As you know, duct tape can be used for pretty much anything, and rice fills a large hole when needed. Coupled with some Xbox 360 controller parts though, they can make a disabled chap get his game on.
With a little help from Ben Heck, Evil Controllers modified an Xbox 360 controller so muscular dystrophy-sufferer Steve Spohn could play the Xbox. The joysticks and buttons are stuck to a makeshift controller with Velcro, and are able to be moved about depending on whatever's most comfortable. If a game is being played where joysticks aren't needed, they can even be ripped off so they don't interfere. The wearer can also put on a t-shirt with buttons sewn into the shoulders, which are activated when the gamer shrugs.