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great thank you very much jim and thanks everyone for joining us here today i know everyone has a busy schedule some of you might have joined us just two days ago so uh thanks for making that additional room so today were going to talk about switch assessment its a topic that is near and dear to my heart i spend a lot of time trying to help clients find a means of accessing their assistive technology and for some of our more complex clients switch access may be the only way theyre able to access that technology right now whether it be a communication device a power wheelchair some simple control of tablets or adaptive toys today were going to focus however on people with muscle weakness now i know a lot of you work in pediatrics i do as well this information is going to apply to pediatrics and adults but we see different types of muscle weakness in each population and well quickly review that as well so my name is michelle im an occupational therapist in the denver colorado area