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How do users of physical Assistive Technologies access screen reader shortcuts?

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From: Dan Smith
Date: Oct 5, 2016 8:40PM

I'm in the process of educating some developers about why it's better to
let screen reader users leverage the shortcuts built into their screen
reader, than it is to put a tab index on everything. But I wondered, how do
folks access keyboard shortcuts that use modifier keys, if they are using a
mouth stick, a switch, or a sip and puff controller?

Do you have links to some documentation or videos?

Many thanks,
Dan