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Design for a
Computer Mouse
Julie Eriksen
The computer mouse was selected for redesign to minimize cumulative stress
disorders associated with current mouse designs (Smith 1997). These
disorders arise from excessive hand extension, wrist deviation, arm
abduction, and pronation required to use mouses currently available (Smith
1997). Less fortunately, mouse use with the hand placed palm down leaves
users able to easily engage in ulnar/dorsiflexion deviations to control
mouse position without moving their arms, leaving them prone to injury
(Smith 1997). People who work in data entry who must use mouses for eight
hours/day are at most risk because of frequency of use.
Computer mouses are data entry instruments used both to control curser
position and for function selection. Curser movement corresponds to mouse
movement, while functions are selected using the fingertips to press buttons
located on top of the mouse. To move the curser, the user drags the mouse
around in corresponding movements to the curser's movements, typically
on a horizontal surface located next to the computer being used. Usually the
mouse is controlled on top of a foam pad called a mousepad. Use of the mouse
when placed to the side of the computer can lead to excess stress on the
shoulder and back muscles because shoulder abduction is required (Harvey
1997). However, as mouse placement relates to space constraints, resolving
this issue is quite difficult (Sanders 1993).
However, it is recommended that if at all possible mousepad design
should permit mouse use on the user's lap, or
directly in front of them, to minimize shoulder abduction. Mice are
problematic because due to the mouse's size, a power grip is required,
rendering instrument control through precision gripping, the grip used
for stylus writing, impossible(Sanders 1993; Casteillo 1992).
Wrist/forearm positions used for writing with writing instruments such as
pens, are inherently lower stress than those positions used with current
mouses (Hedge 1997). Writing positions typically require the dorsal side
of the wrist to face away from the saggital plane of the body. So for
mousing activities, during which the elbow is typically flexed so that the
mousing surface may be accessed comfortably, the palm must permitted to face
toward the saggital plane of the body.
Consequently, the redesigned mouse's casing should permit the user mouse use
with the arm arranged in positions similar to those used for writing. More
significantly, this sort of wrist position prevents unhealthy ulnar/radial
deviations because up-down movements resulting from deviations while the
wrist is aligned in positions appropriate to writing, are not useful for
mouse control, as that requires the mouse be moved from side to side. In
addition, the wrist is much more flexible in extension and flexion behaviors
than in ulnar and radial deviations. (Ryu 1991) Therefore, extension and
flexion of the wrists may prove less harmful to the wrist for mousing
activities, than deviations normally used with current designs, because of
the wrist's inherently greater ability to manage flexion and extension
behaviors.
Current mouses designs prove problematic because typical control placement
at the distal area of the mouse requires finger control. Excessive use of
the fingers can result in trigger finger. (Hedge 1997)
The thumb is better adapted to repetitive use, because the thumb makes use
of strong muscles originating in the palm, so function control should permit
thumb control of most used functions (Sanders 1993). In
addition, the palm down position required of mouse users to operate current
mouses can result in users resting their palms on the mouse casing, putting
users at risk for compressing nerves and tendons located close to the
surface (Sanders 1993).
Because fingers one and two oppose each other, permitting precision gripping
of objects, a curved gripping surface is well suited to follow the resultant
arch formed in the hand through finger opposition created by hand geometry.
More of the user's palm can contact the mouse's surface, permitting force
transmitted through the user's hand to be distributed over a larger surface
area, minimizing compression stress (Sanders 1993).
Palm down grips typical of current mouse casings often result in a pinch
grip, by which opposition of the thumb and distal joints of the fingers act
to grip the mouse (Hedge 1997). Placing the palm on a mouse while the elbow
is flexed with dorsal side facing the floor requires the wrist engage in
radical static radial deviations, because: 1) the elbow can only flex and
extend along one plane; 2) the palmar side of the hand faces a similar
direction as the frontal side of the elbow in the anatomical position;
therefore when the frontal side of the forearm faces the transverse plane so
must the palmar side of the hand. Turning palm down corresponds to a radial
deviation. Prolonged use of mouses with the wrist placed in this position
can cause epicondylitis and other repetitive stress disorders, and in
addition, reduces grip strength (Sanders 1993).
