There are now many types of controller and methods of adapting controllers to help disabled gamers. I have a Mad Catz Xbox controller which I bought a few years ago after I had a home visit from the charity Special Effect. Afterwards, we concluded that it was a good option because you could swap the analogue sticks around to different locations and it was compatible with pc as well. In addition to the controller, I have two micro-switches attached to be able to use the trigger buttons which work using various pieces of software like cronusmax. Micro-switches and buttons are very useful for improving your gaming experience as they can be placed within easy reach so give you a more comfortable button layout. With Duchenne, it becomes too difficult to properly hold a controller, so anywhere a button can be adjusted or replaced with something easier to press makes your response quicker and your game better. How the controller is positioned is also a factor in adaptations. I use a clamp and a flexible arm to attach the controller to my wheelchair in a comfortable and easy to reach place just in front of my hands. Below is a picture of me set up with the controller.
Furthermore, I am looking forward to trying out the new adaptive controller from Microsoft to see how useful it could be. It definitely looks like it has great potential to make gaming easier by creating a sort of hub for all the different controller inputs like buttons and triggers. It is good to see disabled gamers being considered and catered to more and more with new technology by companies and developers. There are now many emulators, button mappers and controller types to choose from to help disabled gamers, which is a very positive thing. Without these options, I would not be able to enjoy many of the games I love, and by providing these methods, game developers are improving the inclusiveness of gaming.