Narrator

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'''Use this keyboard shortcut''' 	'''To do this'''
CTRL+SHIFT+ENTER 		Get information about the current item
CTRL+SHIFT+SPACEBAR 		Read the entire selected window
CTRL+ALT+SPACEBAR 		Read the selected window layout
ALT+HOME 			Get information about the current item
ALT+END 			Get a summary of the current item
INSERT+SHIFT+G 			Read a description of the dependent elements of the currently selected element
INSERT+CTRL+G 			Read a description of the non-dependent elements adjacent to the currently selected element
INSERT+CTRL+HOME 		Enter Virtual Menu navigation mode, which allows you to access Narrator commands without switching from the program that you’re currently working with
CTRL 				Stop Narrator from reading text
INSERT+Q 			Move the text selection to the start of the previous text pattern
INSERT+W 			Move the text selection to the start of the next text pattern
INSERT+E 			Move the text selection to the start of the current text pattern
INSERT+R 			Move the text selection to the end of the current text pattern
INSERT+F2 			Select all of the text with the current text pattern
INSERT+F3 			Read the current character
INSERT+F4 			Read the current word
INSERT+F5 			Read the current line
INSERT+F6 			Read the current paragraph
INSERT+F7 			Read the current page
INSERT+F8 			Read the current document

http://winspark.net/2009/03/02/hear-your-text-with-narrator-a-text-to-speech-program/