Livescribe Echo Pen Sound Stickers

picture of Echo pen with sound sticker on note cardsThe Livescribe Pens have been around since about 2010 offering a ink pen that scans what you write and records audio. It uses Livescribe’s specialized dot matrix note paper to synchronize the audio recorded with the handwriting notes you are writing. Nine years later this pen has undergone some model changes but essentially is the same pen and paper as from it’s inception. It is also still one of those handheld technologies that amazes student and parents often with comments “I wish I had that when I was in school”. The Livescribe Echo Pen continues to be a frequently chosen assistive tech tool  to support note taking for students with disabilities who may have mobility, learning or cognitive challenges due to its typical handwriting method used by most students I meet.

The Livescribe Echo Pen has a variety of type of paper and accessories. While the accessories have been around for quite some time (and some have come and gone, e.g. dictionary app), I haven’t taken the opportunity to utilize one of the accessories such as the Sound Stickers. I am not sure why, since I have had some leftover stickers supplied to me several months ago. Recently an online classmate inquired about the Sound Stickers and their potential use for individuals with low vision. It was time to check out the stickers to see how well they worked and consider application to the variety of clients services as well as individuals with low vision.

Livescribe Sound Sticker Trial

The asynchronous online class I am enrolled in uses video presentations within the assigned modules. Power Point slides of the video content is provided which I print out on hard copy paper due to my preference for handwriting notes when reviewing the videos. Applying the Sound Stickers (3/4” circle stickers) to the PPT slide handouts was a simple process as well as starting the audio recording requiring tapping the pen on a paper based recording icon then tapping the sound sticker to record for an individual with vision. Taping the sound sticker a second time stopped the audio recording on the sticker. I then could immediately tap the sound sticker to listen to audio message recorded. Visual information on the Echo Pen’s LCD screen provided guidance to using the Sound Stickers. The process to complete the recording and viewing the stickers and icons require vision, at least with initial use due to the low contrast stickers and recording icon and small print LCD screen.

As a functional application for identification of objects I used the sound stickers on   products around the house (different types of hair spray bottles, other hygiene and grooming items, canned goods, etc. ) to identify similar items or products using audio labels. While I could feel the stickers with careful tactile scanning and consistent placement, identification of these sticker by feel they would require adaptation for individuals with visual impairment using puffy paint or other tactile marking for ease of locating the stickers. Use of the recording icon would also need to be adapted with a tactile or high contrast marking to aid identification. Over all when locating the sticker and tapping with the pen, I was able to easily hear the recorded information identifying the object.

The Livescribe Sound Stickers comes in a pack of 1000 for approximately $20-25 and can be re-recorded. They are a great accessory if you own a pen, allowing recording of information when taking notes on standard paper such as handouts, study cards or even talking books. Multiple stickers can be placed on a paper/handout allowing recording or marking separate topics on a handout. The sound stickers also worked well to record information on real objects to aid identification, however if used by individuals with low vision, tactile markers and training on its use would aid locating the stickers, recording icon and sequence to record and play.

Image of sound stickers and recording icons

Alternatives to the Sound Stickers are Livescribe Sticky Notes offering small sticker notes that can be applied and recorded on.

Livescribe Sticky Notes

If using this with individuals with low vision providing high contrast or tactile marking to them would be important. Although this pen would work for identifying objects (with tactile or high contrast adaptation), purchasing this pen for the sole purpose, might not be the most accessible tool as you need an additional icon to start the recording and the need to charge it using a micro USB, difficult to plug in for individuals with visual impairment.

Other tools for labeling are available for individual with low vision which provide tactile buttons for operations (recording, sound, etc.), are battery operated, have stickers with tactile qualities and may be less expensive. A few of the talking label tools to consider might include:

Reizen Talking Label Wand – Voice Labeling System ($88.74) A handheld device with tactile buttons/controls that are also high contrast. Labels which also are washable are included with the purchase of the device. The device stores 2 GB of recorded information.Reizen label voice readerAdditional labels are available for the Reizen wand Reizen labels

PenFriend2 Voice Labeling System (149.75). A handheld device with tactile buttons/controls. Simple on/off system of recording is easy to use. Labels are provided with purchase of the pen. The device stores 4 GB of recorded information.

image of Penfriend2 talking labeler

Additional labels for the Penfriend2 can be purchased separately.


