Incorrect
                          Monitor Position
                        
        
        What is the Correct Location (Height
            and Distance) to Position the Monitor?
          
          In single-monitor workstations the monitor should be located
          directly in front of the user (i.e. inline). The top of the
          viewing surface should be at or below eye level (see graphics
          at right). In order to provide an appropriate viewing distance
          the monitor should be located at least 18" and no more than
          36" from the eyes; if uncertain, place it a distance equal to
          the size of the monitor (i.e. if a 24" wide monitor is being
          used, it should be located at least 24" from the eyes of the
          user when normally seated). 
        In the case of
            multi-monitor workstations where the user regularly accesses
            content on all monitors, the user may choose to position
            themselves in the midline of all viewable area (even though
            this may be where two screens "meet"), positioning the two
            screens in a slight "V" shape. If the user primarily
            uses one screen and the other(s) only for occasional
            reference they may choose to center themselves in line with
            the middle of the primary screen. To facilitate an optimum
            viewing distance to all screens, any secondary monitor
            should be angled towards the user to create a
            "cockpit" workstation layout.
        Finally, adjusting
            screen resolution can also assist in readability of fonts,
            etc. Most monitors today use a wide screen form factor, and
            the default resolution is typically 1920 x 1080. 
            Reducing the resolution (while maintaining the scale or
            ratio i.e. to 1600 x 900 or even 1280 x 720) can improve
            readability. Most operating systems also have other settings
            which can assist in readability including high contrast
            themes, direct access to adjusting text and font sizes
            (often accessible by pressing CTRL and the + key at the same
            time) and even a focused area magnification tool.
          Why
is
              Incorrect Monitor Position a Risk Factor?
 Why
is
              Incorrect Monitor Position a Risk Factor?
            
            ... If the Monitor is Too High
            Neck or back strain will likely occur as the user
            attempts to "lean" back to see the viewable area on the
            monitor. When the monitor is at a higher elevation, the eyes
            of the user will be drawn upward. Even if this is only a
            slight change in eye position, there will be an
            instinctive tendency
            to incline the head upward, putting strain on the neck
            muscles. Over time the entire body will subconsciously try
            to lean backward to relieve the tension on the neck.
            
            ... If
                the Monitor is Too Low
              Neck strain or back strain will likely occur as
            the user attempts to "lean" forward to see the viewable area
            on the monitor. When the monitor is at a lower elevation,
            the eyes of the user will be drawn downward. Even if this is
            only a slight change in eye position, there will be an
            instinctive tendency
            to incline the head downward, putting strain on the neck
            muscles. Over time the entire body will try to lean forward
            in an attempt to relieve the tension on the neck. 
         
        A normal relaxed
              position for the head is anywhere from completely vertical
              up to as much as 10° looking downward - any "tilt" larger
              than that can lead to the issues noted above. 
           
            ... If the Monitor is Too Far Away
            This will cause the user to be forced to lean forward or
            squint to see text or fine detail on the monitor. This can
            lead to eye strain, and stress on the back as the user leans
            forward (losing the benefit of any back / lumbar support and
            moving the spine away from the natural orthopaedically
            supportive S-Curve) to see the
            monitor more clearly.
        ... If the
              Monitor is Too Close
            The
            user will be forced to lean back or move their chair away
            from the workstation to prevent issues with focal distance
            (i.e. the ability to focus), which can make the keyboard,
            mouse and reference materials more awkward to reach and lead
            to overreach
              issues.
        How Far from the Optimal Position Does a
              Monitor Have to Be to Avoid It Being a Risk Factor?
            
            For most individuals, the eyes can accommodate a height
            variance of approximately 5° without too much effort. This
            translates over an 18" distance to 1.5". For horizontal
            variance the range can be approximately 15° which translates
            to 5" over an 18" distance. However, the problem is that
            most individuals will tend to achieve this movement with
            their neck as opposed to their eyes, and as this is a
            subconscious action, it can be a difficult one to actively
            prevent from occurring.  
             
            What
are
              the Symptoms of a Monitor Which is in the Wrong Position?
            
            Symptoms that may indicate that the monitor is at an
            improper position are aches, fatigue and pain primarily in
            the neck but also potentially in the back.  
        Monitor position
            is often blamed for eye strain as well, however, even with
            the monitor in the optimal location, most users will find
            their eyes becoming tired when working for extended periods
            on the computer. People blink less frequently when viewing a
            monitor and/or reading, and blinking gives the muscles in
            the eye an opportunity to relax. In addition, the muscles
            aren't being used when the user maintains focus on a set
            distance for an extended period of time.  The Canadian
            Association of Optometrists recommends the 20-20-20 Rule to
            combat eye fatigue.
        20-20-20 Rule: Every 20 Minutes, Take a 20
                Second Break, and Focus On Something 20 Feet Away
               
         
        Do Users with
                Bifocal / Multifocal or Progressive Glasses have
                Different Considerations when Positioning the Monitor?
        
