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The mouse movements on Windows 8 desktop and Windows 7 are exactly the same.
The touchscreen inputs are optional.
Navigating on the Start Screen with a mouse is simple. There is no need to use mouse gestures. The mouse buttons and the scroll wheel work fine.
There is absolutely no need to rearrange your desktop unless you want to take advantage of a touchscreen in a new way
Did you know that when the mouse was introduced, people had the same repetitive stress injury concerns?