Voice recognition products-an occupational risk for users with ULDs?

Abstract

Voice recognition systems (VRS) allow speech to be converted both directly into text-which appears on the screen of a computer-and to direct equipment to perform specific functions. Suggested applications are many and varied, including increasing efficiency in the reporting of radiographs, allowing directed surgery and enabling individuals with upper limb disorders (ULDs) who cannot use other input devices, such as keyboards and mice, to carry out word processing and other activities. Aim This paper describes four cases of vocal dysfunction related to the use of such software, which have been identified from the database of the Voice and Speech Laboratory of the Massachusetts Eye and Ear infirmary (MEEI). The database was searched using key words 'voice recognition' and four cases were identified from a total of 4800. In all cases, the VRS was supplied to assist individuals with ULDs who could not use conventional input devices. Case reports illustrate time of onset and symptoms experienced. The cases illustrate the need for risk assessment and consideration of the ergonomic aspects of voice use prior to such adaptations being used, particularly in those who already experience work-related ULDs.