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Hand & Wrist Exercises: Don't give RSI a chance!

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Topic Starter
Lyawi
We all know that if a doctor would watch us play osu! he would fall into a coma. I'm sure you have heard of players getting RSI, and maybe even you have yourself. But we can do things to prevent it, and it's not that hard. Spending a few minutes a day before gaming shouldn't be too bad, right?
I'll give you some exercises for your hand and wrist for better gameplay and so that you just feel more comfortable while playing. These exercises are from Dr Levi Harrison, who has made multiple videos about exercises for the hand and wrist. Also, here's a little message.

Blanky wrote:

Hi everyone, it's Blanky.

It's been a good 3 years since I properly played osu! Used to play very often, and left due to RSI due to playing osu! excessively and without proper stretching/cold hands. I've come back after 3 years, NOT to play again, but to warn everyone. Please do not play for long periods of time, make sure your hands are warm, and do proper stretches before, during and after play time. After 3 years of rest and therapy, my RSI has not resolved. The results can be permanent, so should you feel any signs of RSI, please seek medical help, and stop playing osu! until you resolve the problem.
So let's just start.
  1. The first thing you should do is, especially if your hands are cold, put your hands into warm water while moving your fingers up and down.
  2. After you do this, do the exercises from the photos below. Hold each position for 3 seconds and repeat for one minute:
  3. Now, it's hard to show in a photo because I need my other hand to take the picture, but the next thing to do is open your hand and strech your fingers back. Each finger, especially the fingers you're using for clicking the circles.
  4. Next step is to stretch your arm out with your wrist down, holding for 3 seconds, and then moving your wrist up, and holding for another three seconds. Then, make circles with a stretched hand for 3 seconds and switch directions for another 3 seconds. The whole excersize should be done for one minute.
  5. Now just shake out your hands in alternation while moving your fingers like crazy. Do that for one minute.
  6. Have your arm straight again while having a stretched hand up. Take your other hand and pull your fingers back a bit. Make sure your arm is still straight.
    Then do the same, while pulling from the palm of your hand instead. This is an important step, do those 10 seconds per exercise. Also here it's hard to show in photos for me, sorry.
  7. Do your hands a favour and massage them by pressing the thumb on your opposite hand against your fingers.
  8. Finally, spread apart all of your fingers, hold for a few seconds, and then bring them together. Do this for a minute and then shake out your hands and you're ready for playing! \o/
Please don't forget to take breaks, at least 10 minutes per hour. You give your hands such a pressure while playing, they need breaks.
I think you know which beatmaps are the best for you for getting warm, but if you don't know, please start with not too hard maps.
E m i
i truly and supremely wonder what physical changes are supposed to take place that would cause you to not get RSI from banging your keyboard at X speed for Y time in return for stretching?

I mean, without stretching, you are banging your keyboard at X speed for Y time...
And with stretching, you are banging your keyboard at X speed for Y time, yes?

What could it be, tendons of the wrist are brittle when they're at a low temperature and the impact of banging your keyboard at X speed for Y time causes the tissue to literally break on a microscopic scale, but if you warm them up they are less brittle and thus unaffected by that impact?
Blanky
Yes, RSI is all about microscopic tears on muscle tissue, tendons, etc. Usually, it will heal without notice, but it can accumulate over time if you don't give it the chance to recover. When your hands are cold/not properly stretched, the tendons have a lesser supply of blood, which means the microscopic tears will heal slower, and it is more likely for them to occur. Allowing them to accumulate into the RSI we all know. These microscopic tears can occur in multiple places and cause different forms of RSI. Inflammation based, such as tendonitis, carpal tunnel syndrome, etc. these can progress into chronic RSI, so it is good to stop when you notice symptoms, and best to prevent them from ever occurring. Stretching and warming your hands up will NOT stop RSI from occurring, but definitely will reduce the chances, or slow the process down.

Edit: and definitely BEWARE OF STREAMS. don't do long periods of stream practice. especially with unlimbered/cold hands. it is probably the worst combination I can think of.
Endie-
I approve this post.
Stretching is super important as it may help keep that pesky RSI away. However, I think it's important to note that stretching doesn't remove the need for breaks, as if it somehow magically fixes your tendons. Stay safe guys.

As for Momiji's comment; stretching helps a lot of things. For example:
* Helps improve flexibility (increases your range of motion)
*Assists in correct posture by lengthening tight muscles that pull areas of the body away from their intended position (because of so much time at our computers, many of us have tight chest muscles which pulls the shoulders and head forward, leaving us with a hunched shoulder look)
*Potential to decrease injury by preparing muscles for work before activity
*Increases blood and nutrient supply to muscles, thereby possibly reducing muscle soreness
Endaris

Endie- wrote:

I approve this post.
Stretching is super important as it may help keep that pesky RSI away. However, I think it's important to note that stretching doesn't remove the need for breaks, as if it somehow magically fixes your tendons. Stay safe guys.

As for Momiji's comment; stretching helps a lot of things. For example:
* Helps improve flexibility (increases your range of motion)
*Assists in correct posture by lengthening tight muscles that pull areas of the body away from their intended position (because of so much time at our computers, many of us have tight chest muscles which pulls the shoulders and head forward, leaving us with a hunched shoulder look)
*Potential to decrease injury by preparing muscles for work before activity
*Increases blood and nutrient supply to muscles, thereby possibly reducing muscle soreness
Range of motion is irrelevant for your taphand and the taphand is what is mostly addressed in terms of RSI due to streaming
Looking at posture specifically, I'm pretty sure you would be better off doing 10min of Yoga than stretching your hands. Considering that range of motion is not relevant for your tapping hand, it is questionable whether stretching can really improve your hand posture and stuff.
Preparing muscles for work before activity can easily be achieved by starting with maps that aren't as taxing.
Getting your streaming fingers warm happens the most efficiently by playing more lightweight maps because they address the acute areas much more specifically than stretching can.

Not saying that stretching is useless but osu! is too different from other games and PC activities (which Dr. Levi addresses mainly) to make Dr. Levi the holy grail of RSI-prevention.
I would still recommend everyone to try stretching and find some exercises that help you specifically (for me, some motions that help me remove stiffness from my hand and wrist) but I don't think that it is that big of a factor if you're listening to your body.
Endie-
I was thinking of stretching in general, so I should have probably specified that looking back at my comment.
I still believe that stretching your tendons before and after an intense play sessions helps prevent future injuries. It has helped me a lot through the years as well.
Stretching might give different results for different people though. It is not necessarily something universal that everybody has to do in order to prevent stuff like RSI.
KtkC
Particularly: Mouse-only honestly feels like RIP for that arm/wrist/hand. Honestly stretching is and feels great. +1
Kondou-Shinichi
try: the 3 minigames
Velura
Good post and good reminder that health should come before the game. I have dealt with some wrist pain in the past from playing too long far too often. Reminding yourself to at least take it a bit slower in the beginning and not jumping head-first into action might be just as valueable as warming up in my experience.
Anyways, thanks for this little write-up and reminder :)
Topic Starter
Lyawi
owo
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