My husband went a few years without any hands free devices and it is very frustrating to have to have someone help you change the channel or turn pages on a book, etc. We finally got some devices that help him in that area and it really changes a person life with just that little bit of independence and freedom. We had a channel changer that he had to say a word and then give the channelhe wanted to go to. Through the Department of Rehabilative Services he has aquired a computer. It has a dragon naturally speaking program on it so it is voice activated where he can dictate. It also has a program called magic cursor that is like a mouse. He wears a cap which has these dots on the cap and then little ball on his computer screen picks it up and allows it to act like a mouse pointer. He just points the dot and it clicks on the screen.