How do I convert an Adobe pdf file with sound assist for the visually impaired to use the keyboard to play audio?

I am trying to convert an Adobe pdf article file with a play button to an iTunes or other accessible file for people with visual impairments.  The file has been converted to a format that has a play button; however, the computer does not have a keyboard stroke that leads to the play button.  In other words, the play button isn't integrated into the accessible format; only sighted people can access the play button.  The individual is using an Apple laptop.
Can someone help me please?
Thanks!

http://www.macworld.com/article/1162699/how_to_convert_pdfs_to_word_and_other_fo rmats_.html
https://itunes.apple.com/us/app/pdf-converter-free/id422540367

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