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Footrests are used to bring the floor up to those users that need it. With the standard desk height of around 710 mm (originally established for paperwork rather than computing), this includes many people of medium height, both men and women. If when you sit with your fingertips on the middle row of the keyboard (with your elbows at right angles and your wrists flat) you have noticeable pressure on the underside of the thighs, you need one. Design quality is generally poor for these products, and they often fail to achieve their aims, so choose carefully or make your own.

Relatively cheap (approximately £20 for the basic models) they can be purchased from office equipment suppliers, some computer companies, and ergonomic product suppliers. The latter source tends to be the most expensive but may be the preferred choice if there are specific requirements, i.e. the user is an audio typist using a foot control. However don't assume that claims of ergonomic design mean that it is suitable.

The main criteria are that the user can position both feet comfortably on the footrest, with the sole of the foot horizontal, and that it is at the right height. Tiltable footrests cater for those users who wear a variety of shoes, in that the foot can always be in a horizontal position not matter how high the heel. Users can also exercise with the footrest thus encouraging blood flow in the legs.

It is worth trialling the footrest as some do not like the unpredictability of tilting footrests, and many such footrests simply tilt to the maximum extent when weight is applied to the feet at one edge (under the ankle). For this reason some models do come with a locking mechanism. Heights vary but are often not adjustable, so it is a good idea to experiment with books to find the height you want. Quite small differences in height make a big difference, so try to get within half an inch of the ideal.

Unless you wear high heels the footrest surface should be parallel with the floor, but most are set at an angle. Many are quite narrow and shallow, and restrict the range of leg positions available. Generally it is all too easy to buy a footrest which is badly designed and of the wrong height.

Many home-made solutions work better, for example a slab of foam covered in fabric or carpet. Foam can be bought from the market, also from upholsterers and foam suppliers (look for these in www.yell.co.uk). Foam can be cut neatly with an electric carving knife. For smaller increases in height, a piece of MDF board or plywood can be completely effective (from B&Q etc), and finished with a carpet tile.

The Schedule to the Display Screen Equipment Regulations which details the minimum requirements for workstations gives the following guidance:

A footrest shall be made available to any operator or user who wishes one.

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