Ergonomic Eval Alameda 20180228
Ergonomic Assessment from Alameda County
Evaluator: Alfonso Mejorado, Associate Ergonomist Company: VSI Risk Management and Ergonomics, Inc. note: same company hired by Genentech
Focus
The focus of the ergonomic evaluation is my desk work.
Problems
Radial DeviationandUlnar Deviationare common issues I face- Try not to rest wrists while typing, especially on the far right of the keyboard where I am weak.
 - When I plant my hand while deviating, it causes 
contact stressat the base of the hand. 
- Seat bucket too deep, pressure on middle of thighs.
 - Seatback greater than 100 degrees moving me away from the desk.
 
Behavioral Corrections
- When sitting, move forwards: 
RULE: Elbow, Shoulder, Ear should be VERTICALLY aligned- I tend to always move my butt too far back which means my arms have to reach.
 - I do not want to reach with my arms because I end up planting my wrists and hunching my shoulders.
 
 - Do not plant palms, too much contact stress.
 - Move the mouse as close to center as possible
- Avoid 
Right Shoulder Abductionwhen using the mouse 
 - Avoid 
 - Use TWO possible resting hand positions:
- Hands resting on 'meat' of hand below pinkie 'extra padding below pinkie`
 - Hands resting in lap (neutral)
 
 - Do not 
PLANT the wristforcefully, especially during radial and ulnar deviation. - Try to always free type, I think this means have your wrists up? Or maybe it was free flow type?
 - 90 degree sitting angle is an active posture using the muscles. This is good.
 - 100 degree sitting angle is relaxed but not moving you away from the desk. This is good. 
- Requires seatback to be positioned for 100 degree resting angle.
 
 - Always put my notebook on the right side so I don't twist when writing and reading from it.
 
Recommended Resting Posture
- Hands turned in, extra padding below pinkie resting on keyboard rest
 - Shoulders fully at rest on arm wrests
 - Feet planted at 90 degrees on the ground
 - Back at 100 degrees resting on the backrest
 - Do not plant palms.
 
Equipment Fixes
- Armwrests must not contact the desk (push them back)
- Otherwise they may prevent me from moving close to the desk.
 
 - Armwrests should be below my neutral elbow height when typing and just barely high enough to 
fully REST shoulderswhenresting hands. - Move my coding screen up much higher so it is near the center of my vision
- Alfonso: "Coders always work at the bottom of their screen"
 - This can cause some right neck and shoulder issues (due to turning head and looking down?)
 - Use reams of paper to move the screen up
 
 - Seatpan is moved as far forward as possible to support the mid thigh and prevent cut-off bloodflow.
- This is to avoid numbness in the legs and feet.
 
 - Fix right armrest (this one is broken)
 - Use a "RFM Internet High-Back Chair": http://rfmseating.com/portfolio-view/internet/
 - Mouse is too narrow and activating my finger flexons or something. I am planting my hand while mousing in an 
ulnar deviation. BAD.- Replace mouse with a wider one, 
Kensington Slim Blade Trackballand ablue mouse slideridentical to my Genentech one. 
 - Replace mouse with a wider one, 
 
Future Fixes (recommendations)
- Get a "Workright Electric Sit Stand Desk" - Needs approved and delivered
 - Repair the right armwrest of the "RFM Internet High-Back Chair"