The Livescribe Echo Pen and Sound Stickers can be good tools for recording audio on paper handouts,  create talking labels for books and objects or used for non-writers to record answers on worksheets or handouts. The Sound Stickers were found to be best  suited to individuals with normal or near normal vision due to the low contrast stickers and recording icons, limited tactile quality and small, LCD screen providing instructions.  With adaptations and training, the Echo Pen, Notebook and Sound Stick could be used by individuals with visual impairment  however, other talking label devices are available that offer better accessibility to individuals with visual impairments such as the Reizen Talking Wand or PenFriend2 Voice Labeling System or  PenFriend2 Voice Labeling System

Have you used Livescribe Sound Sticker for other than note taking?

More for your OT / AT Tool Kit!

Carol, OT’s with Apps and Technology

Posted in Accessibility, Accessories, Assistive Technology, Learning Disability, Low Vision/ Blindness, Note Taking, Notetaking,, Uncategorized | Tagged , , , , | 2 Comments

New Emoji to Feature People with Disabilities — Assistive Technology at Easter Seals Crossroads

Easter Seals Crossroads shares the new Emoji’s  that will feature people with disabilities that Apple is proposing!

Emojii's for disabled proposed

There will be twelve new emoji released later on this year depicting the experiences of people with disabilities. The Unicode Consortium released 59 new emoji this week; among them are several images portraying various aspects of the disability experience. The Unicode Consortium is a “nonprofit corporation devoted to developing, maintaining, and promoting software internationalization standards…

via New Emoji to Feature People with Disabilities — Assistive Technology at Easter Seals Crossroads

H/T to the AT at Easter Seals Crossroads for sharing the new proposed emoji’s.


Quote | Posted on by | Leave a comment

Echo Show Accessibility Features — Assistive Technology at Easter Seals Crossroads

Echo Show pic

I received an Amazon Echo Show as a gift for Christmas and I love it! I set it up in my kitchen so recipes, news, music, and so much more are easily accessible. If you’re unfamiliar with the Echo Show, it is an Amazon Echo device optimized “for visuals and room-filling sound.” The device is jam-packed…

Read more about the accessibility features of the Amazon Echo as posted by the folks at Assistive Technology at Easter Seals Crossroads

H/T to AT at Easter Seals Crossroads for their adaptive tech review!

via Echo Show Accessibility Features — Assistive Technology at Easter Seals Crossroads

Quote | Posted on by | Tagged , , | Leave a comment

Technology for Sound Sensitivity

image of distressed child covering ears

Sensitivity to sound, often referred to as auditory defensiveness or hyperacusis, can be a socially isolating condition hindering social participation for many of our clients or students. The Friendship Circle identifies different types of noise sensitivities as described in the online post, “Noise Control: 11 Tips for Helping your Child with Autism Deal with Noise” (Wang, 2014). Causes of hyperacusis are varied and may be due to neurological, otological. congenital, endocrine, medication among others (Hyperacusis Focus – Causes, 2019). As an occupational therapist, we often have many students exhibiting the symptoms of sensitivity to sound requiring intervention to assist with reducing isolation, avoidance or behavior challenges.

Treatment of hyperacusis is varied with severe cases requiring medical intervention and counseling (Hyperacusis Focus – Ear Plug Use, 2019). Other treatment methods can include desensitization, avoiding exposure, use of electronic hearing devices or noise cancelling ear protection as well as alternative treatments for stress reduction and symptom management (Hyperacusis Focus – Causes, 2019) (Wang, 2014).

As an occupational therapist in the school system a typical method of intervention is using noise cancelling ear muffs. Noise cancelling ear muffs are readily available, low cost, and can be independently applied by the student on demand. A wide variety of noise cancelling ear muffs are available that are affordable (see list or link below). Noise cancelling ear muffs however are not discreet in appearance, especially when used in the classroom where peers are not permitted use.

Student Case Study

A middle school student I work with has a long-standing history of sound  sensitivity. Ear muff continue to be needed for him to comfortably participate in assemblies and join peers in the cafeteria. Results of a sensory processing assessment indicated he still falls in the “more than most people” range in sensory sensitivity and avoiding,  with noise a major factor. As a middle school student transitioning soon to high school, exploring other discreet options that will continue to allow him to participate in school activities with his peers. Exploring options of noise reducing tools was discussed with his teacher and the student for self esteem and social acceptance as he transitions to the secondary level.

