Computing Without Pain With the MouseKeyDo System
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Additional FAQs:
Frequently Asked Questions (FAQ) for Health and Safety Professionals

  1. What is the MouseKeyDo System?
  2. On what conditions has the MouseKeyDo System been proven effective?
  3. How is the MouseKeyDo System different from other programs on the market?
  4. What does the MouseKeyDo System include?
  5. How does the MouseKeyDo System help workers with computer-related injuries return to productivity?
  6. Why should I offer the MouseKeyDo System to my patients or clients?
  7. How do I become a reseller for the MouseKeyDo System?
  8. How long will it take me to learn the MouseKeyDo System and start training my patients or clients?
  9. How long will it take my patients or clients to learn the MouseKeyDo System and see results?
  10. How do I know the MouseKeyDo System works?
  11. What are the training goals and services the MouseKeyDo System provides?
  12. How does MouseKeyDo work to further research, prevention, and treatment of computer-related disorders?
  13. How much does the MouseKeyDo System cost?
  14. Do you offer any special pricing?
  15. How do I order the MouseKeyDo System?
  16. What workers' compensation insurance carriers currently cover the MouseKeyDo System and/or hands-on training by an approved provider?
  17. Whose employees use the MouseKeyDo System?
  18. How can I use the MouseKeyDo System in patients' or clients' workplaces?
  19. What training resources does MouseKeyDo offer?
  20. How can I learn more about the MouseKeyDo System?
  21. What do other therapists and clinicians say about the MouseKeyDo System?


1. What is the MouseKeyDo System?

The MouseKeyDo System is a series of lessons that teach computer users new ways to use the keyboard and mouse, both on a desktop computer and on a laptop, in order to work more productively with less pain. By using the self-guided CD-ROM and accompanying training manual, clinicians and safety professionals can train patients and symptomatic employees very quickly - 50 to 75 percent faster than without the manual and CD.

The System is designed to complement clinical treatment and has been effective for preventing as well as managing a wide variety of chronic and acute repetitive strain injuries (RSI).

2. On what conditions has the MouseKeyDo System been proven effective?

This program is especially helpful in restoring productive function to people suffering from nerve entrapment and/or tendinitis due to inflammation. Some of the specific diagnoses that have been successfully eased by MouseKeyDo training include the following:

a. Lateral and medial epicondylitis
b. DeQuervain's tenosynovitis
c. Ganglionic cysts
d. Carpal tunnel syndrome
e. Cubital tunnel syndrome
f. Radial nerve entrapment
g. Thoracic outlet syndrome
h. Myofascial neck and shoulder pain syndrome

3. How is the MouseKeyDo System different from other programs on the market?

The MouseKeyDo System was developed by Norman J. Kahan, M.D., a physical medicine and rehabilitation specialist practicing in Cupertino, California - the heart of computer-centric Silicon Valley. Dr. Kahan based the System on the way the body naturally moves, drawing from clinical practice, scientific research, and a close study of computer and piano technique. It is the only system that includes a self-paced interactive training manual and CD-ROM teaching a complete set of techniques designed to alleviate discomfort and maximize productivity.

4. What does the MouseKeyDo System include?

The MouseKeyDo System is made up of two parts: a 98-page training manual and an interactive CD-ROM.

Computing Without Pain with the MouseKeyDo System covers 27 step-by-step lessons, with photo illustrations and practice exercises for each lesson. It also contains a discussion of the 12 most common computer-related injuries, a self-assessment quiz, and a training log to help users track their progress. The companion CD-ROM features Dr. Kahan explaining and demonstrating all the techniques and practice exercises in 45 minutes of VHS-quality video. (System Requirements for playing the CD-ROM are compatible with Windows 98, 2000, ME, XP Home, XP Professional, Mac OSX, MacOS Classic, MacOS 9.x.)

5. How does the MouseKeyDo System help workers with computer-related injuries return to productivity?

Studies show that 33 percent of computer-related wrist, arm, and neck pain is caused by improper work habits and computer techniques, even in an office designed to be ergonomically correct. If work habits are the cause of someone's pain, simply treating the symptoms won't solve the problem. The answer is to make permanent changes in the way people use their computers. The MouseKeyDo System was developed to do exactly that. People who use the MouseKeyDo System to manage chronic or acute RSI feel better fast, return to work quickly, and avoid re-injuring themselves in the future.

