People with Disabilities: Input and Output

devices for disabled Users

Providing access to technology
People with disabilities meet barriers of all types.
However, technology is helping to lower many of these barriers. By using computing
technology for tasks such as reading and writing documents, communicating with
others, and searching for information on the Internet, students and employees with
disabilities are capable of handling a wider range of activities independently.
People with disabilities face a variety of barriers to computer use. These barriers can
be grouped into three functional categories: barriers to providing computer input,
interpreting output, and reading supporting documentation. Hardware and software
tools (known as adaptive or assistive technologies) have been developed to provide
functional alternatives to these standard operations. Specific products, and
approaches to using them, are described below
Mobility Impairments
Some wheelchairs may not fit under standard height computer tables and some computer users
do not have enough use of their hands and arms to operate a standard keyboard or mouse.

Input
Equipment which provides flexibility in the positioning of monitors, keyboards, documentation,
and tabletops is useful for many individuals with disabilities. Plugging all computer components
into power outlet strips with accessible on and off switches makes it possible for some
individuals to turn equipment on and off independently.

Some technology assists individuals with little or no use of their hands in using a standard
keyboard. Individuals who have use of one finger, or have access to a mouth- or head-stick or
some other pointing device, can control the computer by pressing keys with the pointing device.
Software utilities can create "sticky keys" that electronically latch the SHIFT, CONTROL, and other
keys to allow sequential keystrokes to input commands that normally require two or more keys
to be pressed simultaneously. The key repeat function can be disabled for those who cannot
release a key quickly enough to avoid multiple selections. Keyboard guards (solid templates with
holes over each key to assist precise selection) can be used by those with limited fine motor
control.
Sometimes repositioning the keyboard and monitor can enhance accessibility. For example,
mounting keyboards perpendicular to tables or wheelchair trays at head-height can assist
individuals with limited mobility who use pointing devices to press keys. Other simple
hardware modifications can assist individuals with mobility impairments. For instance, disk
guides can assist with inserting and removing diskettes; a dedicated hard disk or computer
network access can eliminate or reduce the necessity to do so.

For individuals who need to operate the computer with one hand, left- and right-handed
keyboards are available. They provide more efficient key arrangements than standard
keyboards designed for two-handed users.

Some hardware modifications completely replace the keyboard or mouse for individuals who
cannot operate these standard devices. Expanded keyboards (larger keys spaced far apart)
can replace standard keyboards for those with limited fine motor control. Mini-keyboards
provide access to those who have fine motor control but lack a range of motion great enough
to use a standard keyboard. Track balls and specialized input devices can replace a mouse.
For those with more severe mobility impairments keyboard emulation is available, including scanning and
Morse code input. In each case, special switches make use of at least one muscle over which the individual
has voluntary control (e.g., head, finger, knee, mouth). In scanning input, lights or cursors scan letters and
symbols displayed on computer screens or external devices. To make selections, individuals use switches
activated by movement of the head, finger, foot, breath, etc. Hundreds of switches tailor input devices to
individual needs. In Morse code input, users input Morse code by activating switches (e.g., a sip-and-puff
switch registers dot with a sip and dash with a puff). Special adaptive hardware and software translate Morse
code into a form that computers understand so that standard software can be used.

Speech input provides another option for individuals with disabilities. Speech recognition systems allow users
to control computers by speaking words and letters. A particular system is "trained" to recognize specific
voices.

