Hello.  In Windows there are often several ways to do the same 
thing.  Also, there is no 'one size fits all' approach to teaching blind 
students.  Having said these things, my recommendation to you is to 
minimize the use of toolbars.  I can't help you solve your particular 
toolbar problem because I seldom need to access  them.  I know of only one 
case in Word where a useful task is only available from the 
toolbar.  (there may be others.)  Hence, while it may be of academic 
interest for your student to know how to read the toolbar, even if you 
manage to get it reading correctly, using the toolbar is probably not the 
most efficient way for the student to get work done. I just confirmed this 
statement by reading over the standard toolbar in Word 97.  All those 
commands have easily-accessible menu options or keyboard shortcuts.  I 
suggest that most blind speech users will work at the computer using these 
choices whenever possible, and that you may wish to orient your instruction 
in that direction.  I and many on this list can help.

though non-responsive to your specific question, I hope this ultimately 
helps you and your student.

Dean

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