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speechd-el allows you to use Emacs without looking at screen, with speech or Braille output only. The main usage area is by blind and visually impaired people, but generally you can use at least the speech output for many purposes, according to your wishes and needs.
You can download the latest released version of speechd-el from http://www.freebsoft.org/pub/projects/speechd-el/.
speechd-el uses Speech Dispatcher for the speech output, so working Speech Dispatcher installation is necessary to produce any speech output. Please look at http://www.freebsoft.org/speechd for more information about Speech Dispatcher.
For the Braille output BRLTTY is used through its BrlAPI interface. To make the Braille output work, BRLTTY must be running and properly configured. Please look at http://www.mielke.cc/brltty/ for more information about BRLTTY.