
One of the more common alternative keyboards designs is a split keyboard which is designed to help avoid wrist deviation (horizontal bending of the wrists) while typing. People may want to consider obtaining a split keyboard if they have broad shoulders which increase wrist deviation during keyboard use, or if they have prior, positive experience with one and prefer it over a straight keyboard.


Mouse Position
When using a pointing device on the right-hand side of most standard keyboards, the operator must reach past the numeric keypad, bringing their hand away from their midline and opening the angle of their shoulder. This may not lead to discomfort for taller individuals; however, shorter individuals, relatively speaking, will have to reach farther and maintain awkward postures while using their pointing device. There are three common solutions to this concern, all can be used to improve posture by allowing the operator to bring the pointing device closer to the midline of their body.
An inexpensive solution is to configure the computer operating system to reverse the mouse buttons and use the pointing device on the left-hand side of the keyboard.
Mouse bridges are inexpensive, and they can be used to position the pointing device over the numeric keypad of the keyboard.
Many manufacturers offer an adjustable keyboard tray with a mouse platform that swivels over the numeric keypad of the keyboard. This is often a good solution for petite office workers who may also need the keyboard and mouse lowered to a comfortable height.


Equal Height of the Keyboard and Pointing Device
It is necessary to keep the mouse and keyboard at the same height. Having to lift the arm and hand to switch between the mouse and keyboard will lead to discomfort and should be avoided. Here are some situations where this configuration is found. They should be corrected when identified:
  • The workstation may include a keyboard recess that doesn't provide enough room for both the mouse and keyboard
  • The workstation may be equipped with a keyboard tray that doesn't support both the mouse and keyboard. In many cases, this is because there is insufficient clearance beneath the worksurface for an appropriate tray.


Mouse Selection and Use
  • Make sure that the size and shape of the mouse are comfortable. When the hand is relaxed, in a position where it is halfway opened and halfway closed, tension between the extensor and flexor muscles of the fingers is balanced. If the mouse is too large or too small, the hand will have to open or close to grip the mouse. This prevents the hand from relaxing during mouse use which can lead to discomfort
  • Avoid wrist extension associated with mouse use
  • Use the mouse with a gentle grip, not a tight grip

Revised May 9, 2008

This information is made available to assist office workers at Portland State University to maintain safe work practices with respect to office ergonomics. It has been developed to be consistent with current standards, regulations, and research intending to reduce risk factors of work related injuries at video display terminal (VDT) workstations. This guide is not case specific and should be used as a suggestion only. For additional information, contact Jason Mitchell at mitchelj@pdx.edu.