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Keeping The Digitizer Healthy

by Ian Chong CPE

Digitizing workstations are the kind used by graphic artists, CAD operators, drafters, engineers and technical illustrators. These workstations have different characteristics than the run of the mill computer station used by secretaries, administrative assistants word processors and internet propeller heads, PC or Mac.

The major difference between workstation types is the use of the digitizing pad and pointing device (puck, pen or touch-screen). The monitor, keyboard, mouse, chair, table/desk are all pretty consistent throughout all computer workstations. Within the embroidery industry, for example, the digitizing pad and puck are commonly used.

Recently, I visited Com-Cepts, a leading edge embroidery company, located in Seattle, WA. I focused my attention on three digitizing stations that were used heavily throughout the day. To the owner's credit, none of the staff displayed any symptomology. That's because he has worked in shops which gave no thought to the digitizing workstations. He has worked at stations which have WW II desks with even older chairs and equipment, in dim light, no layout area and usually in cramped quarters with expectations of high output. Like many of our clients, he began to feel some repetitive motion symptomology, and became concerned.

When Com-Cepts opened, the owner knew he not only wanted a creative atmosphere, but one which would keep the time consuming, profit eating, pain inducing and morale depleting occupational/repetitive motion injuries caused by computer workstations at bay. Com-Cepts is located on the shores of picturesque Lake Union with a view of the water. Natural light is important to his graphic artists/digitizers and not surprisingly glare from the sun along with wash/bounce light also became an issue.

Tim began by providing his staff with adjustable height, adjustable angle drafting and digitizing tables, which allow them to stand up and work when they wish. Good chairs were recommended by a personal friend who understood the importance of supporting a human body properly for an entire work day. The chairs have adjustable back height, back tilt, seat height and even have a forward tilt for those times when you (and we all do it) want to sit on the front edge of the seat. Lumbar and thoracic (lower and upper back) support is also good. Breaks are encouraged. None of this endless hours at a computer stuff. Two or three hours max and then a break, to allow the body to rejuvenate. Do something different. Go outside and watch a sailboat docking, get some fresh air. These are the subtle things that really make a good working environment to keep RMI in check.

On-screen or touch screen "mousing"

The high tech world of on-screen pointing/digitizing is fraught with biomechanical problems, and anyone thinking about using this system without severe workstation design should be wary. Used on a monitor in a typical vertical position, touch sensitive screens require hand/wrist/arm/shoulder (upper extremity) flexion and extension. This means you have to keep your hand and arm up, reaching the screen. Sometimes you bend your elbow and rest that on the desk for support, but that means your head moves closer to the screen, so you end up staring at the screen six inches away from you nose. Eye strain can become migraine inducing at this distance. We've seen continuous extended reach cause a myriad of upper extremity pain.

The best thing to do is avoid using a touch-screen in the vertical position. If you must use a touch screen, build it into a desktop, tilted at an angle, so that pointing/touching becomes like writing with a pencil or with your finger. This scenario of course has the problem of the screen being covered up by the reference material which also takes up desktop real estate. Typically a high level of frustration accompanies this set-up, unless reference material is non-existent and the operator has a clean desktop.

Mouse-Only

Using a mouse-only digitizing system forces the user to maintain a static hand position for several hours a day without break. Severe cramping, tendonitis, tenosynovitis and a lot of other maladies all commonly grouped under "mouse arm" result. This is bio-mechanically a very at-risk position to hold for long hours.

We have seen severe cases of injury resulting in job changes and surgical intervention from this type of mouse usage. It's OK to use a mouse-only set-up. You just can't use it 8 hours a day 5 days a week and not expect some sort of symptomology to show up in those susceptible to it.

Digitizing "Puck"

By far the best of the three, especially when used with both hands in combination with standard mouse (trackball would be better ergonomically) on a tilted drawing board. This setup and allows one to move around, use two hands. This set-up works very well for Com-Cepts, but may require variances for people of different gender, height, weight and body condition.

The only real concern voiced by the Com-Cepts crew was the shape of the puck. On close design/ergonomics analysis, the puck does need a little attention to be even better. Tim has submitted a design which he would like to the manufacturer, but to no avail. Our design team thinks an after market design is feasible (any takers?).

