I recently came across this reddit post asking about a way to control a powerchair or scooter by moving hand over a flat surface like touchpad or touchscreen.
https://www.reddit.com/r/wheelchairs/co ... owerchair/
It makes sense for someone with limited hand dexterity but retained gross arm motor function. The touch point could be a finger if they have that ability, or a button stuck to the hypothenar (the contact point of a karate chop). Touchscreens are available in a wide variety of sizes. The size could be chosen to be at least as large as the comfortable arm range of motion. Additional screen real estate could display whatever the user likes. The surface could double as a table for eating, writing, or computing. Being connected to a small computer the user could capture their available range of motion and custom map it to speed and direction.
For example if your forearm is only comfortable across your body, you could map shoulder rotation, a single quadrant arc usually centered about 45 degrees off of forward, into a 180 degree centered arc representing steering. Elbow extension could be mapped to speed. You could even do it on the cheap without any screen at all. Just a transparent 4 wire analog touch overlay translated into the (X,Y) analog voltages of a joystick. A piece of paper with the user's mapped range of motion could be taped underneath the transparency as a legend.
I don't have the energy to properly follow though with this, so I wanted to throw the idea out to anyone interested. The original reddit poster is in the UK as far as I know.