Students with physical disabilities are provided with certain mouse alternatives through Macintosh OS X and the Windows Operating System. These alternatives allow students to use movements that they are most comfortable with to direct a mouse pointer.
Trackballs act as a mouse that remains in one place. The mouse pointer moves in response to a stationary ball that is rotated on a base. Buttons are also positioned near the ball that have the same function as the buttons on a mouse. There are large trackballs, standard trackballs, and mini-trackballs. Mini-trackballs work well for students with good fine motor control but have a very limited range of motion
Joysticks are similar to trackballs, but instead of a ball, there is a movable handle that is perpendicular to the base.
Eye-gaze systems use a students' eyes to direct a mouse pointer. Infrared-sensitive video cameras determine where a student is looking and then move the mouse pointer to that spot. Clicking can be done by using a switch or blinking an eye. This type of mouse alternative is used by students who have limited muscle movements in their hands and/or head.
Keyboard Alternatives
Although standard keyboards work well for most students, students with disabilities have trouble using them. Expanded keyboards are over-sized keyboards that offer a larger surface. Students with poor fine motor control who need a large area to perform an accurate key stroke benefit greatly from this type of alternative keyboard.
On-screen keyboards display an image of the keyboard on the computer screen, and letters/functions are selected by clicking on them with a mouse/mouse alternative. They provide computer accessibility to students who are unable to use a keyboard because of motor skill deficiencies but can control a mouse/mouse alternative. Students who also have trouble refocusing their attention from the monitor to the keyboard and back to the monitor again benefit from this tool.
Resource: Dell, A., Newton, D., Petroff. (2012). Assistive technology in the classroom: Enhancing the school experiences of students with disabilities. Boston, MA: Pearson Education, Inc.