6. Why should I offer the MouseKeyDo System to my patients or clients?

The MouseKeyDo System is a proven effective program that helps your patients or clients prevent and manage injury while offering you opportunities for increased income. Approved MouseKeyDo System providers can do the following:
  • Create a center to offer MouseKeyDo training to current and new patients.
  • Capture additional revenues with reimbursement for training through workers' compensation and private health insurance.
  • Simplify insurance billing through provided billing codes.
  • Resell the MouseKeyDo System at a $14 markup per training manual and CD-ROM package when selling directly to your patient, or a $50 markup when billing to a workers' compensation insurance carrier.
  • Create a co-marketing program with MouseKeyDo.
  • Build relationships with patients, employers, and workers' compensation administrators by offering early intervention and worksite training programs.
  • Receive continuing education units (CEUs).
  • Receive professional discount pricing for MouseKeyDo training equipment.
  • Access training services, educational materials, and ongoing support from MouseKeyDo and Dr. Kahan.

7. How do I become a reseller for the MouseKeyDo System?

To be a reseller and distribute the MouseKeyDo System manual and CD-ROM directly to patients, without going through Medical Dynamics, you will contact insurance carriers directly to obtain authorization and payment. Please reference our form entitled "A Brief Overview of the MouseKeyDo System Indications and Efficacy" for information you will need to provide to insurance carriers about the System's cost, indications, and clinical efficacy.

If you have any questions please call us at 650-917-1177 or email us at info@mousekeydo.com, with "reseller request" in the subject line.

8. How long will it take me to learn the MouseKeyDo System and start training my patients or clients?

The MouseKeyDo System includes an entirely new set of skills around workspace setup, sitting, keyboarding, keyboard shortcuts, mousing, and laptop use. Using the MouseKeyDo System training manual and CD-ROM, learning every aspect of the program will take you three to six hours, depending on your experience in treating and managing computer-related RSI. After that, you can practice at your own pace or attend private training sessions.

See upcoming training sessions.

To set up a training session, contact us at info@mousekeydo.com or call us at 650-917-1177.

To contact other providers about their experiences using the MouseKeyDo System, click here.

9. How long will it take my patients or clients to learn the MouseKeyDo System and see results?

Most users will require a total of three to six hours to learn the program. Because the System requires users to learn an entirely new set of keyboard and mouse skills, they must practice the exercises for 20 minutes a day. After one or two months, most people find they're working at their previous level - or, because they're no longer experiencing pain, that they're more productive than before.

To learn more about the clinical efficacy of the MouseKeyDo System, read Dr. Kahan's article, "Outcomes of Mouse-Keyboard Training" Part I and Part II.

10. How do I know the MouseKeyDo System works?

Following MouseKeyDo training,
  • 89 percent of users reported decreased pain.
  • The average user improved functioning by 25 percent.
  • A number of users who were so impaired they could no longer type at all were able to type for 3.6 hours after completing training.
  • 1.3 years after training, users report they still use the skills they learned, have less pain, and enjoy the same or better function.
  • Using the MouseKeyDo System CD-ROM and manual allowed patients to complete training up to 75 percent faster than without it.

11. What are the training goals and services the MouseKeyDo System provides?

MouseKeyDo System evaluation and training focuses on maximizing function. This complements medical treatment and includes the following goals:
  1. Return to work - achieved through improving work tolerance by increasing endurance, accuracy, speed, and confidence.
  2. Improve soft tissue flexibility and joint range of motion of the neck and upper limbs - achieved through therapeutic exercises and breathing techniques.
  3. Improve sitting posture, balance, and mobility - achieved through dynamic spine stabilization and body mechanics training.
  4. Reduce pain, inflammation, muscle stress, and fatigue of the neck and upper limbs - achieved through manual therapy and training in specific biomechanical and neuromuscular skill patterns for the keyboard, mouse, and laptop.