This radial deviation affected pinch grip is particularly weak, because the
twisted position of the wrist circumvents use of arm muscles to control the
mouse (Sanders 1993). Consequently, only a limited amount of surface area --
that of the thumb and finger tips, can be used to transmit force from the
fingers to the mouse, so undue stress on the fingers and thumb can
result.(Sanders 1993) However, mouses may have a distinct advantage over
stylus because of their size. The mouses's size should permit, if designed
properly, for the user to use many surfaces of their hand to control the
mouses, rather than just the finger and thumb tips, unlike styluses.
Therefore, the redesigned mouse should not only permit users to contact the
mouse with more touching surfaces, but should permit the user to grip the
mouse with their wrist in a less radially deviated position.
Therefore, with criteria set up to permit optimal interface of the
user's hand with the mouse, plans for a redesigned mouse will be outlined
below. Sketches of the redesigned mouse and associated diagrams are located
in the
Appendix (# refers to diagram number to refer to
in the
Appendix ).
Gripping surfaces located on the side of the mouses will be curved to permit
the fingers to cup the side of the mouse. (#2)
This hand orientation on redesigned mouse should result in the distal palm
will be making good contact with the curved gripping surface, object contact
typical of power grips. (Sanders 1993) The shelf formed varies from one to
two inches, to permit both adjustability to varying hand size and maximized
power grip of the mouse (#3)
(Hedge 1997). In addition, the mouse will be covered with a somewhat rough
material, to increase friction between the user's hand and the mouse, to
reduce strength needed to manipulate the mouse(#2)
(Kawai 1995).
The redesigned mouse will feature controls located on the top of the mouse
and on the front sides(#1,#2).
The top button permits thumb control of functions, and is located where the
thumb will rest naturally on the mouse. The forward buttons permit finger
control, and are located in the approximate position the fingers will rest
naturally when using the mouse. The narrow tear drop shape ranges from 2.5
-3.5 inches across the axis formed between the thumb and finger controls, to
permit adjustability to hand size and to maximize grip strength (Sanders
1997). Finger buttons located on each side of the mouse's tip permits both
left and right handed people to use the mouse. The thumb control's position
is centrally located so that handiness doesn't affect thumb control of the
mouse -- both types can rest their thumb in approximately the same place on
the mouse. Controls will be rounded and covered with very firm foam,
similarly to the optimized contours of seat cushions, to permit good
adjustability to a variety of finger and thumb shapes and sizes operating
the mouse controls (Hedge 1997).
Because curvature of the shelf/gripping surface of the mouse follows that of
the arch formed by the hand, the user is permitted to contact the mouse's
surface with a good percentage of the palmar side of their fingers and main
hand.(#5)
Consequently, the force required to move the mouse is minimized, reducing
muscle fatigue(Sanders 1993). Because the curvature of the mouse is smooth
and flatter than the contours of the palm, it should not contact the hollow
of the palm, so risk of compressing this sensitive area of the hand is
minimized (Sanders 1993).
The more narrow precision grip and less radially deviated wrist position
afforded by the new mouse design consequently permits better control of the
mouse by permitting use of palm muscles such as those controlling the thumb
(#4)(Sanders
1993). Use of these strong muscles rather than the fingers, as with a
stylus, can risk of finger fatigue, by reducing force transmission through
the fingers. Specifically, the more straightened wrist position afforded
permits the user to more readily transmit force from their arm muscles down
through their palm (Sanders 1993). Therefore, the user can rely on the more
powerful, larger muscles of their arms to supply the primary force required
to push the mouse around for curser control, further reducing risk of hand
fatigue. (Hedge 1997) Secondary fine control of mouse position can be
supplied by fine movements of the wrist and palm, similar to writing,
without finger fatigue associated with internal precision grips used for
stylus writing (Hedge 1997).
Finally, the broad base of the teardrop shaped mouse provides a good broad
surface for the palm of the hand to contact the mouse. (#1)
Thereby, force from contacting the mouse can be spread out all over the
hand, minimizing compression stress (Sanders 1993).
