Pain Clinical Trial
Official title:
The Effect of Alternative Keyboards on Discomfort and Typing Kinematics
Awkward postures during computer keyboard use have been hypothesized to be one cause of
musculoskeletal pain/discomfort as well as musculoskeletal disorders of the upper extremity
(MSD-UE). Alternative computer keyboards purport to reduce musculoskeletal pain/discomfort
and have been shown to change aspects of keyboard users' kinematics under laboratory
conditions. However, research that has examined the effectiveness of alternative keyboards
in reducing musculoskeletal pain/discomfort in the workplace is equivocal, and no study has
examined the association between postures and musculoskeletal pain. The Aims of this 3-year
prospective double cross-over trial are: 1) To examine the effectiveness of an alternative
keyboard in reducing reports of pain over 6-months; 2) To examine the neutrality and
stability of postures during keyboard use; and 3) To identify which postures are associated
with lower levels of musculoskeletal pain. Seventy-five computer users will be randomly
assigned to one of two keyboard use orders: Group 1 - AB (standard keyboard, alternative
keyboard); Group 2 - BA (alternative keyboard, standard keyboard). All subjects will use
their assigned keyboards for 6-months before switching to the next keyboard. Every week,
subjects will report their musculoskeletal pain levels. Just prior to and just after each
6-month intervention subjects' kinematics performances on the keyboards will be recorded at
the worksite using the Keyboard - Personal Computing Style (K-PeCS) instrument and in a
laboratory setting using 3-dimensional motion capture technology.
Aim 1: To examine the effectiveness of an alternative keyboard in reducing pain over
6-months.
Hypothesis 1 (H-1) - At six months subjects using an alternative keyboard will have
significantly lower musculoskeletal pain levels than when using a standard keyboard.
Aim 2: To examine the neutrality and stability of postures during keyboard use.
Hypothesis 3 (H-2) - Subjects using an alternative keyboard will have significantly more
neutral postures than when using a standard keyboard at baseline and at 6 months Hypothesis
3 (H-3) - Subjects 6-months keyboarding postures will remain equivalent to the keyboarding
postures documented at baseline.
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Prevention
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