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IT Focus on Disability

Enabling people with special needs and disabilities to access IT

June 2006

 

 

Welcome to Issue 6 in this series of newsletters.  We will be dealing here with the issue of Multiple Sclerosis (MS).  We will demonstrate ways in which adapted computer equipment can help MS sufferers and their employers.

We would appreciate any feedback about layout etc., or suggestions for future articles.  To contact the editor or if you wish one of your colleagues to receive this newsletter, please send an email to news@adapt-it.org.uk

 

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CONTENTS

1. Coping with Multiple Sclerosis at work

2. Hints and Tips

3. Administrivia

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1. COPING WITH MULTIPLE SCLEROSIS AT WORK

 

Multiple Sclerosis (MS) is the most common disabling neurological condition affecting young adults.  Around 85,000 people in the UK suffer with MS.  For some people, MS is characterised by periods of relapse and remission while for others it has a progressive pattern – this results in a very wide range of disabilities and that makeslife unpredictable for anyone suffering from MS.  In general though, people with MS may suffer from mobility problems, visual impairment and sometimes speech impairment.

Because of this unpredictability, it is impossible to state with any confidence whether or not Aid ‘X’ or Aid ‘Y’ would be the best for someone with MS as it would be with many other disabilities.  However, because of our experience in catering for the varying needs of people with a wide range of disabilities, we are able to advise on, and provide, IT solutions that will assist people who have MS whatever the severity or nature of their disability.

Neither space restrictions nor the wide range of disabilities that can occur allow us to deal with any of these topics in more than cursory detail so the following list contains just a few of the solutions that are available to people with MS.

 

A. ‘Large key’ keyboards and/or special keyboard guards

Some sufferers have motor control problems in guiding their fingers to the keys and preventing multiple key presses.  Different shapes, sizes and configurations of keyboard can be tried if standard keyboards are unsuitable. A variety of ‘Large key’ keyboards are available. (Fig A)  The keyboards have many fewer keys than a standard keyboard because of space considerations and come in many different colour combinations ranging from standard black/white (Fig A), to multicolour depending on whether the user also has a visual impairment.  (Fig B)

            (Fig A)               Big Keys LX Multicolour    (Fig B)

 

The addition of a keyguard; a metal or plastic plate with holes for each key, can make it easier to avoid unwanted key presses and provide a hand rest between presses.  There are a selection of keyguards to fit certain standard keyboards; (see below – Fig C), but to ensure compatibility it is best to buy a customised keyboard and keyguard combination, a number of which are available.  These have all been designed specifically for people whose disability or tremor would otherwise restrict or prevent them from using a standard keyboard.

Keyboard and Keyguard (Fig C)

 

B. Armrests

These are well suited for someone with weakened muscles in their wrists and forearms  to help support their hands on a keyboard. (Fig  D).  With a variety of different styles available for desk or wheelchair mounting and with extremely flexible joints, this sort of device can reduce fatigue and strain and help improve arm mobility and dexterity.  Ideal for computer use as well as other uses, providing the answer for those who require support for their forearm whilst eating or just working at a table.

 

Ergo Rest(Fig D)

 

C. Switches

In general switches are designed to enable a person with a physical disability to operate an electrical appliance or device.  These can be particularly useful where the individual’s ability to use a mouse or keyboard is severely limited or impossible.  Switches need to be tailored to an individual’s needs.  There are numerous different types of switches designed to be activated by whatever controlled movement the user has whether this be simply pushing a pad, nudging a lever with an elbow, blinking, making any recognisable noise or even blowing a tube.  Before embarking on a switch solution it is advisable to get advice from someone who is not only aware of your condition and needs but is also familiar with what is available.  There are many examples of switches, such as:

 

 Big Red SwitchFig E                       Eye Blink SwitchFig F

 

 

D Laptrays

For wheelchair users trying to work on a non-height adjustable computer table can often be uncomfortable.  Adjusting the height of the table is obviously the best long term solution but bringing the keyboard and mouse to the wheelchair can sometimes be an short term solution.  A simple Laptray which moulds around the shape of the knees can usually accommodate a mini keyboard and mouse.  Integrated keyboard mouse devices can reduce the amount of space needed and wireless versions make the solution more elegant.  Below is an example of a wireless keyboard with built-in roller ball mouse.

 

Wireless keyboard with integral roller ball Fig G

 

E. Voice recognition software

Good voice recognition software should allow you to almost completely voice enable a computer.  This would let you navigate menus, dictate letters or browse the internet without lifting a finger.  Modern versions are user friendly and with the added computing power now available on most PCs, allow better recognition and continuous speech.  So software programs are much less ‘stilted’ than their predecessors.

 

F. Other steps available

People who have problems in pressing and releasing keys quickly enough to avoid repeated and unwanted characters can be helped by having the key response changed.

Minor changes can be made using standard keyboard configurations. Major changes can be done by using the Accessibility options in your computer's operating system.

For further information about the Accessibility features available on your computer, please choose your operating system.

·       Windows

·       Apple Mac

to link to individual pages.

 

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2. HINTS AND TIPS – ‘STICKY KEYS’ (for Windows users)

 

This tip is so useful for many types of disabled people who have hand dexterity problems or the use of one hand only, that we make no apology for outlining it once more.

It is often extremely difficult, or even impossible, for some people to hold down certain key combinations. For example, ‘Ctrl-Alt-Del’, (to bring up the Windows Task Manager), ‘Ctrl-Shift-E’ in Outlook Express, (to bring up the ‘Create Folder’ dialogue box), or when a shortcut requires a modifier key, such as Shift, Ctrl, Alt, or the Windows Logo key plus another, for example ‘shift + t’.

If that is the case, here is what you should do:

1. Go to 'Control panel' and, click on Accessibility Options.

2. In the box that appears, choose the Keyboard tab and tick the box marked Use Sticky Keys.

3. Then click on the Settings box.  These are further options.  We recommend that you select the first two and last two but not the middle group of two because selecting these options as well would mean that anyone else using your computer could cancel the ‘sticky key’ option without realising it, just by using any shortcut key combination.

4. Click OK for Settings and then OK again.
An icon (a group of four boxes) appears in the Taskbar area in the bottom right hand corner of your screen.  (This is purely to tell you that Sticky Keys is active – neither a left or right click actually does anything.)

The effect of this can be seen if you type the word ‘the’ as it would appear at the start of a sentence, i.e. ‘The’. Normally, you would hold down the shift key and hit the ‘t’ – the result would be ‘T’. With Sticky Keys activated, however, you hit the ‘shift’ once (i.e. without holding it down), followed by the ‘t’ key. This gives ‘T’.

Another example is ‘Ctrl-Alt-‘Del’. Using Sticky Keys this becomes easy. Just hit ‘Shift’ then ‘Ctrl’, then hit ‘Shift’ again followed by ‘Alt’, finally, hit ‘Shift’ again followed by ‘Del’.

 

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3. ADMINISTRIVIA

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