When I was in junior high or highschool I made an SNES controller for my friend's mom who had limited hand movement due to a stroke. I made her a joystick from a piece of PVC pipe, two plastic spools, and a plastic case about the size of a cigar box for the base. The way the mechanism worked was I used strips of packing foam to center the PVC pipe inside the hole in the spools, and mounted 4 microswitches in a collar facing the PVC pipe. Instead of a big movement like a traditional joystick, it required only 1/8 inch "twitch" movements to close the microswitches, but was surprisingly precise & responsive considering it was made out of scraps and hot glue. (But then again I designed it to work with the limits of the materials I had access to, and "tuned" the placement of the switches as I built up the device.)
I can't remember well now, but I think she mainly played Super Mario World, and perhaps an SNES racing game. I never got the chance to actually play with/against her, but my friend told me that she did use it.