        
        In the case of Bifocal
                Lenses, the lower portion is normally used for
              reading and near focus targets. Because this style of lens
              makes no provision for the viewing of a computer monitor,
              Bifocal users are forced to substantially lower the
              monitor and bring it closer in order to position it within
              the "near focus" zone. This makes it extremely difficult
              for them to maintain correct neck posture. With the head
              held at an anatomically neutral vertical position the
              monitor should lowered to the elevation where the user is
              able to clearly focus on the screen (i.e. substantially
              below the position of the monitor in the graphic above).
              This ensures that whenever they are viewing the monitor
              their neck will be positioned for optimum support of the
              head.   However, because the
              "near vision" zone tends to be positioned quite low on the
              lens and because lowering the monitor and drawing it
              towards the user will interfere with any documents or
              holders on the desk surface, most will tend to leave the
              monitor positioned too high and will end up tilting their
              head back in order to be able to view the monitor through
              the "near vision" portion of the lens. This can be
              addressed by having custom lenses made which, rather than
              having the traditional Near and Distance zones, instead
              combine the Near zone for reading with a "mid-range" zone
              suited for computer screen use. This would enable the user
              to work effectively with both written content screen-based
              material. Because the upper portion of the lenses would
              provide optimal viewing the user would also be able to
              have appropriate neck posture while viewing their
              monitor(s).
         
        Progressive
              or Multifocal Lenses require different
            positioning than Bifocals. With these glasses there are
            usually 3 viewing zones. The upper zone is for distance
            viewing, the middle zone for mid-range, and the lowest
            portion of the lens is for "close-up" use, usually reading.
            Most of these users will require a smaller reduction in
            elevation of the monitor than those with Bifocals because
            they will tend to rely on the middle portion of lenses when
            viewing their monitor.   The
            potential risks when using this type of lens is that most
            users will find that the "depth" of the mid-range portion of
            the lens does not permit them to clearly view the entire
            depth of the monitor screen. As a result they will find
            themselves constantly using their neck to compensate,
            tilting the head back to view the upper portion of the
            screen, and leaning forward or tilting the head down to view
            the lower portion. Another factor that needs to be
            considered is the fact that the "mid range" portion of the
            lens is designed to facilitate optimum viewing within a
            central zone. This means that in order to properly focus on
            extra wide or multiple screen configurations the user will
            need to be turning their head to ensure that the the focal
            zone is directed towards the portion of the screen currently
            being viewed. Attempting to use just the eyes to look from
            left to right will move outside this central zone, resulting
            in distortion and blurring of the screen content.
            
            Computer Glasses are another option that is
            becoming quite common, especially for those who spend the
            majority of their time working on the computer and regularly
            referencing the monitor. These are single vision glasses
            made specifically for use at a computer. Because the entire
            depth and width of the lenses is set to the optimum viewing
            distance for computer screens there is a much lower risk of
            the user adopting awkward neck p ositions while trying to
            keep the portion of the monitor being viewed within the
            correct focal zone of the lens. This issue is increasingly
            prevalent as monitors continue to get larger, resulting in
            screen content which is now spread over a much greater
            vertical range. These taller screens require those with
            multi-vision lenses (bifocal, trifocal or progressive) to
            use their neck to constantly raise and lower their head as
            they view content at different screen elevations. The
            dedicated single vision glasses address this concern as well
            as providing a "full width" view that is not available with
            trifocal or progressive lenses, reducing the need for
            lateral neck rotation.
          
         
        Why is
                    Reading
            from a Piece of Paper, Cell Phone or Tablet Different than
            Viewing a Monitor?
            
          Some
          individuals might be inclined to think that since the head is
          typically significantly inclined when reading papers, cell
          phones and tablets, the same posture should hold for viewing
          monitors. This assumption has several flaws. The reason paper
          and most electronic devices are typically read at a lower
          elevation stems from biomechanics. Human arms are not designed
          to maintain an extended position for any period of time at or
          near shoulder height. Lactic acid will build up almost
          immediately upon the extension of arms. It is far more
          comfortable to hold any object with arms relaxed at the sides
          and bent at the elbow. When viewing a monitor, the arms are
          not involved, making the comparison inappropriate at
          best.  
          
          Humans act (and react) to their environment from a vertical
          position, walking on two legs and sitting in an upright
          position. Hunting ancestors and modern day human pedestrians
          default to scanning the horizon to ensure that they are safe.
          A more practical example is that the "prime" location in
          grocery stores for product placement is at a height of 48 -
          60" off the ground for these same reasons.  
          
          How
Can
            the Choice of Accessories or Workstation Help to Address
            Incorrect Monitor Position?
          
          The addition of a Monitor
            Arm is the best strategy to ensure correct monitor
          positioning and an addition worth considering when designing
          workstations. Other alternatives include Adjustable
Height
            Desks and Monitor
            Risers.
          
        What
Other
            Strategies can be used to Address Incorrect Monitor
            Position?
          
          In some workstations, there is insufficient depth available to
          position the monitor appropriately. Moving the monitor to the
          corner of the workstation (and possibly adding a Corner
            Converter) can often yield needed inches to increase the
          distance between the user and the monitor.
          
          Consider the possibility of adding a second monitor to the
          workstation, as this may sometimes alleviate demands placed on
          the user by a single monitor solution.