Abstract: There is a need to develop a more sophisticated and educational system of keyboard set ups for not only the disabled population from their worker's compensation injuries but for the entire continuum of keyboard users nationally and internationally. This is due to the rising medical costs associated but also for the days out of work as the Bureau of Labor Statistics report for upper extremity sprains and strains and more importantly, carpal tunnel syndrome. Design companies are making ergonomic changes in the mouse, keyboard design but not until now has a long term solution been invented. Smart businesses are not waiting for regulation or lawsuits to prompt action geared to preventing such repetitive motion injuries such as carpal tunnel syndrome. The dual system of keyboard/keypad, mouse or calculator set ups after training will have a decided impact on the reduction of computer related work force injuries or to provide dexterity training for other people with disabilities.