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To pause and unpause the screen reader use Ctrl + SpaceBar.
To review and adjust the settings press the Back Slash "\".
To toggle on and off the list of keyboard commands press Alt + "K".
↑ and ↓ arrows use to select dropdowns and radio buttons.
Ctrl + Alt + ↑ = Move up one row.
Ctrl + Alt + ↓ = Move down one row.
Spacebar use to select checkboxes or button.
Ctrl + Shift + Backspace = Close the reader to allow third party readers to function or reopen it.
To exit any menu click the ESC key.
Here is a complete list of Keyboard Commands for this toolbar.
\ = List selected hotkeys
Ctrl + spacebar = Play or Pause Audio Reader
Alt + K = Keyboard Commands
Alt + F1 or Alt + H = Access Help and Technical support
Alt + M = Menu
Alt + S = Access the toolbar settings
Alt + I = Text increase font size
Alt + D = Text decrease font size
Alt + P = Readable text
Alt + L = Highlight links
Alt + N = Keyboard navigation
Alt + J = Grayscale
Alt + Y = Contrast
Alt + T = High Contrast
Alt + R = Clear Settings
Alt + 7 = Increase voice pitch
Alt + 8 = Decrease voice pitch
Alt + 9 = Increase audio rate
Alt + 0 = Decrease audio rate
Alt + + or Alt + V = Increase volume
Alt + - or Alt + B = Decrease volume
Esc = Exit the toolbar or any dialog
Ctrl + F5 = Refresh Page
Tab = Navigate to the next element
Shift + Tab = Navigate back
Ctrl + Alt + ↑ = Move up one row
Ctrl + Alt + ↓ = Move down one row
Alt + C = Access Certification
Ctrl + Shift + X = Close or open this toolbar
Ctrl + Shift + Backspace = Full close or open this service (with page reloading)
↑ and ↓ arrows use to select dropdowns and radio buttons