For a patient with ALS, access to a computer can be challenging and change as the disease progresses. Simple modifications or alternative devices may be needed at first, with more advanced adaptations required later. Maintaining access is important, as it can allow a patient to continue recreational activities and games, stay connected with family and friends through email and social media, and research information.

Built-in Accessibility Features

The use of built-in accessibility features can help accommodate changes in motor skills. A basic example is the use of Sticky Keys. This allows keys that are typically pressed simultaneously 9i.e. Shift and a letter to capitalize) to be pressed in sequence. This can be a very handy tip when motor control in one hand has declined more rapidly than the other. A similar set of accessibility features exists in both the Winds and Mac platforms.


Windows 8 (On-Screen Keyboard. Mouse Keys, Sticky Keys, Speech Recognition)

Windows 7 (On-Screen Keyboard, Mouse Keys, Sticky Keys, Speech Recognition)


OS X (Switch Control, Slow keys, Sticky Keys, Dictation Commands, Onscreen Keyboard)

Mouse Control


BIGtrack Trackball

Kensington Expert Mouse

Kensington SlimBlade Trackball

Logitech Trackman Marble

OPTIMAX Wireless Rollerball


n-ABLER Pro Joystick

Optima Joystick

Optimax Wireless Joystick

Head Controlled

HeadMouse Extreme – Bundle with SofType


Eye Controlled

PC EyeGo

Other Mouse Control Tips

Text Entry

Typing Aids

Alimed Clear View Typing Aid

Slip-On Typing Aid

Typing Aid


Utensil Holder (insert pencil with eraser pointing out)

Onscreen Keyboards

SofType 5 (Windows)

KeyStrokes (Mac)

REACH (Windows)

SwitchXS (Mac)

Small Keyboards

Bluetooth Mini-Keyboard with Keyguard

SlimTouch Mini Keyboard

Maltron Single Finger/Mouthstick Keyboard

Rii Mini Keyboard


Fentek Keyguards

Turning Point Technology Keyguards

Other Computer Access Tips