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On alto I find ergonomics to be a non-issue because it's a relatively small and light instrument. On tenor there's definitely a much greater spread of feel from vintage American saxes to modern, and on bari ergonomics can be make or break (I physically could not play a grassi because my right wrist could not bend sufficiently - Martin and Yamaha baris are no problem).

Since we're talking alto I feel that ergonomics are not the issue - how the horn plays is the issue. I'd much rather have a 1950s (or 1920s) alto that is well built and well setup with no leaks than a new selmer clone that has slop in the rods and point screws, uneven tone holes and leaks and goes out of adjustment if you look at it wrong.
 
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