Usually RSI sneaks up on you and hits you when you are most under pressure and least able to cope with or, indeed, rest from its causes. Often it seems RSI hits conscientious hard workers. In my case, I went from being a top performer to a problem employee in the space of  less than 10 years. This steady decline was not something that I wished for, wanted or felt happy about, but there was very little option, later at least, to change course. I could make management happy by working harder and thus continue to hurt my arms and hands, and I knew that backing off work would mean less throughput, less visibility and fewer financial rewards. It’s a vicious cycle.

I can remember how it ultimately felt when I quit. In one respect, there was the relief of being free from the cause of pain but, on the other hand, there was the bitter feeling of how the injury had made me fall from being a top rated performer to simply a problem employee in the space of 10 years. In truth, the injury had led me from loving my job to becoming almost disillusioned with it when I realised that I just couldn’t perform my role any more due to the pain. It’s a nightmare journey with a lot of frustration along the way.

It was also a sad day to finally say goodbye to my engineering position, in which I was qualified and had spent the best part of 20 years doing, in a career that I really had enjoyed. And, of course, the future lay before me with a very large question mark over it. There were a lot of mixed emotions.

The one thing that still rankles me is how the transition from a star employee to a problem one can happen. An injured worker isn’t very useful to a company and there is a breakdown in relationship between employer and employee when you get injured, which I guess relates to the business ethos. It’s a fact of life that, if you are limited in learning new things because you are injured, then you are becoming less and less useful. The only contribution for a long term employee is knowledge of the job. This can be tapped into in an advisory role for a while, but once that knowledge is imparted or becomes dated, your usefulness rapidly diminishes and you become a problem that needs to be addressed. Should I have done more? Should my employer have done more?  There are many open ended questions that linger with me to this day, ones that I know will never have an answer.

If I could change one thing, I’d have taken the injury more seriously a lot earlier. I can’t over-stress this point to anyone reading this who has just developed an RSI. It is very important to break free from the underlying causes before you too end up going from star employee to company problem.

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Civil liberty infringements aside, this example shows how ignorant some employers are to RSI and how it manifests itself. RSI is pain induced by micro movements of a repetitive nature, which ‘flares up’ and produces painful symptoms when doing many small micro movements over long periods of time eg typing on a keyboard or clicking a mouse. In bad cases, it can cause pain and weakness, for example in wrists, which may affect other activities, or other repetitive everyday tasks. The condition does not, however, generally affect the muscles groups associated with doing many tasks requiring larger motion, including most motions involved in working out at the gym.

The irony is that with RSI, activity that is based on large non-repetitive motions and especially cardio based activity should be encouraged since movement of the larger muscular groups will enhance blood flow to injured areas and promote natural healing. It should not be criticised and brought up as evidence against an RSI claim. To do so just shows the complete ignorance of the individuals and organisations involved.

It is a travesty that the perception is that someone with an RSI condition should be effectively seen to be in a wheelchair and/or doing nothing before they look like they have RSI to an employer. If they were observed continually texting on their phone or playing video games all day that would be a different story! However, being criticised for living a normal macro movement life whilst trying to keep fit and healthy is an outrage.

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One question they asked that has stuck in my mind to this day was, “When was the last time you listened to music?”, to which I replied well, “In the car driving here”. Their response was, “No, when was the last time you listened to music just to enjoy the music, not as part of something else?”. I really had to rack my brain to think that one through. I couldn’t remember. Not for many years and probably when I was a lot younger, had a lot more time on my hands and a lot less to worry about – probably in my teens! I had to be honest and say, “I really don’t remember”.

The lesson she was trying to impart was that we rarely take the time in life any more to just enjoy simple things that once were a source of relaxation. Music should have been there to enjoy and relax to on its own. By then my life was so busy that music had been demoted to something less.

It may be a part of the reason we hanker after music during our childhood to teen years. Back then, we had more time to listen to music with fewer worries and distractions in our lives. Not only that, but we spent time listening to whole albums from start to finish (which back in my day were on vinyl) and playing them to death whilst memorising the lyrics. This changed in my busier twenties, demoting music to be something listened to when I was driving about, at my desk whilst working or when I went for a workout at the gym. It just wasn’t something I had time for any more on it’s own, yet it was still an important part of my life, just not for relaxing to. In other words I always added something else into the mix with music without obtaining any of the mental relaxation that could be found from listening to an entire album and doing nothing else.

Move forward a couple of decades, and we find ourselves in a completely different situation. The invention of home computers, MP3 files and players have completely revolutionised music and the way we listen to it. We now have thousands of files on our players that are very easily mixed and are frequently listened to in random order, which can be great, and really allows you to find stuff in  your collection that you’d forgotten about. However it has led to being spoiled for choice, and we tend to flick through music tracks at the push of a button, not listening to albums in the way they were intended to be appreciated. Many artists spend a lot of time sequencing an album into a specific order which ‘flows’ or tells a story, and is really part of the overall experience of that music. This sequencing is more often than not completely wasted with shuffle plays of MP3 players, and really adds to the sense that music is just a cheap commodity in our already over commoditised life.

If we spent a dedicated hour a day to do nothing but listen to a favourite album the way it was intended to be listened to and for no other reason but to enjoy that album, we’d find that the music does a wonderful thing and takes us to a different place, where we can lose our worries and stresses for an hour and start to relax again, just as we did when we were younger. It may also help us to de-stress and unwind from tension induced conditions such as RSI.

So when was the last time that you really listened to music?

