The ability of people affected by amyotrophic lateral sclerosis (ALS), muscular dystrophy or spinal cord injuries to physically interact with the environment, is usually reduced. In some cases, these patients suffer from a syndrome known as locked-in syndrome (LIS), defined by the patient’s inability to make any move-ment but blinks and eye movements. Tech communication systems available for people in LIS are very limited, being those based on eye-tracking and brain-computer interface (BCI) the most useful for these patients. A comparative study between both technologies in an ALS patient is carried out: an eye tracker and a visual P300-based BCI. The purpose of the study presented in this paper is to show that the choice of the technology could depend on user´s preference. The evaluation of performance, workload and other subjective measures will allow us to determine the usability of the systems. The obtained results suggest that, even if for this patient the BCI technology is more appropriate, the technology should be always tested and adapted for each user.