In conclusion, the redesigned mouse, for reasons cited above, should permit
better mechanical interfacing between the user's body and the curser
control, than current mouse designs.
REFERENCES
Sanders, M. et al. Human Factors in Engineering and Design. 371,383-412.
1993
Hedge, Alan 325/651 class notes. 1997
Kawai, S. et al. "Effects of varied Surface Conditions on Regulation of Grip
Force During Holding Tasks Using a Precision Grip" Japanese Journal of
Physical Fitness and Sports Medicine 44(5). 519-538. 1995
Smith, W. et al. "Ergonomic Test of Two Hand-Contoured Mice" Global
Ergonomic Technologies, Inc. press release. 1997
Ryu, J. et al. "Wrist Joint Motion" Biomechanics of the Wrist Joint. 27-60.
1991.
Harvey, R. et al. "Surface Electromyography and Mouse Use Position.
Ergonomics (40) Aug. 781-9. 1997
Castiello, U. et al. "Does the Type of Prehension Influence the Kinematics
of Reaching?" Behav Brain Research. (50) 1-2. 7-15. 1992
http://ergo.human.cornell.edu/CUHFdownmouse.html

APPENDIX
http://ergo.human.cornell.edu/ErgoPROJECTS/97projects/mouse.gif
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WristThotic Wrist Support
Dateline 03/21/2000
When I wrote my article "Big
Mouse, Less Pain?" back in January, I could hardly have predicted
the reader response. Repetitive strain injury resulting from mouse use has
been a major problem in the lives of computer users, and many folks
contacted me with suggestions and questions about mouse-induced pain.
One of those people was
Don Corbett, developer of an unusual product called the
WristThotic. The WristThotic is a wrist support pad that attaches to
the back of the mouse, providing many of the benefits of both a larger mouse
and a wrist pad. Photos below show the WristThotic attached to the back of a
Kensington USB mouse.
To accomplish its purpose, the WristThotic uses a soft velvet
surface on top and a slick vinyl underbelly which slides on any smooth
surface.
Having used the WristThotic for a couple of weeks, I can say that
it works as advertised. It provides good support for the wrist and it's just
flexible enough to allow for precise mouse positioning without excessive
stress on the shoulder and arm. It's certainly superior to a fixed wrist
pad, and appears to accomplish the goal of reducing wrist deflection much
the same as an extra-large mouse. If you suffer from hand pain, tingling or
numbness when using the mouse, WristThotic could help.
To use the WristThotic, you'll need a large, smooth mousing
surface. You'll either need a large mouse pad or a bare tabletop, or a very
thin mouse pad like the
3M Precise Mousing Surface. You need plenty of room for the pad to
float around behind the mouse. You may also want to elevate the mouse above
the keyboard, as it's generally believed that the appropriate height for the
mouse is slightly above the natural location of the elbow joints.
Will WristThotic take the punishment of daily use? I can't really
say, as I've only had the opportunity to test it for a couple of weeks. But
even if you only get a few months of use out of a WristThotic pad, it's
still a good deal at $6.00 per unit, or $12.00 for a three-pack. It's
probably the cheapest computer add-on you'll ever buy!
For more information, consult the following resources:
-
WristThotic
Don Corbett's web site, with secure on-line ordering of the WristThotic
product.
-
Big Mouse, Less Pain?
My original article on preventing carpal tunnel syndrome with a large
mouse, with a dozen links to important RSI resources.
- Input Device,
Mice
Links to mouse vendors and information sites.
- Repetitive
Strain Injury
My own list of links to RSI sites and resources.
Previous Features
To exchange opinions or ask for help about repetitive strain injury,
visit the Computer
Peripherals Forum!
All text and photos by Rick Russell.
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Big Mouse, Less Pain? Dateline Jan. 15,
2000
The Pain of Using a Mouse
All frequent computer users have felt
the twinges that result from an entire day of mousing and typing. For some
unfortunate folks, these aches and pains develop into a full-fledged syndrome
which can render their fingers and hands weak and inflexible, preventing them
from using computers or even turning doorknobs and opening pickle jars.
