This looks very nice. Switching to a split keyboard (Kinesis Freestyle)[1] and a trackball placed in the middle of the split so I can use it with either hand (pic of my current setup [2]) was a complete game changer for my RSI problems. It hasn't eliminated it completely but I am managing much much better now.
My only complaint with the Freestyle is that it doesn't have mechanical switches but it's still quite pleasant to type on imo.
I have the Kensington Orbit and a Logitech Marble. While I love the scroll wheel on the Kensington, I find that the left button requires a bit more force than the Logitech when clicking. No such thing as a gaming trackball?
Interesting. My one complaint about the Kensington is the buttons feel a little flimsy to me. Not sure I could live with that Logitech without a scroll wheel!