Evil Controllers, a company based in Arizona, specialises in modifying existing console peripherals to suit those with special needs. Like Spohn, for whom EC's boss Adam Coe (with help from Ben Heck) whipped up this prototype controller that's modular in design, meaning unlike a standard pad its various components (buttons, thumbsticks, etc) can be moved around to suit the tastes and abilities of the user.
While the controller in the video below is a rough prototype - hence the wires and unfinished body - it works, and Coe wants to make a finished, marketable product out of it.
Spohn, who can only move his fingers, shoulders and calf muscles, is delighted. "It's important for people like me to have access to the outside world," he said. "And for some of us, that's through games."