Let's start off with what the function of the tamp is.
Function
The tamp is cylindrical in shape and is ideally just snug enough to fit into the portafilter smoothly. What the tamp does, is prime the coffee bed to be met with water. What we know about the water is that in general, in commercial machines, water is applied with 9 bars of pressure. Physics tells us that pressured water flow will take the path of least resistance. By this logic, the tamp functions by making the coffee bed smooth, even, and robust enough to be hit with 9 bars of pressure and extract evenly.
Barista Health
Note: In no way am I a qualified physician. This is not to be considered medical advice.
If the surface one tamps on is on the proper level, the barista should be able to tamp with their elbo at a 90 degree(ish) angle, and their wrists in a semi-straight path to prevent damage. The barista can then use their body weight, and not muscle, to perform the tamp. By leaning into the tamp with the correct path, one can achieve about 30lbs of pressure.
Experiments with varying pressure
Personally I have experimented with varying pressured tamps and have found that applying a greater pressure than 30 lbs produced little effect, at most, a longer extraction. There are other variables that should be adjusted instead, such as the grind size, to achieve such an effect.