lhe increased use of video display terminals for general office applications such as data entry/retrieval and word processing has brought to light human factors problems associated with VDT use. These problems are epitomized by the complaints of VDT users about visual and musculoskeletal strain and discomfort. 1,2 A number of studies have been conducted in field settings and in laboratory simulations to determine the causes of these complaints. Human factors considerations regarding environmental and workstation design have been shown to be significant determinants of the quantity and quality of visual and muscular complaints in VDT operators. This article reviews research that has examined these human factors considerations.
VDT operator physical complaintsConcerns about VDTs and their potential health implications originated in Europe during the 1970's. Some of the first research examining VDT operator health problems was performed in Austria by Haider and his colleagues. 3 ' 4 They demonstrated that VDT operators performing in laboratory simulations showed increased myopia,* which became more profound with increased viewing time. Laubli, 5 in Switzerland, showed that VDT employee visual complaints, such as eyestrain, carried over from one day to the next. This demonstrated a potential for chronic impact of VDT viewing on the visual system. In addition, Laubli found that VDT operators performing different kinds of work activities displayed different levels of visual problems. Operators performing record-retrieval tasks (interactive) had more visual complaints, such as eyestrain, than those VDT operators performing data entry tasks or typists using standard electric typewriters. His colleague, Hunting 6 found that VDT operators' muscular complaints (sore shoulder, back pain, sore wrist) also showed a different pattern for different work activities. In this case, the data entry VDT operators had higher levels of muscular complaints than the interactive VDT operators or standard typists. These results demonstrate the influence of job requirements in defining the potential health problems of VDT work. *Myopia, often referred to as nearsightedness, is a conditon of the eye in which parallel rays are focused in front of the retina, resulting in the individual having decreased visual ability when objects are far from the eye.