... the Whale is about an inch longer than
a Microsoft-brand mouse, and ... it adjusts for even larger hands.
His big test mouse was The Whale by
New York firm
Humanscale Technologies. Unfortunately, Humanscale's web site is somewhat
limited, and offers no data on the mouse itself. According to the NYT article,
the Whale is about an inch longer than a Microsoft-brand mouse, and it has an
extensible plate so that it adjusts for even larger hands.
The most common hand-related RSI is
Carpal Tunnel Syndrome,
an inflammation of the lining of the tube that shields the nerves to the hands.Grouped
under the general classification of
Repetitive Strain Injury ("RSI"), these injuries are hardly new. The
meat-processing industry was the first to see frequent complaints of hand pain,
numbness and stiffness, and those problems are
still reported today in that industry. The most common hand-related RSI is
Carpal Tunnel Syndrome, an inflammation of the lining of the tube that
shields the nerves to the hands. As this lining becomes inflamed and swollen,
pressure on the nerves can cause unpredictable results, including pain,
numbness, tingling and stiffness.
Use of a computer mouse is a frequent
cause of RSI. Because the mouse requires all kinds of bending & twisting of the
wrist and fingers, it's easy for heavy use to cause painful carpal tunnel
inflammation.
An Easy Solution?
The
New York Times reported in its Jan. 13, 2000 issue suggests that the
solution may be a big mouse.
Professor Alan Hedge of
Cornell University's
Department of Design & Environmental Analysis has been studying the way
human hands grip, hold and use the mouse. By hooking up test subjects to
electrodes to measure deflection angles and muscle strain, Dr. Hedge concludes
that larger mice induce less stress and less severe angles in the wrists.
Dr. Hedge concludes that a larger
mouse reduces the average deflection angle of the wrist and the frequency that
the deflection angle enters a dangerous range. Although deflection angle does
not by itself cause carpal tunnel syndrome, frequent intense deflection is
likely an important factor. Dr. Hedge noted that the larger mouse took pressure
off the wrist by requiring more movement of the arm.
More than 50 percent of the users marked
the Whale as "Uncomfortable or Very Uncomfortable" after using it...
Very interestingly, the subjects of
Dr. Hedge's study reported that the mouse which caused the least stressful
deflections -- the Whale mouse -- was also least comfortable. More than 50
percent of the users marked the Whale as "Uncomfortable or Very Uncomfortable"
after using it, while none of the subjects reported that the Microsoft mouse was
similarly uncomfortable. Clearly, there is still much to be understood with
regards to the perception of comfort and physical damage.
More Tips for Safe Mouse Usage
A larger mouse isn't the only solution
to reduce painful wrist problems. Here are some additional mouse-related tips.
- The mouse should be above the keyboard, slightly above the natural
position of the elbows when the arms are relaxed.
- Learn to use keyboard shortcuts, which can significantly reduce the need
for the mouse. In Windows 98, look in the Help index under "keys, shortcut".
In MacOS 8.5 or 8.6, open "MacOS Help" from the Help menu and select "Shorcuts
and tips", "Keyboard shortcuts".
- Use a good mousepad that encourages accurate mouse tracking. Repeated
lifting & shuffling of the mouse in an attempt to correct bad tracking is
frustrating and dramatically increases your wrist stress. I recommend the
3M Precise Mousing Surface.
- A cordless mouse, such as the
Cordless Mouseman from
Logitech, can reduce the frustration and stress involved with tugging and
moving the mouse cord.
- As always, take time to relax and stretch when engaged in any intense
activity.
For more information, consult the
following information sources:
Suffering from RSI? Let us know on the
Computer Peripherals Forum.
Previous
Features
All text by Rick Russell.
http://peripherals.about.com/library/weekly/aa011599a.htm?terms=carpal+mouse
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Cornell University Ergonomics Web
10 Tips for Using a Computer Mouse
The following tips should help you avoid a mouse-related musculoskeletal
injury. The same posture principles apply to other input devices (e.g.
trackball, touchpad, pen, digitizing puck etc.).
