Since the eye muscles are usually not affected by ALS, these are often a good option. For those who need an alternate voice output, there are many options of electronic communication devices. With these, a person can type on a keyboard and everything that is typed is spoken through a voice synthesizer. On some devices, when one key is pressed, a full message is spoken. Access options include a variety of types of keyboards, mice, single switches with scanning, or even through Morse Code.
Many consumers also choose to use a computer as a communication device.
This enables them to have vocal communication as well as full use of a computer, including E-Mail and Internet access. There are a few popular software programs that function as a communication system and provide alternate access to the computer for other functions. Given the changing nature of disease, it is often in the best interest of a person with ALS to learn in advance about all of the available options for assistive technology. Maintaining regular contact with an assistive technology professional or center will ensure that devices can be provided or modified as your needs change. Working with a professional is also a crucial step in obtaining funding for devices from insurance, or for obtaining a loan of equipment from various sources.