Some users may need specific support because of e.g. some visual impairment. Most accessibility features have to be enabled manually. Some boot parameters can be appended to enable accessibility features. Note that on most architectures the boot loader interprets your keyboard as a QWERTY keyboard.
Some accessibility devices are actual boards that are plugged inside the
machine and that read text directly from the video memory. To get them
to work framebuffer support must be disabled by using the
boot parameter. This will however reduce the number of available languages.