Special software can further aid those with mobility impairments. Abbreviation expansion (macro) and word
prediction software can reduce input demands for commonly used text and keyboard commands. For
example, word prediction software anticipates entire words after several keystrokes and increases input
speed.
Output
Screen output does not present a challenge, but individuals with mobility impairments who have difficulty
obtaining output from printers may need assistance from others.
Documentation
On-screen help provides efficient access to user guides for individuals who are unable to turn pages in books.
Blindness
Individuals who are blind cannot access visual material presented on the computer screen or in printed
materials.
Input
Most individuals who are blind use standard keyboards, however, Braille input devices are available. Braille
key labels can assist with keyboard use.
Output
Speech output systems can be used to read screen text to computer users who are blind. Special software
programs (called screen readers) "read" computer screens and speech synthesizers "speak" the text. The
availability of earphones for individuals using speech output systems can reduce the distractions for others
nearby. Refreshable Braille displays allow line-by-line translation of screen text into Braille on a display area
where vertical pins move into Braille configurations as screen text is scanned. Braille displays can be read
quickly by those with advanced Braille skills, are good for detailed editing (e.g., programming and final
editing of papers), and do not disrupt others in work areas because they are quiet. Braille printers provide
"hard copy" output for users who are blind.
Documentation
Scanners with optical character recognition can read printed material and store it electronically on
computers, where it can be read using speech synthesis or printed using Braille translation software and
Braille printers. Such systems provide independent access to journals, syllabi, and homework assignments
for students who are blind. Electronic versions of documentation can support computer users who are blind
if it is delivered in an accessible format.
 Low Vision
For some people with visual impairments the standard size of letters on the screen or printed in
documents are too small for them to read. Some people cannot distinguish one color from another.
Input
Most individuals who have visual impairments can use standard keyboards, but large print keytop
labels are sometimes useful.
Output
Special equipment for individuals who are visually impaired can modify display or printer output.
Computer-generated symbols, both text and graphics, can be enlarged on the monitor or printer,
thereby allowing individuals with low vision to use standard word processing, spreadsheet, electronic
mail, and other software applications. For individuals with some visual impairments, the ability to
adjust the color of the monitor or change the foreground and background colors is also of value. For
example, special software can reverse the screen from black on white to white on black for people
who are light sensitive. Anti-glare screens can make screens easier to read. Voice output systems are
also used by people with low vision.
Documentation
Scanners with optical character recognition can read printed material and store it electronically on
computers, where it can be read using speech synthesis or printed in large print.
Hearing or Speech Impairments
Speech and hearing disorders alone do not generally interfere with computer use. However,
advanced speech synthesizers are close enough to human quality to act as substitute voices and
thus provide a compensatory tool for students who cannot communicate verbally. Students
with portable systems can participate in class discussions once adapted computers provide
them with intelligible speaking voices. Word processing and educational software may also help
students who are hearing impaired develop writing skills.
Input
Students with hearing or speech impairments typically use a standard keyboard and mouse.
Output
Alternatives to audio output can assist the computer user who is hearing impaired. For example,
if the sound volume is turned to zero, a computer may flash the menu bar when audio output is
normally used.
Documentation
Individuals with hearing or speech impairments typically do not have difficulty using standard
written or on-screen documentation.
 Specific Learning Disabilities
Educational software where the computer provides multi-sensory experiences, interaction, positive reinforcement,
individualized instruction, and repetition can be useful in skill building. Some students with learning disabilities who
have difficulty processing written information can also benefit from completing writing assignments, tutorial
lessons, and drill-and-practice work with the aid of computers. For example, a standard word processor can be a
valuable tool for individuals with dysgraphia, an inability to produce handwriting reliably.
Input
Quiet work areas and ear protectors may make computer input easier for individuals with learning disabilities who
are hyper-sensitive to background noise. Software that aids in efficient and accurate input can also assist. Some
people can compensate for high rates of input errors by using spell checkers, thesauruses, and grammar checkers.
In addition, word prediction programs (software that predicts whole words from fragments) have been used
successfully by students with learning disabilities. Similarly, macro software which expands abbreviations can
reduce the necessity to memorize keyboard commands and can ease the entry of commonly used text.
Output
Some individuals with learning disabilities find adaptive devices designed for those with visual impairments useful.
In particular, large-print displays, alternative colors on the computer screen, and voice output can compensate for
some reading problems. People who have difficulty interpreting visual material can improve comprehension and
the ability to identify and correct errors when words are spoken or printed in large fonts.
Documentation
Some individuals with learning disabilities find it difficult to read. Computer documentation provided in electronic
forms can be enlarged on the screen and/or read aloud with speech synthesis systems to make it accessible.