Look I like mechanical keyboards and editor setups as well, but let's not pretend it's this great panacea. It just feels nicer.
The amount of commands that are 2-3 characters long really slows down learning and when it comes to it you will often be typing another 80 ish characters after the command name for options and piping anyway.
Have you even used macros in vim (or whatever)? It's practically a modern editor's raison d'être.
(part of the beauty is that vi-style motion keys or similar philosophy have promulgated into everything from browser plugins to a plethora of terminal tools like htop, ncdu, tig etc.)
Just moving your hands to the arrow keys might be less efficient, but in my experience it has got nothing to do with RSI—you’re just moving your whole hand with your shoulders. That seems about as repetitive stress-inducing as going to fetch a cup of coffee.
Of course when one plays the piano one has to move the hands by the shoulders a lot... the piano is not a stenography keyboard.