To prevent hand injuries while using portable electronics and video games, Washington Hand Therapy recommends the following safety tips:

  • Tell your child to use a neutral grip when holding the controller. A neutral grip is when the wrist is straight and not bent in either direction (not strong or weak). It will allow for wrist motion in a plane where more motion is available in the wrist.
  • Ask your child to take a break every hour or switch to another activity. Overuse of repetitive motions, such as pressing buttons, can cause tendonitis of the elbow or lead to Carpal Tunnel Syndrome.
  • Don’t let your child sit back on his/her knees. Bending the knees this far is not only a hard position for the knee joint, but it requires your child to push most of his/her body weight up with his/her hands and wrists, placing increased pressure on these joints as well.
  • Make sure the monitor is at the correct height.  While looking at the horizon, your child’s eyes should be looking at the top of the monitor.(this may vary if child wears glasses)
  • If your child is typing, the keyboard should be at a height so that with his/her wrist/hands are straight, his/her forearms are parallel to the keyboard surface.
  • When using a gameboy (a hand held device), encourage your child to put pillows in their laps and rest arms on pillows. This will allow them to keep their head in a more upright position and therefore decrease neck strain.  The pillows will help support the arms so they do not have to be held up in the air.
  • Whenever, possible your child should be sitting in an appropriate chair.  This would be a chair that allows your child to comfortably put their feet on the floor and also provides good back support.
  • When s/he is using a single control device (like a mouse), encourage your child to switch hands frequently.  This will allow the one hand to rest and reduce fatigue.
  • Have your child frequently focus on a distant object (away from the monitor) to help reduce eye fatigue.

In addition to following healthy usage guidelines, Washington Hand Therapy  recommends performing the following
hand and wrist exercises to reduce the risk of injuries when using handheld electronics:
Note: These exercises should never be painful when completing them. You should only feel a gentle stretch. Should you experience pain, please consult a hand therapist or physician.

• Fold your hands together and turn your palms away from your body as you extend your arms forward. You should feel a stretch all the way from your shoulders to your fingers. Hold for 10 seconds and repeat eight times.

• Fold your hands together and turn your palms away from your body, but this time extend your arms overhead. You should feel the stretch in your upper torso and shoulders to hand. Hold for 10 seconds and repeat eight times.

• Place your hand just above the back of the elbow and gently push your elbow across your chest toward the opposite shoulder. This is a stretch for the upper back and shoulder. Stretch both the right and left arms. Hold for 10 seconds and repeat eight times.

• Raise one arm overhead. Bend the elbow. Place the opposite hand on the bent elbow and gently push the elbow back further. This is a stretch for the triceps (muscle on the back of the upper arm). Stretch both the right and left arms. Hold for 10 seconds and repeat eight times.

• Extend an arm in front of you, making sure the elbow is completely straight. With your palm down, take the opposite hand and bend the hand down toward the floor. Then turn the palm up, and stretch the hand back toward the floor. This stretches the forearm and wrist muscles. Hold for 10 seconds and repeat eight times.

• Open up hands and spread the fingers as far as possible. Hold for 10 seconds and repeat eight times.

Washington Hand Therapy’s friendly and experienced therapists use specialized and advanced skills in assessment and treatment of conditions affecting the hands and upper extremity. They can be reached in any of their three offices in Bellevue, Kirkland and Woodinville by phone at (888)-924-2631.


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