This randomized clinical trial evaluated the effects of Keyboard keyswitch
design on computer users with hand paresthesias, Twenty computer users were
matched and randomly assigned to Keyboard A (n = 10) or B (n = 10;, The ke
yboards were of conventional layout and differed in keyswitch design, Vario
us outcome measures were assessed during the 12 weeks of use. Subjects assi
gned Keyboard A experienced a decrease in hand pain between weeks 6 and 12
when compared with Keyboard B subjects (P = 0.05) and demonstrated an impro
vement in, the Phalen test time (right hand, P = 0, 006; left hand, P = 0.0
06). Keyboard assignment had no significant effect on change in hand functi
on or median nerve latency. We conclude that use of Keyboard A for 12 weeks
led to a reduction in hand;pain and an improved physical examination findi
ng when compared with keyboard B, There was no corresponding improvement in
hand function, or median nerve latency.