If you are using a screen reader it may interfere with the keyboard controls so use your reader's element selection to select the text input field after this paragraph. When you are in game you can use the H key and the Space key at any time for additional information regarding the current game situation.
Accessibility menu is accessed by pressing the A key.
Accessibility options include Text to speech, Reduced motion and pause on dialogue.
If there is a need to pause the game you can press the S key
The game also provides its own accessibility features so you can temporarily disable the screen reader if you continue to have problems.
If you need some cheats you can press the P key 3 times for a chapter select and the Q key 3 times to skip the shop phases.