12. How does MouseKeyDo work to further research, prevention, and treatment of computer-related disorders?

Each year, we donate a portion of our profit from sales of the MouseKeyDo System training manual and CD-ROM to educational institutions and non-profits in the field. For example, we support Ergonomics For Children and Educational Environments (ECEE), a technical committee of the International Ergonomics Association (IEA).

13. How much does the MouseKeyDo System cost?

The one-time cost to patients for each CD-ROM/training manual package is $125 when billed to workers' compensation insurance, $89 if purchased in the clinician's office. Patients can also purchase the package directly from the MouseKeyDo web site via PayPal for $75 plus shipping, handling, and sales tax.

In addition, if the treating physician prescribes supervised training by a physical therapist or occupational therapist, a separate usual and customary charge is applied using typical health care billing codes (CPT, or current procedural technology, codes). The training generally takes six sessions of 30 to 60 minutes. This is generally covered by both health insurance and workers' compensation insurance, and may require preauthorization. However, if training is offered in-house by employer-based health and safety specialists, it may be offered to employees with no additional cost beyond the time budgeted for the training sessions.

14. Do you offer any special pricing?

As a reseller, you may purchase the MouseKeyDo System for $75 per manual/CD set and resell it directly to patients for $89, or through workers' compensation for $125.

We also offer special discounts for companies that purchase the training materials for their employees, for students and senior citizens, and for workshops.

15. How do I order the MouseKeyDo System?

Are you billing your purchase to workers' compensation insurance? We have worked with Medical Dynamics to create a simple, fast order system to ensure speedy authorization. Click here for the order form entitled "How to order the MouseKeyDo System through workers' compensation."

If you're purchasing the MouseKeyDo System directly, you can order it online: To ask about special rates or order by phone, please call us at 650-917-1177.

16. What workers' compensation insurance carriers currently cover the MouseKeyDo System and/or hands-on training by an approved provider?

A partial list of insurance companies currently approving the MouseKeyDo System includes:

Broadspire
Chevron-Texaco
City of San Jose
Concentra
Fireman's Fund
Fremont Compensation
Gallagher-Bassett
GatesMcDonald
Liberty Mutual
Octagon Risk
Republic Indemnity
St. Paul Fire & Marine
Sedgwick
State Compensation Insurance Fund
State Farm
Travelers
Zurich

The System must be prescribed by a licensed Medical Doctor (MD), Doctor of Osteopathy (DO), or Doctor of Chiropractic (DC).

17. Whose employees use the MouseKeyDo System?

A partial list of our clients includes:

Advanced Micro Devices
Applied Materials
Back Education and Sports Therapy
California Occupational Safety and Health Administration (Cal-OSHA)
Chevron-Texaco
Cisco Systems
City of San Jose
Commerce One
County of Santa Clara
De Anza College
Department of Motor Vehicles
Foothill College
Hewlett Packard
Hospital Corporation of America - Good Samaritan Hospital
IBM
Keenan and Associates
Lam Research
Lawrence Livermore National Laboratory
Long Beach Memorial Hospital
Microsoft
Mitsui-Comtech Incorporated
Nektar Therapeutics
Physical Performance Institute
Shell Oil
Solomon Smith Barney
Stanford Linear Accelerator (SLAC)
Tenet Health Care Foundation - Community Hospital of Los Gatos

18. How can I use the MouseKeyDo System in patients' or clients' workplaces?

  • Offer the System to high-risk or symptomatic employees as a self-paced training tool or one which complements their doctor's treatment plan right at their own desk at the worksite.
  • Offer onsite training for all injured workers.
  • Offer on-site workshops to all employees or patients to warn them of the dangers of RSI and give them a way to prevent it.
  • Make it available as a reference tool to employees concerned about RSI.

19. What training resources does MouseKeyDo offer?

We can teach you to be a MouseKeyDo provider and help you design and implement ongoing clinic and worksite training processes to support employees of companies interested in treating and preventing RSI. After training, we will continue to provide continuing education, resources, and support.

