Notebook computer use on a desk, lap and lap support: Effects on posture, performance and comfort

Abstract
This study quantified postures of users working on a notebook computer situated in their lap and tested the effect of using a device designed to increase the height of the notebook when placed on the lap. A motion analysis system measured head, neck and upper extremity postures of 15 adults as they worked on a notebook computer placed on a desk (DESK), the lap (LAP) and a commercially available lapdesk (LAPDESK). Compared with the DESK, the LAP increased downwards head tilt 6° and wrist extension 8°. Shoulder flexion and ulnar deviation decreased 13° and 9°, respectively. Compared with the LAP, the LAPDESK decreased downwards head tilt 4°, neck flexion 2°, and wrist extension 9°. Users reported less discomfort and difficulty in the DESK configuration. Use of the lapdesk improved postures compared with the lap; however, all configurations resulted in high values of wrist extension, wrist deviation and downwards head tilt. Statement of Relevance: This study quantifies postures of users working with a notebook computer in typical portable configurations. A better understanding of the postures assumed during notebook computer use can improve usage guidelines to reduce the risk of musculoskeletal injuries