Noise Reduction Ear Plug Trial

One solution immediately trialed was providing him with a set of Vibes High Fidelity Noise Reduction Ear Plugs previously purchased and identified as a noise reduction tool used by individuals with autism (Lamb, 2018). While high fidelity noise reduction ear plugs are used by musician and employees who work with equipment or environments with loud and continuous noise, these noise reduction ear plugs also are known to support individuals with noise sensitivity. Noise reduction ear plugs decrease sound levels (dB), filter specific frequencies while maintaining the ability to hear and the quality of the sound. High fidelity noise reduction ear plugs each have different levels of sound reduction identified by the manufacturer and are just one of many types of sound reduction ear plugs available (sleep, work, shooting, flying, music, etc.) (Banks, 2018). Noise reduction HF ear plugs for musician are generally recommended for individuals with hyperacusis. The Vibes HF Ear Plug offer noise reduction up to 22 dB and come with different sized replaceable ear tips. Use of these types of noise filtering earplug, depending on the user, could also help grade exposure to sound, allowing some noise but filtering out louds sounds to help individuals with sound sensitivities increase their tolerance as recommended (Hyperacusis Focus, 2019).

The trial of the Vibes with the student was successful. He was motivated in using the low-profile ear plugs and applied them consistently during his school day to join peers at lunch time in the cafeteria. On a rare occasion he sought out eating in the resource room due to high noise and a report of “whistling sounds” with the noise level. This may be the result of a poor fitting ear tip or certain noise levels particularly challenging to his auditory processing. Although the Vibes have successful for the student, additional research on options for this student continued for this trial period.

Resources on Hyperacusis and Ear plugs

Helpful information about sound sensitivity and ear protection  was found at in the following articles and websites:

  • Lindsey Banks, Au.D. ‘s online article “The Ultimate Guide to Wearing (and Choosing) Ear Plugs”, (Banks, 2018). Her updated post provided great information on different kinds of ear plugs, purposes and a listing of “Best” earplugs in each category.
  • Hyperacusis provided an excellent overview of the condition of hyperacusis. The concept of discouraging overprotection or over use of hearing protection was presented with evidence that it will lower loudness thresholds over time (the more you protect, the greater the sensitivity over time) (Hyperacusis Focus – Ear Plug Use, 2019). This evidence is similar to the recommendations for light sensitivity, the more you protect the greater the sensitivity and anxiety about exposure. Slow, graded exposure to sound is important to improve tolerance generally. This is typically evidenced with our students as they age.
  • “Noise Control: 11 Tips for Helping your Child with Autism Deal with Noise”, written by Karen Wang provides types of sound sensitivities, strategies for the condition, interventions as well as alternative treatments for the condition.

This general information provided good background information from a general viewpoint.

Ear Protection Options

Research and experience with noise cancelling ear protection identified the following ear protection options. There are many options on the market with the following being just a few gleaned from research:

Ear Muffs: Over the ear headsets or ear muffs are a handy, durable solution for individuals with sound sensitivities. A wide variety of headphones are readily available for children and adults in stores with sporting goods and sound equipment. Here are just a few ear muff recommendations:

High Fidelity Ear Plugs:

Livemusic earplugs image

  • Etymotic HF ER 20 Earplugs – (12.95) One pair, available in two sizes available (Large and standard) with 20 dB NNR.Etymotic earplugs
  • Etymotic HF Earplugs (ER20X; $19.95) High fidelity noise reduction ear plugs. Reduces nose by 20 dB. Available in large and standard size.

Some noise reducing earplugs comes with a case. strap or neck cord to help with maintaining and locating these small earplugs.

High Tech Noise Reduction Earplug Option

Other options for noise reduction include high tech active noise cancelling earplugs which have a microphone and a processor that produces anti-noise to cancel sounds. These earplugs are expensive with costs in the $300 range. An option to explore include the active noise cancelling earplug technology produced by QuietOn.

Summary: Low profile ear plugs are available to reduce noise levels for individuals with sound sensitivity, however, may be dependent on the users sound sensitivity, fit motivation and safety with use. Many options are available for ear protection, with standard ear muffs readily available and high-fidelity noise reduction earplugs which reduce certain levels of sound. High tech active noise cancelling ear plugs are also available at a much higher cost. Recommendations were found suggesting limiting overuse of noise cancelling ear protection which may contribute to reduced sound tolerance when used for a long period of time. A variety of intervention methods and strategies including medical, counseling, therapies and devices are available for individuals with sound sensitivities.

What other experience and recommendations do you have for noise cancelling headsets or earplugs?

More for your OT and AT Tool Kit!