- Mouse Grip - don't throttle your mouse (it's already dead)!
Hold the mouse gently to move it over a mousing surface.
- Mouse from the Elbow - don't skate or flick the mouse with your
wrist. Make controlled mouse movements using your elbow as the pivot point
and keep your wrist straight and neutral.
- Optimal Mouse position- sit back in your chair, relax your arms
then lift your mousing hand up, pivoting at the elbow, until your hand is
just above elbow level. Your mouse should be positioned somewhere around
this point. Don't use a mouse by stretching to the desk or out to the side
of a keyboard. With a flat mouse platform, position this 1-2" above
the keyboard and over the numeric keypad if you are right handed - you can
easily move it out of the way if you need to access these keys. With a
downward sloping mouse platform, position this close to the
side of the keyboard so that you can use the mouse in a neutral wrist
position. Position adjustable mouse platforms are commercially available
(e.g.
Humanscale,
Proformix,
Flexrest,
3M etc.)
- Protect your wrist - if you look at the anatomy of the wrist it
is curved away from any contact surface (you can easily see this by
resting your hand/arm on a flat surface - you'll see light under the wrist
and can probably even pass a thin pen under this). The forearm is shaped
liked this for the wrist to remain free of surface pressure contact.
- Avoid restricting circulation - For may people there are
exposed blood vessels near the skin at the wrist, which is where the pulse
is often taken. Any pressure in this region will disrupt circulation into
the hand and this will increase the risks of injury.
- Don't use a Wrist Rest - research has shown that using a wrist
rest doubles the pressure inside the carpal tunnel, because the floor of
the tunnel is a more flexible ligament that transmits external pressure
changes directly into the carpal tunnel (the roof of the tunnel is bone so
the pressure doesn't get transmitted on through the hand). Indeed, one
test for carpal tunnel syndrome (CTS), know as Tinel's sign, simply
involves tapping on the palmar surface of the wrist, which is enough to
cause tingling and numbness in someone developing CTS.
- Avoid Restricting Arm Movement - with a softly padded wrist
rest, especially one that is rounded, or a soft chair arm rest the forearm
becomes "locked" into position and this encourages people to make mouse
movements by flicking the wrist, which also increases intracarpal
pressure.
- Keep the Mouse Free Moving - The base of the palm of the hand
is the part of the body designed to support the hand when resting on a
surface. For keyboard use a broad palm support is best. However, mouse use
is different to keyboard use. With a keyboard the best posture is for
users to float their hands over the keyboard when typing and then to rest
on the palm support in microbreaks between typing bursts. You can use
rest-breaking software (e.g.
Magnitude
ErgoManager,
Break
reminder etc) to help track and advise on your mouse use. With mousing
this doesn't happen. A mouse is used by moving it's location over a
surface, and resting usually occurs when mouse movements stop but with the
mouse still being held in the hand. Mouse movements should be made using
the elbow as the pivot point, not the wrist. Anything that impairs free
movement of the forearm/hand and mouse will increase injury risks.
- Mouse shape - choose a mouse design that fits your hand but is
as flat as possible to reduce wrist extension. Don't use a curved mouse.
Use a symmetrically shaped mouse. Consider a larger mouse, such as the
Whale mouse
or the Perfit mouse,
that encourage arm rather than wrist movements.
- Load sharing - if you want to load share between your right and
left hands, that is using the mouse for some of the time with each hand.
For this you need to choose a mouse platform that can easily be configured
to the left or/and right, and a symmetrical shaped mouse that can be used
by either hand.
Other input devices - whether you choose a different mouse design,
a trackball, a joystick, a pen, a touchpad or some other input device, make
sure that your position this comfortably, and that your wrist is in a
neutral position when using the device. Personal favorite is the Fingerworks
iGesture Pad (I do work with this
company)
Summary recommendations:
- Best arrangement for a mouse is a platform over the number
keypad and just above the keyboard.
- Good arrangement is a pad on an angled platform to the side of
the keyboard.
