Table 2. Summary of physical risk factors for neck/shoulder and elbow/wrist/hand symptoms in VDU work

  Neck/shoulder Elbow/wrist/hand
VDU work time in general, repetition · Continuous VDU working time (Fredriksson et al., 2002)
· VDU work time >15 h·week-1 in workers during first year at a new job (Gerr et al., 2002)
·
Computer use almost all the time at work (Jensen et al., 2002)
· Repeated movements without notable postural variation (Jensen et al., 1998)
· Repeated movements (same finger, hand or arm movements many times·min-1 at least 75% of working time) (Jensen et al., 1998)

 
· Duration of employment in the same job using VDU (Jensen et al., 2002)
· Repeated movements (same finger, hand or arm movements many times·min-1 at least 75% of working time) (Jensen et al., 1998)
· Computer use almost all the time at work (Jensen et al., 2002)
·
Computer use >20 h·week-1 and limited rest break opportunity (Bergqvist et al., 1995a)
Mouse work demands · Mouse use per se (Jensen et al., 1998)
· Increased muscular activity in neck extensor muscles when using mouse in comparison with use of keyboard (Laursen et al., 2002)
· Arm abduction when using mouse (Cook et al., 2000)
· Non-neutral position of arm (Aarås et al., 2001a)
·
Non-optimally locatedmouse (Karlqvist et al., 1996)
· At least 5.6 hours of mouse use / week (Karlqvist et al., 1996)
·
Repeated movements when operating the mouse (arm>2.5/min, elbow >10/min, wrist > 10/min) (Jensen et al., 1998)
· Static posture when operating the mouse (wrist ulnarly deviated and extended) (Jensen et al., 1998)
· Mouse use time (Fogleman and Brogmus, 1995)
·
Non-neutral position of arm (Aarås et al., 2001a)
·
Non-optimally located’mouse (Karlqvist et al., 1996)

Keyboard work demands · Conventional keyboard design (geometric design reduced symptoms) (Tittiranonda et al., 1999c)
·
Keyboard above elbow level (Bergqvist et al., 1995a)
· Elbow height lower than ‛J’ key height, wrist extension (Marcus et al., 2002)

· Conventional keyboard design (geometric design reduced symptoms) (Tittiranonda et al., 1999c) 
Screen · Disturbing reflections on the computer screen (Jensen et al., 2002)
·
Computer screen height ( < 20° viewing angle) (Psihogios et al., 2001)


· Disturbing reflections on the computer screen (Jensen et al., 2002)
Sitting posture · Sitting at work >95% of time, neck flexion >20°>70% of time, neck flexion >45° >10 % of time (Ariens et al., 2001a)


 
Workplace design · Telephone shoulder rest (Marcus et al., 2002) · No support for forearm (Bergqvist et al., 1995a) (Lintula et al., 2001)