What Can You Do to Prevent Repetitive Motion Injuries in Your Digitizing Staff?

What Com-Cepts did was a good start, but as good as this intervention is, things change and they must also adapt. Personnel change, they get older and more susceptible to RMI, equipment changes, work tasks change. Com-Cepts must keep reviewing the program, querying his staff, replacing worn equipment, checking if any symptomology is beginning and make adaptation as an ongoing concern. Because if they doesn't, the insidious RMI will likely show up in an aging workforce, Maybe not now but maybe in five years—and at that time it will be much more costly.

Here's What Managers Can Do to Prevent RMI in their Digitizers:
Make sure your digitizers are aware of what repetitive motion injuries (RMI) are and why they are susceptible to them. Do this by training (videos, books, magazine and newspaper articles).
Determine how at-risk your crew is. This should be done by a Board Certified Professional Ergonomist (CPE) and not just an "ergonomics specialist" who sells furniture—sort of a conflict of interest here.
Your CPE should be able to give you a work plan to address your at-risk conditions, taking care of the existing symptomology and making sure those who don't have any RMI, won't get it.
Your CPE should also be able to help you establish a budget to get the most "bang for the buck" with effective workstation equipment since he/she would be knowledgeable on where to put what, for whom, and most importantly for what reason.
Suggestions for the Digitizer:

The following basic points, if implemented, will address the majority of RMI issues. We have analyzed and corrected hundreds of workstations and know these principles work. However, for severe cases call in a CPE that you can trust.
Keep wrists straight—you can see this looking down from the top AND from the side—no bent wrists while digitizing or mousing, a severe cause of RMI at the wrist area
Keep elbows close to the side of your body—no extended arm stretches which cause shoulder and elbow problems. Watch for comfortable clearance of the armrests, or better yet CUT OFF the armrests with a hacksaw (we do).
Use a chair that supports your upper (thoracic) and lower (lumbar) back. Bad support causes shoulder and neck pain. One of most adjustable and supportive we've used is the Neutral Posture Line (Waco, TX).
Use adjustable drawing or work tables—tilt them up to avoid leaning over all day (cause of back and neck neural impingements resulting in pain, numbness and tingling in the arms). Also raise them up to stand up at times, changing your body postures. The SIS/Human Factors Line, powered by hand or electricity have infinite adjustability in height and tilt for drafting/editing stations. Likewise Melco Digitizing Tables also have good adjustability.
Take breaks, and do something different with your hands—this may sound unproductive, but in the long run if it prevents RMI and the ROI (return on investment) is a thousand fold.
Keep your keyboard, mouse or digitizing pad as low as possible—with your elbows as close possible to your torso some forms of digitizing (equipment) can be placed on a low (keyboard/digitizing pad) platform which almost touches your lap and places the hands lower than the elbow. This is highly desirable in relieving some of the static muscle contraction in the arms which also results in severe pain, numbness and tingling. A good height adjustable keyboard tray which has an extremely good wrist rest (adjustable in three planes) and a negative tilt capability is the Adjustmate series by Ergo Design (Shelton, WA)
To keep reflective glare minimized, throw away all your so-called glare screens. What you need is a "baseball cap" for your monitor to eliminate the wash and bounce light. They are cheaper and 50 times more effective. Ergo Design makes an adjustable "PC Visor" which really saves a lot of eyestrain and headaches.
For in-depth information presented in a down-to-earth readable format for real people, I recommend the book "ZAP" by Don Sellers (Peach Pit Press, 1984). It has a wealth of information about issues and what can be done to "humanize" computer workstations. Easy reading for about twelve dollars.

Naturally, this article does not pretend to be a comprehensive recipe for good ergonomics, but it is a good start to keeping your digitizers healthy and productive. If you've read this far, that's a good sign showing your concern, which is the most important first step.

Ian Chong, CPE is Principal of Ergonomics Inc. in Seattle WA. USA. The firm has over 20 years of experiences providing ergonomic solutions to both public and private sector companies. For more information please contact:

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