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132  HANDBOOK OF ELECTRONIC ASSISTIVE TECHNOLOGY



             Mouse Pointer Control With Speech

             Digital Assistants
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             Modern computer tablet operating systems offer ‘digital assistants’ such as Siri (MacOS
                               27
             and iOS ), Cortana  (Windows) and Google Now (Android and Chromebook), which
                    26
             can recognise spoken commands. This can reduce the need to use the mouse to start and
             navigate between different programs and apps. The systems can be used to, for example,
             start programs, find information on the device, interact with the digital calendar and play
             music, but they do not provide complete control over the machine using speech.

             Speech Recognition
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                                                                                29
             The Windows built-in speech recognition  and Dragon NaturallySpeaking,  for Windows
             and MacOS, can start, close and switch between programs, and voice commands can also
             be used to, for example, control the text cursor for editing text in a word processor and to
             access the menus.
                Direct speech control over the mouse pointer is also possible by giving the ‘Mousegrid’
             command. Mousegrid displays a transparent grid with nine numbered cells over the
             screen and the user moves the mouse pointer to that cell by speaking the relevant num-
             ber. Another numbered grid then appears within the selected window, and the user again
             selects a cell by voice. This process is repeated until the mouse pointer is located over the
             required item on the screen.

             Eye-Gaze Access

             Eye-gaze technology enables a user to control the mouse pointer or make selections from a
             device by looking at a key or icon on screen. Eye-gaze may be suitable for users with significant
             physical disabilities who cannot access or have difficulty accessing keyboards, touchscreens or
             traditional pointing devices such as mouse, keyboard or trackball.  Eye-gaze access systems are
             used by people with, for example, spinal injury, ALS/motor neuron disease, RETT syndrome
             or quadriplegic cerebral palsy (Caltenco et al., 2012; Caligari et al., 2013; Borgestig et al., 2016).
                Eye-gaze can be faster than other methods of access, such as direct selection with a
             joystick, or indirect methods, such as switches and scanning (Curry et al., 2007), because
             most users can direct their gaze around a screen very rapidly. However, in a 2017 review of
             access interfaces, Koester and Arthanat found very little published data on text entry rates
             by users of eye gaze (Koester and Arthanat, 2017).
                Eye-gaze involves lower levels of physical activity than other access methods. Most
             human beings are experts at directing their gaze to objects within the environment, but

               25  Use Siri on your Mac: https://support.apple.com/en-gb/HT206993.
               26  Siri on iOS: https://www.apple.com/uk/ios/siri/.
               27  Cortana: https://www.microsoft.com/en-gb/windows/cortana.
               28  Windows Speech Recognition commands: https://support.microsoft.com/en-us/help/12427/
             windows-speech-recognition-commands.
               29  Dragon NaturallySpeaking: https://www.nuance.com/.
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