Banks, L. (2018, May 8). The Ultimate Guide to Wearing (and choosing) Ear Plugs. Retrieved from Everyday Hearing:

Hyperacusis Focus – Causes. (2019, February 3). Retrieved from Hyperacusis Focus :

Hyperacusis Focus – Ear Plug Use. (2019, February 3). Retrieved from Hyperacusis Focus:

Lamb, E. (2018, February 19). Vibes High-Fidelity: EarPlugs for Autism and Sensory Processing Disorder. Retrieved from The Autism Cafe:

Wang, K. (2014, May 6). Noise Control: 11 Tips for Helping your Child with Autism Deal with Noise. Retrieved from Friendship Circle:


Posted in Activities of Daily Living, Assistive Technology, Hearing, Occupational Therapy, Self-regulation, Sensory Processing, Special education | Leave a comment

OrCam MyEye 2.0 – “A Game Changer”

orcam156-780x382A recent AT assessment with a client with low vision explored both computer based and handheld magnification tools as well as text to speech tools that would help her access print required of her online classes. Reading hard copy print (textbooks) is also a need with quantity of material required for her to consume for her classes. She also experiences visual fatigue and experiences unforeseen periods when her vision declines causing additional challenges in her functional vision.

One of the assistive reading tools, the OrCam MyEye 2.0, a wearable scanner with text to speech was trialed by the client as a low vision tool for accessing print with text to speech. This wearable device was described by the client as “a game changer”, allowing her access to her hard copy textbooks, computer print, some environmental print as trialed. Further discussion about the OrCam’s capabilities such as facial recognition and barcode scanning astonished her with immediate identification of ways this device could support her independence throughout her daily life.


This new OrCam MyEye 2.0 is a small, discreet wearable computer that attaches to a glasses temple with magnets and offers gesture and  touch controls to activate scanning of text and barcodes to generate voice output. The scanning process is fast and amazingly accurate with a high quality text to speech voice.  As aforementioned, it can also be used for reading text on the computer,, reading restaurant menus as well as signage and articles, identifying colors, dollar bills as well as reading barcodes on goods at home and in the community. As the client almost instantly recognized, it’s functionality extends beyond just reading course textbooks.

For the client I was working with, of all products explored, the OrCam MyEye 2.0 was identified as the “game changer” that would support her academically but also aid her in many functional daily tasks. It’s discreet, mainstream appearance is also appealing for individuals who are concerned about how others may perceive them. .

The new OrCam MyEye 2.0 provides significant improvements when compared to the flagship model sold in 2016. The new OrCam MyEye 2.0 improvements offer:

  • Wireless model with battery life of 1-2 hours
  • My Eye 2.0 has been streamlined, now measuring approximately 2-3 inches in length with magnets used to easily attach the unit to glasses temple(s).
  • Size and positioning do not interfere with hearing aids or glasses frames.
  • Easy access controls on the exterior of the device (touch or tap) to activate scan and reading print.
  • My Eye 2.0 can now be positioned on the right or left side to accommodate handedness.
  • Improvements in facial recognition, product scanning, dollar bill identification make it easier to use.

Here is a video describing more of the OrCam MyEye 2.0

Where can you get the OrCam My Eyes 2.0 and receive training?

Check out the MyEyes 2.0 at Adaptive Technology Resources, a supplier with certified trainers!

As stated by the client, this wearable assistive technology tool is a “game changer” for some individual. Do you have clients who have used OrCam MyEye? It is an awesome product for the right client.

More for your OT, AT or LV Tool Kit!



Posted in Accessibility, Activities of Daily Living, Artificial Intelligence, Assistive Technology, Learning Disability, Life Skills, Low Vision/ Blindness, Uncategorized, Wearable technology | Tagged , , , , | Leave a comment

Fun with Math Apps — Tech it Issie

At the Beit Issie Shapiro School for Special Education, we are always looking for new ways to make the concepts and practice of math more relevant and engaging. Once a week, the occupational therapists and the teachers work together to use games and play to strengthen math concepts. We use many kinds of games including…

via Fun with Math Apps — Tech it Issie

Check out the recommended apps on Tech it Issie!


Quote | Posted on by | Tagged , , | Leave a comment

Otter AI – Recording and Transcription Service & App

Otter AI icon

Otter AI

Note taking is a frequent concern of students transitioning to post secondary education. Keeping pace with lectures delivered at a fast pace, spelling, processing information and writing notes simultaneously are just a few of the barriers for students and professionals. Audio recording, as appropriate or permitted has been standard accommodation used by students to gather and review lecture information that might have been missed in class. For professional, note taking at meetings, lectures or with clients (as appropriate) are tasks that can be a challenge. From standard handheld voice recorders to smart pens, mobile device apps and computer based software there are many note taking solutions available for students and professionals currently for voice recording lectures.

