Hello PN'ers,
No I do not work for Apple Computer nor do I own stock and I know they are pricey, but Mac OS X Mountain Lion has speech to text recognition.(Dictation)
Why do I care, or why should you care?
Because, any field that you can type in is now a field that will accept speech to text.
So, if your hands are all jacked up, just mouse/tab to the field and talk

Or talk to your word doc, or whatever.
Limitation, can not open/close programs with it. Room for growth but a good start!