The QWERTY keyboard still dominates in terms of it's availability and use everywhere people use computers!   In this age, where electronic and computer development has been explosive, we're still using a computer keyboard layout that is over 100 years old!  There are significant variations on the QWERTY keyboard, with many companies building large ranges of QWERTY keyboards with various design and functionality differences.  The fact remains, however, that the QWERTY keyboard is everywhere.  

So, it seems inevitable and necessary that we all learn to use the regular qwerty keyboard so that we will be prepared and functional wherever we encounter computers.

However, investigating the wide range of alternatives currently available and the new ones being developed every month, can result in new opportunities for both people with disabilities and able bodied people. People with disabilities may have no option but to make use of different or alternate keyboards.  The use of alternate keyboards and input methods may surprise you in terms of the improvement in your efficiency, accuracy and productivity.  Remember though, that introducing a new system which requires learning, skill development, motor learning and practice for familiarity and skill may appear slow and awkward in the beginning.
 

Persevering with new input systems may have a significantly positive payoff in the end with increasing your productivity in text entry and computer use.  But you may only see this is you practice and persevere, with patience and persistence!

Speech Recognition:  The use of voice for computer control and text entry has become an increasingly viable and successful system.  For individuals with good speech and reading skills above a 3rd grade level, a trial period of speech recognition is strongly recommended.  Users can attain speeds and accuracy levels with speech recognition that is not possible at all with any other input method.  See the speech recognition section of this web site.

Repetitive
stress
problems & injuries

Ergonomic keyboards have been developed through the driving force of consumer demand and need.  The advent of computers and their infiltration into every aspect of society in work, school and homes has seen a surge of  upper body repetitive stress difficulties and postural problems.

Reduced
range
of motion
A reduced range of motion in the joints of the arms or hands results in a reduced functional area for work.  Small, mini or reduced size keyboards are often effective in allowing the user to get to each key with less effort, in a smaller range of movement.  Small keyboards can be easily mounted or positioned in an optimal position for the users best functional range of movement. When choosing a reduced size keyboard, take note of the following size ratios:
  • the size of each individual key
  • the space between each key
  • the physical size of the keyboard
  • the layout of the keys and the physical shape of the keyboard

In addition, keyboards with alternate key layouts can be effective in minimizing the amount of movement or range required for each key hit.  Many studies have shown that reducing the range of movement and distance between each key hit can speed up typing and also aid in accuracy for people with reduced range of motion, poor coordination and fatigue problems.  These alternate key layout programs are sometimes referred to as 'frequency of use' keyboards since the most frequently used letters are laid out in a more optimal position for sequential key strokes.

Poor
coordination
There are a number of options for users with poor coordination.  Poor coordination can result in errors with the wrong key being hit, and frequent need for backspacing for corrections.  It can also result in the correct key being hit but possibly hit more than once or held down too long, thus inadvertently ending up with more than one character per key hit, also requiring backspacing and corrections.  In this case, typing is slow and frustrating because is takes so much effort attempting to hit the correct key in the first place, and then if the wrong one is hit, time needed for deletion and then more effort to try and hit the correct key again.

Keyguards can be used on any keyboard.  For the user with poor coordination, any type of keyboard (large, small, regular, Dvorak layout, one handed etc.) a custom keyguard can help significantly with initial correct key hits.  

For many users, providing more table space in front of the keyboard for resting the forearms will help with stabilizing arms.   arms_resting_on_table.jpg (37655 bytes)
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Forearms or wrists rested on arm supports (such as a wrist rest or larger arm supports on the desk in front of the keyboard) can be helpful in providing a stable surface for support thus reducing tremors or helping stabilize poorly controlled movement.  Proximal stability (of arms) will almost always help with increased accuracy with initial key hits.   Arm_support_block_for_typing.jpg (41817 bytes)

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Reduced
strength or
endurance
For the user who fatigues quickly, providing as much body support and good positioning as well as reducing the amount of movement and the force required for activation are key points to address.

Positioning:  The seated position should be as supportive as possible.  This means support at all joints, with only the hands or fingers moving, to reduce the physical load as much as possible.   The chair back should have lumbar support.  Side supports or built up sides will help with trunk support too.  The more support the better! 

Alternate / frequency of use layout or Small, mini or reduced size keyboards require less movement.  Most of these small keyboards also need less force to activate keys.  Membrane keyboards that don't need an actual key press also help in some cases. 

Hand function
problems
There are a large range of very different and unusual keyboards.  Hand function problems could include difficulty with pointing and key press for individual keys.  It could involve the use of only a few fingers for key presses.  Whatever the specific hand function problem, there are many different types of keyboards that could be considered.  Keyboards with alternate layout or those designed for one handed typing may be beneficial. 
Slow rate
of work
For users who have good speech, speech recognition will significantly speed up rate of work.  Text entry even for someone who moves and talks slowly, will be much quicker than any type of keyboard.  If a keyboard is the best option, then use of add-on or integrated rate enhancement utilities such as word prediction, abbreviation expansion and macros might speed up work.
Poor head
control
A person with poor head control using a standard setup (keyboard on table in front of him and screen at 90 degrees to keyboard) often has a difficult time with movement of his head and change of visual focus from the keyboard, to the screen and sometimes to the textbook or page next to the computer.  
This is especially the case if the individual is unable to touch type, which would often be the situation for someone with poor head control.  In this case, sometimes the best setup is having the keyboard on the screen, close to the text being typed.    An onscreen keyboard, accessed with a touch screen or switches maintains the users visual focus on the screen with little to no head movement required.  The screen should be positioned in the users best visual field. 
Developmental
delay, low
cognitive
functioning

 

Visual
perception
problems

Expanded, large membrane keyboards are extremely useful in modifying keyboards and information that is presented to the user for input to the computer.  Instead of putting a regular keyboard or even an alternate keyboard with about 100 keys in front of a developmentally delayed or visually impaired user, you can create the user interface and input system that will work best for the person and the task.  
Expanded membrane keyboards lend themselves to a huge range of complexities in terms of keyboard input.  They can be a simple as 4 or 5 keys for cursor control or as complex as 200 words on a sheet of paper.  Almost anything you can design or dream up in terms of input can be drawn up on a piece of paper and controlled with the membrane keyboard.  These are the types of keyboard used in point of sale applications, kiosks, restaurants and many types of businesses due to their highly flexible and modifiable features.  
Low vision Speech recognition with an add on screen reading program (KeyStone SpeechMaster) is a viable option for people with low vision, and reading skills above the third grade level.

For those where speech input is not an option, a variety of large key keyboards, stickers to place on keys (Zoom Caps) and color coded or textured keyboards are available.

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