Adobe Reader has a built-in Read Out Loud Text-to-Speech tool. It allows you to read the current page or the rest of a file. Of course not as flexible as with NVDA or JAWS.
To set up Read Out Loud:
1. Go to the Preferences dialog box of Acrobat Reader by selecting Edit > Preferences.
2. In the left pane, select Reading.
3..In the right pane, deselect the Use Default Voice and select a voice from the drop-down list that you have verified installed on your computer.
4. Click OK.
To activate Read Out Loud:
1. On the View menu, choose Read Out Loud > Activate Read Out Loud.
2. Again go to View > Read Out Loud and then choose an appropriate option for reading: To read the current page, choose Read This Page Only. To read the entire document, choose Read To End of Document. Adobe will begin reading