Objective: Research has shown that fixed-split, ergonomic keyboards lessen the pain and functional status in symptomatic individuals as well as reduce the likelihood of developing musculoskeletal disorders in asymptomatic typists over extended use. The goal of this study was to evaluate design features to determine whether the current fixed-split ergonomic keyboard design could be improved. Participants: Thirty-nine, adult-aged, fixed-split ergonomic keyboard users were recruited to participate in one of three studies. Methods: First utilizing non-functional models and later a functional prototype, three studies evaluated keyboard design features including: 1) keyboard lateral inclination, 2) wrist rest height, 3) keyboard slope, and 4) curved "gull-wing" key layouts. Results: The findings indicated that keyboard lateral inclination could be increased from 8 • to 14 • ; wrist rest height could be increased up to 10 mm from current setting; positive, flat, and negative slope settings were equally preferred and facilitated greater postural variation; and participants preferred a new gull-wing key layout. The design changes reduced forearm pronation and wrist extension while not adversely affecting typing performance. Conclusions: This research demonstrated how iterative-evaluative, user-centered research methods can be utilized to improve a product's design such as a fixed-split ergonomic keyboard.

The purpose of this study was to determine whether there were any postural, performance or perceived comfort differences between a conventional straight keyboard and a new ergonomic concept keyboard developed by Microsoft called the Comfort Curve. The concept keyboard was designed to promote more neutral postures in the wrist using a built-in, padded wrist rest to reduce wrist extension and curved keys in alphanumeric section of the keyboard to reduce ulnar deviation. Using a repeated measures design, 26 typists from various occupations randomly used each keyboard for a period of 15 minutes. Wrist postures were measured using electrogoniometers, typing speed and accuracy was measured using typing performance software and discomfort was subjectively measured in the hands, forearms and shoulders and neck. Compared to the conventional straight keyboard, the Comfort Curve keyboard reduced ulnar deviation by 2.2 ° (p < 0.01) and wrist extension by 6.5 ° (p <0.01). There was a small differences in typing speed (50.6 vs 51.8 WPM; p = 0.03) but no differences in accuracy (93.1% vs. 93.5%, p = 0.29) between the Comfort Curve and standard keyboards respectively. Subjective discomfort ratings in all measured body locations were lower with the Comfort Curve keyboard. The results indicate that the concept keyboard achieved its design goal of reducing wrist extension, ulnar deviation and discomfort while not compromising typing speed and accuracy.

Conventional, straight keyboards remain the most popular design among keyboards sold and used with personal computers despite the biomechanical benefits offered by alternative keyboard designs. Some typists indicate that the daunting medical device-like appearance of these alternative 'ergonomic' keyboards is the reason for not purchasing an alternative keyboard design. The purpose of this research was to create a new computer keyboard that promoted more neutral postures in the wrist while maintaining the approachability and typing performance of a straight keyboard. The design process created a curved alphanumeric keyboard, designed to reduce ulnar deviation, and a built-in, padded wrist-rest to reduce wrist extension. Typing performance, wrist postures and perceptions of fatigue when using the new curved keyboard were compared to those when using a straight keyboard design. The curved keyboard reduced ulnar deviation by 2.2 degrees +/- 0.7 (p< 0.01). Relative to the straight keyboard without a built-in wrist-rest, the prototype curved keyboard with the built-in padded wrist-rest reduced wrist extension by 6.3 degrees +/- 1.2 (p < 0.01). There were no differences in typing speed or accuracy between keyboards. Perceived fatigue ratings were significantly lower in the hands, forearms and shoulders with the curved keyboard. The new curved keyboard achieved its design goal of reducing discomfort and promoting more neutral wrist postures while not compromising users' preferences and typing performance.

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