- Poor arrangement is a flat surface to the side of the keyboard
- Worst arrangement is on the desk out to the side of the
keyboard.
Other input options that don't cover the numeric keypad
If you needs to frequently use the numeric keypad consider the following:
More
information on our Mouse research studies.
NOTE: Inclusion of links to manufacturer and product web sites is
provided for user convenience and does not constitute endorsement of these
products by Cornell University.
Send comments or suggestions to
Professor Alan Hedge.
Note that all materials on this page and web site are
copyright and may only be copied or distributed for nonprofit educational
purposes without permission.
© Professor Alan Hedge, Cornell University, content
last updated
March 20, 2007
It also appears that mouse users are more likely to rest their arms on
higher platforms such as desktops or the adjustable mouse pad, than they are
on low platforms like the conventional tray.
Shoulder Muscle Activity:
- For both typing and mouse use the negative slope keyboard tray led to
the lowest trapezius muscle activity of the three positions. There did not
appear to be any affect of keyboard type (CK vs MS) on trapezius muscle
activity.
- For both typing and mouse use the negative slope keyboard tray led to
the lowest front deltoid activity. The difference was small and probably
not significant for typing. The difference was much more pronounced for
mouse use, front deltoid activity for the negative slope keyboard tray was
only about half of that for the other two position treatments.
- For both typing and mouse use their was no statistically significant
difference in mid-deltoid activity across conditions.
- There was no significant difference in mid-deltoid activity between
conditions, however, there was a trend for slightly higher activity with
the adjustable mouse pad. This suggests that users were working the mouse
more with their upper arms during this condition. It also suggests that
further benefits may occur with a mouse pad that is both location and
height adjustable.
Wrist Movement - Mouse Use
- Mean wrist extension was much higher with the mouse on the
conventional tray (average of over 25 degrees). Mean wrist extension was
lowest with the mouse on the desk (under 8 degrees).
- Mean ulnar deviation was highest with the mouse on the adjustable
mouse pad (over 18 degrees), because the mouse was closest to the body
(the MS mouse shape encouraged ulnar deviation when the arm was relaxed
and not abducted). Mean ulnar deviation was lowest with the mouse on the
conventional tray (under 8 degrees), but in this posture the arm was
abducted and wrist extended.
- Data on the percentage of time spent using the mouse in a neutral
vertical posture show that the desk produced a neutral posture more than
50% of the time. The conventional tray produced a neutral posture less
than 5% of the time. The adjustable mouse pad was between 20 % and 30%.
- Data on the percentage of time spent using the mouse in a neutral
horizontal posture show that the adjustable mouse pad produced a neutral
posture less than 20% of the time. Both the desk and conventional tray led
to neutral postures between 38% and 65% of the time.
Cursor Positioning
Wrist posture was strongly affected by the three position conditions used in
this study. The conventional keyboard tray with the mouse pad on the right
side of the tray led to much higher wrist extension values than the other
two conditions. As was previously mentioned, the high extension values are
probably due to users having to reach down and out to the right in order to
the reach the mouse on the conventional tray. Reaching down to a flat
platform would require the hand to work with the wrist extended.
The adjustable mouse pad led to more ulnar deviation values than the two
other conditions, which is probably due to the close proximity to the
adjustable mouse pad to the user's body. With the mouse design tested,
pointing the mouse straight ahead with relaxed arms requires users to ulnar
deviate their wrists in order to manipulate the mouse. The desktop fared the
best as far as wrist posture was concerned, but this also produced higher
neck and shoulder strain. Different mouse designs should be tested.
Shoulder muscle activity was also strongly affected by the three mouse
position conditions. The trends are the same as for typing. The adjustable
mouse pad led to much lower trapezius and front deltoid activity, there was
no significant difference for mid-deltoid activity. Shoulder muscle activity
generally was lower for the adjustable mouse pad position because this
position allows users to hold their arm close to their body instead of
reaching up to the desk or down to the side for the conventional tray.
During cursor positioning ulnar deviation was higher for the adjustable
mouse pad, but this may be a consequence of the mouse designs that were
tested.
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