Adapting PC gaming controls for teenagers struggling with hand tremors and fatigue

Hello everyone,

I am writing here today looking for some advice or to see if any other parents or care givers have navigated similar issues with adapting PC games for teenagers who are dealing with fine motor control problems and severe hand tremors.

My fifteen-year-old son was diagnosed with MS last year, and lately, his tremors and fatigue have made it incredibly difficult for him to enjoy his favorite hobby, which is gaming online with his school friends. He mostly plays Roblox, but the constant, rapid mouse clicking and quick keyboard movements required for some of the minigames leave him physically exhausted and frustrated when his hands won’t cooperate.

To help him keep up with his friends, a relative suggested we look into setting up simple automation macros to take care of the repetitive clicking parts of the game for him. We’ve been trying to configure a specialized roblox executor on his computer so we can load some basic helper scripts that automate these intensive inputs. However, we have run into a major roadblock because the tool keeps crashing or closing silently whenever we try to run it at the same time as his Windows on-screen accessibility keyboard or virtual mouse overlays.

I suspect there is some sort of background software conflict where the assistive mouse tools are blocking the execution scripts from registering the virtual clicks, but I am entirely out of my depth here trying to get them to work together. On top of the software crashing, we are also running into issues with extreme interface latency when his screen magnifier is active, which makes the game lag so badly that it becomes unplayable anyway.

Has anyone else here successfully set up macro automation or script overlays to make gaming more accessible for a loved one with motor control issues, and are there any specific configuration tweaks we can try to stop our assistive software from clashing with these game scripting tools?

That’s quite a dilemma, I feel for your son.

Microsoft do an accessible controller that could maybe be an option for controlling?

https://www.microsoft.com/en-gb/d/xbox-adaptive-controller/8nsdbhz1n3d8

He could possibly combine the above with a very handy program that automates macros commands via voice input called voice attack.

I hope you get something working for him, poor guy. Online gaming is such a huge part of young peoples’ social circuit these days and to be hit with MS …

You may get better replies by joining a PC gaming community on Reddit.

I’m sorry your son is dealing with this. It must be difficult to see something he enjoys become so frustrating.

While I don’t have experience with Roblox-specific tools, you might have better luck focusing on accessibility features rather than game modifications. A programmable mouse with larger buttons, key remapping software, adjustable mouse sensitivity, or adaptive controllers may reduce the amount of repetitive movement required. It may also be worth checking whether the games he plays have built-in accessibility options or whether the Windows accessibility settings can be adjusted to reduce input fatigue without introducing compatibility issues.

I hope you’re able to find a setup that lets him continue enjoying games with his friends. Wishing you both the best.