A powered communication system comprises an improved layout of keys configured to treat, mitigate, or delay the onset and reduce the severity of symptoms of carpal tunnel syndrome (CTS) and other pathologies by reducing movement of a user's fingers during typing. A layout of the powered communication system comprises the most-used letters on a home or center row while retaining a plurality of keys in the same placement as the QWERTY keyboard. The powered communication system further comprises customizable function keys to further reduce finger movement and at least one sensor to monitor a user's health while typing.