Dr. Kahan is available to lead "Computing Without Pain Live," a PowerPoint presentation that demonstrates the MouseKeyDo System and explains the research behind it. This presentation is a great way to introduce the System to your patients and clients in groups of almost any size.

In addition, authorized MouseKeyDo providers may download a variety of resources from this web site at no additional charge. These resources include Dr. Kahan's PowerPoint presentation, complete with narration or written script, as well as a training guide, handouts, and evaluation forms. Download training resources. (password required)

20. How can I learn more about the MouseKeyDo System?

Read Dr. Kahan's article, "Technique Addresses Computer-Related RSI." >Part I will help you understand the causes of repetitive stress injuries. Part II will explain some of the specific techniques used in MouseKeyDo training.

Find out what other users say about the MouseKeyDo System.

21. What do other therapists and clinicians say about the MouseKeyDo System?

"I have found great results with my patients while utilizing the MouseKeyDo System training manual and CD-ROM as the foundation for our keyboarding class. The principles are easy, with just making the change that is always difficult for people. I feel that with the exponentially increasing usage of computers in our daily lives, a shift needs to happen in the way we utilize them. Dr. Kahan has done an exceptional job of developing a system which is easy to teach, learn and use as a refresher periodically."

     Lee H. Kole, PT
     BreakThrough Physical Therapy, Sunnyvale, California
     Back Education and Sports Therapy, Cupertino, California

"I have found MouseKeyDo System training to be an effective functional training program that clearly goes beyond providing patients with modalities, manual therapy, and exercise training. The training techniques help patients who are serious about controlling pain brought on by computer keyboarding"

     David Severson, PT
     Joan Urban, PTA
     Milpitas Physical Therapy, Milpitas, California

"The MouseKeyDo System has a strong, biomechanically sound scientific basis for its purpose and effectiveness. It reduces the stresses of keyboarding on commonly injured areas by distributing the forces throughout several joints and muscles, which decreases the overall demand on one specific area. This system is an excellent and valuable tool in my practice and allows me to treat patients with these injuries."

     Fabrice Rockich, D. P. T, O. C. S., C. S. C. S.
     OPTM Physical Therapy of Saratoga, Saratoga, California

"The MouseKeyDo System provides an excellent training program for any computer user. This program covers the essentials of full body posture, arm and hand position, muscle tension, and an extensive strategy for advanced keyboarding techniques designed to reduce risks of repetitive strain injury or RSI. My patients find the computer CD easy to follow and fun to use. Coaching patients through the process of learning the MouseKeyDo System program has also helped me with my own computer use. I recommend the program highly to computer users, patients, therapists, and to any one helping computer users to work more safely."

     Tom Petzoldt, OTR-L, CHT
     Petzoldt Memorial Hand and Physical Therapy
     San Jose, California

"Along with appropriate exercise, frequent breaks, and workload pacing, proper technique is an integral part of any rehabilitation program for repetitive strain injury. Dr. Kahan's MouseKeyDo System will help computer users learn how to use the whole body at the keyboard to help prevent injuries. I highly recommend it!"

     Deborah Quilter
     Author, The Repetitive Strain Injury Recovery Book
     www.RSIhelp.com
     New York, New York

"Dr. Kahan has done a fabulous job developing the MouseKeyDo System. "It is nicely organized, and has well thought - out and researched alternatives to keyboard and mouse use. My patients are enjoying increased comfort at the computer after completing this training. I highly recommend that anyone who spends time on the computer try it, to decrease their computer-related symptoms or avoid them altogether!"

     Ingird Wade, O. T. R./L, CHT
     Myofascial Physical and Occupational Therapy Associates
     Los Gatos, California

"Dr. Kahan has gone to great lengths to develop a practical yet well founded, evidence-based program. He combines his musical abilities with his medical back ground in a humanistic approach to help injured workers return to productive livelihoods. As the director of large facilities ergonomics program, I use the MouseKeyDo System to help workers prevent full-blown injuries. I recommend it."

     Mariam P. Wedemeyer, M.S., O. T. R/L, DCN
     Ergonomics Program Director
     Long Beach Memorial Medical Center/Miller Children Hospital
     Long Beach, California





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