I don't have RSI, so don't know from experience, but wouldn't a syntax aware IDE with autocomplete be very useful for minimizing keystrokes without necessarily minimizing the characters?
Probably. I tend to avoid IDEs because to me they feel like straight jackets and their editors tend to be inferior to standalone editors. I'll have to look around at autocomplete options for my usual languages (Erlang, Python) though -- I figured if I couldn't fit what I was using into my head, I needed to work on my head, not on my autocomplete options. But maybe I'm wrong. :-)