Your wording of the question is very ambiguous, I assume you want it to read aloud your word document using text to speech here is the Microsoft support page for that http://support.Microsoft.com/kb/306902
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I have Microsoft word 2010 and this is how I got it to work.
Go to file, open options find customize ribbon on the left hand side of the new window under General.
Now at the top it will say: Customize the ribbon and keyboard shortcuts. Just directly below that it had a little drop window.
Open the drop window and click All commands.
Now scroll down on the larger box just below that one, not the right hand side box but the left, all the way to speak. You want to add this to the left side but in order to do that you have to add a new group.
What i did was click on home and then click new group at the bottom.
This will bring up a new section under home that says new group.
Now you add speak to it and it will be on the home ribbon when you open the document. You can add this new group on any ribbon but this is just how to add it to home. If you select a paragraph or word it will read it out when you hit the speak button at the top. I hope this helps you.