Transcription Options 

One question regarding note taking frequently presented by students involves capabilities of attaining transcribed notes. Inquiry on use of voice recognition software, transcription of hand written notes or audio is often a question. With exception of real time transcription for individuals with hearing impairment, mainstream transcription or recognition has been not been accurate enough unless pay for human transcription services with costs ranging from approximately $1.00/min and up are used. Higher quality transcription, for better accuracy result in higher cost. A recent review from PC Mag ” Best Transcription Services of 2018″ compares current transcription services:

transcription review PC 2018

Recent kick starters like the Titan Note (what happed to that 2 year old kickstarter ??)promising transcription of audio recording using a recording device with transcription, was hopeful as a mainstream automatic speech recognition and transcription service, however has not become a reality.  Recent development of the Otter AI service (see comparison above) now provides a mainstream tool for transcription of voice recording for a variety of purposes and users.

Otter AI Service & App

Otter AI is artificial intelligence development offering real time transcription of conversations, meetings, calls, video conferences, lectures or other voiced audio recordings. It provides automatic recognition using AI technology developed for transcription. With a user login, 600 transcription minutes are offered for free. A tiered monthly subscription dependent on amount of purchased is available. Six hundred minutes is a generous amount of free transcription!

The online Otter user interface provides an easy to use service. Google Chrome is the preferred online browser for the service. Below is a screen shot of the online user interface and transcription of a short 30 second audio recording using my PC computer native voice recorder and USB mic:

Otter AI pic PC 4

The Otter Voice Notes broke the verbiage into chunks with timeline assigned. The audio recording is readily available at the bottom of the screen to listen to the real time audio to determine accuracy. When the audio is played, the text spoken is highlighted to help you track the sound and text. An edit and copy tool for the transcribed text is available to correct errors and save or copy the transcription. Audio files are easy to import into the services for transcription of audio recordings from mobile devices, handheld voice recorders or other audio files from computer programs. The interface and tools are extremely intuitive and simple, making it very easy to use.

Transcribed text can be shared with others for editing or distributing meeting or lecture word processed documents. Although transcription is not perfect, initial use has found it remarkably accurate with easy review using text and audio to correct errors.

Additional tools within Otter Voice Notes include recording group conversations and phone calls. Examples of such transcriptions seen in the mobile device apps:

Features at the bottom of the above images show tools to review voice notes taken, record, and share voice notes.  Settings allow you to connect with different accounts, record using Bluetooth and create your own user voiceprint (recognition).

My initial trial using the Otter AI app for iOS or Android Otter app and Otter AI service found it to be very promising. Using voice recordings from my PC voice recorder, other voice recording apps, recording in OneNote and exporting and importing from Sonocent Audio Notetaker were all successful with minimal errors. Although Otter can be used as a self standing audio recording and transcription tool, for students already using Echo Pen, Sonocent or OneNote, Otter can provide transcription of the audio with a few additional steps. For individuals with mild hearing impairment, Otter might provide an cost effective method for reviewing notes with assistance for editing to ensure accuracy. Otter may also provide notes for students taking online courses with video instruction or webinars for verbatim transcription.


Recording quality audio with a good mic is important. There is a wide variety of high quality mics for PC as well as mobile devices with a wide range of costs. A 2018 review on best mics for voice recording can be found at Podcast Insights ranging from $1,000 to under $100.  After searching for an affordable and portable mic for PC or iPad Pro I recommend the following low cost, portable mics:

Samson Go Mic Portable USB -Approximately $40.00 from Amazon can be plugged into any USB port for omnidirectional recording. This will work for recording with Sonocent Audio Notetaker, OneNote or native PC recording app.

PowerDeWise mic for iPad Pro – Approximately $22.00 from Amazon. This omnidirectional mic with lapel clip was a great find and has worked will with my iPad Pro (2017). Mics used with older iPads did not work requiring search for a new one. This PowerDeWise works like a charm allowing recording using my iPhone,  iPad Pro as well as Galaxy S phone.


Otter AI online service and apps are exciting new tools that can assist both students and professionals with note taking transcription of recorded information. It’s flexible interface allows transcription of imported audio files as well as directly within the Otter app or online service. Web services are required for recording within the services or app and transcription. Using a good mic when recording will improve accuracy of transcribed audio. Otter AI offers free service up to 600 minutes/mo.

Use of a quality microphone is recommended for best audio recording for best transcription.

More information can be found at Otter AI regarding the service.

Have you had experience with the app? Share if you have!

Carol @ OT’s with Apps

Posted in Android, Assistive Technology, Digital Recording, iPad, iPhone, Learning Disability, Note Taking, Note Taking App, Transition, Writing | Tagged , , , , | Leave a comment