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Not being so much of a computer tech geek these days since succumbing to RSI, I have only just realised that both Windows Vista and Windows 7 ship with Microsoft Speech Recognition engine in them for free. Go to Windows Start menu and type in “Windows Speech Recognition” and hit ‘Enter’. You can use your computer’s inbuilt microphone, but may find much better results with purchasing a separate headset with microphone which sits approximately 3 cm from your mouth. The better quality the mic/headset, the better the results will potentially be.

The speech recognition engine from Microsoft appears to be reasonably usable. I quickly was able to enter the learning text. I was also quite surprised at how well it performed given the ultra quick learning cycle, and my low toned Scottish accent.

My trial in using this software is just beginning, and I’ll report back with a more detailed analysis later, but initial impressions are quite positive with certain reservations eg it works (or more accurately works with full features) only when using Microsoft applications, ie Internet Explorer, Word, Excel, Notepad, Wordpad etc, and only partially with some third party applications like Open Office and not at all with others eg Firefox (my usual browser, which it also appears to slow down). If I set Microsoft’s monopolistic tendencies aside, and try it out with their software, I find that it does a reasonable job of making Internet Explorer navigable with speech.  I would have preferred a little more help, however, with finding typical commands available to use with the browser. The windows help on the subject is reasonable, but not great. The few commands I did manage to find are as follows -

Windows 7/Vista Speech Recognition Commands for Internet Explorer 8. If anyone finds any more be sure to leave a comment and I’ll update this.

Who knows whether speech recognition will ever be a complete replacement for a keyboard and mouse, but with a free copy embedded in Windows 7 and Vista it’s certainly well worth a try out.

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This they attribute to the fact that men “make ‘umm’ and ‘err’ sounds more frequently.”

I can attest to this. It is a common problem in general, and I was guilty of doing this in presentations in between lines as I paused to catch a breath. It’s also common when pausing between words when using voice recognition. A bad habit? Perhaps, but a common habit nonetheless.

In addition, the scientists found that, “Variations in pitch, tone and speed can also cause the system to misunderstand voices” – which goes without saying. No two people talk in the same way or style. If we did, we’d be a very boring species! Dialects and regional variations also come into play, and as such I can certainly see why speech recognition software has its work cut out to achieve results.

My own experience with trying out speech recognition wasn’t great. I think my low toned Scottish accent with plentiful doses of ‘umm’ and ‘err’ didn’t help either, but I did feel a bit aggrieved at its inability to learn my accent. It was some time ago so the software may well have changed and improved a lot since then, but I remember feeling frustrated at the many hours I had sunk into the system hoping it would learn my voice, all for naught in the end. Voice recognition in my mind has always had great potential for relief of over-used arm and hand muscles, but the effort involved in learning how to use the software, ie teaching the software to recognise your voice, for was a soul destroying and futile task!

It’s a sad but true fact that for me there really is no comparable alternative to the keyboard in this day and age!

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The idea is to have two waterproof (plastic storage boxes work fine) containers. Each one  should be just greater in length than the distance from your elbow to you finger tips. These should be filled with water to a depth enough to cover your arms when fully submerged.

One container should be ‘hot’ – not too hot.  ie. no greater than 40-45^oC (104-113^oF)

The other container should be ‘cold’ – cold tap water with a few ice cubes (or an ice cooler pack) in it to chill further to no lower than 10-15^oC (50-60^oF)

You will also need to have a clock or timer handy with seconds/minutes easily visible. A kitchen timer or stopwatch is good for this purpose.

The procedure is simple, and involves submerging your arms into the ‘hot’ bath for 1 minute, followed by submerging them for 1 minute in the ‘cold’ bath. Then repeat this switching between baths for 10 to 15 minutes (longer if desired).

You can repeat contrast baths a few times a day if necessary, but it may be impractical to do this at work. You could also increase the time from one minute in each bath to two minutes in each bath if found to be more effective.

This temperature cycling should help relax any stressed out muscles a bit, and give some immediate pain relief. At the peak of my RSI condition after coming home from work every night, I would do contrast baths to get some pain relief. Its a low cost and self administrable procedure that can help reduce RSI pain.

Please check with your health advisor first if you have diabetes, heart problems or Raynaud’s Syndrome before doing contrast baths so that they can determine whether it is advisable for you to proceed.

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“Tweeting by thought alone is a somewhat slow process using this prototype technology –- we speak at approximately 120 words per minute. But, as with texting, users can improve as they practice using the interface. “I’ve seen people do up to eight characters per minute,” Wilson says.”

Ouch.. that would be a significant downturn in workload!  I can see this form of input being a considerable benefit to people with severe disabilities, however I do wonder what the long term health impacts are of having an electrode implanted in your brain. My guess is that it must surely at this stage be a large unknown. It is, however, an interesting area of research.

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The mind boggles at the mere though of this. It’s a very Orwellian concept. Imagine other sensors out there being able to read your thoughts – scary!

The assumption is that due to the ease of the technology, we as consumers will beg to have this implanted technology. I’m not convinced of this argument. I also tend to believe that new concepts in computer control are never going to be risk free in themselves. Eye motion controllers could cause eye strain. Thought controllers could cause brain strain!

The human brain is not a device that tends to tackle one sole task at hand. Out thoughts are random, parallel, and varying in nature. You may be thinking about the weekend holiday ahead or be excited about a forthcoming birthday etc. How would thought control devices differentiate these ‘human’ thoughts from ‘control’ thoughts? Would your employer be able to see when you were not thinking about the project you are working on each day? Would they be able to pay you per thought control hour rather than per 8 hour day?

Only time will tell whether this plan comes to fruition, but it seems to be no more than wishful thinking. I suspect that if it does come into existence it will be treated very cautiously by discerning workers.

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