The rapid rise of competitive video gaming, or esports, has highlighted concerns about health risks associated with extended, high-intensity digital engagement. Esports athletes often perform repetitive fine-motor movements with their wrists, hands, and fingers, increasing their risk of musculoskeletal disorders (MSDs) such as carpal tunnel syndrome, tendinopathies, gamer's thumb, and mouse elbow. My project investigates the frequency, causes, and prevention strategies for wrist and finger injuries among esports players, with an emphasis on specific physical exercise programs and design. Literature from sports medicine, ergonomics, and physical therapy is reviewed. Results show that injury rates among esports athletes vary from 30% to over 60%, with the wrist being the most frequently affected area. The main risk factors include gaming for more than 5 hours daily, extended practice sessions, insufficient rest, and poor workstation ergonomics. Prevention strategies include primary interventions like ergonomic gaming mouse with adjustable DPI, modular parts, and neutral wrist positions. They also involve secondary measures such as warm-up routines, neuromuscular strengthening exercises, and scheduled micro-breaks based on the 20-20-20 visual rule. Evidence supports a multidisciplinary approach involving physical therapists, ergonomists, and performance coaches to enhance athletes' longevity and competitive results. This project concludes that proactive injury prevention, which involves integrated ergonomic improvements and targeted exercise routines, is vital for maintaining esports participation at both amateur and professional levels.

Keywords

Esports, Gaming Mouse, Ergonomic Design, Physical Exercise, Musculoskeletal Health